Equine Commercial General Liability

Same Day Quote & Issue

Call Toll Free 1-800-874-9191          Fax  480-452-0593   

For no-obligation equine liability quote, please complete the following form
 
Insured Name

Address
Address 2
City
State
Zip
Entity Type
Years Experience

Primary Contact

Contact Name
E-mail
Business Phone -             (Area + Number)
Fax -             (Area + Number)
Cell phone -              (Area + Number)

Business Information

Desired Policy Effective Date?
Start
Liability Limit    Per Occurrence
Number of full time employees  
Number of part time employees  
Annual Payroll $ 
Estimated Gross Annual Revenue $  
Website  (If Any)                         HTTP://
Underwriting Questions - Do not duplicate horses or receipts in answers
Owned personal pleasure horses
Owned breeding horses
Owned race horses
Do you sell horses ?  If YES, annual number    Number of horses sold annually
Do you board horses ? - If Yes average number    Non-Owned Horses Boarded
Do you train horses ? - If Yes average number     Non-Owned Horses in Training
Do you offer Riding Instruction ?     If YES provide breakdown below
  $                Riding Instruction on School Horses
  $                Riding Instruction on Student's own horse
  $                Therapeutic Riding Instruction on School Horses
Maximum # School Horses used at one time
Average # School Horses used at one time
Do you offer produce Horse Clinics ?     If YES, Annual number of clinic days
Do you offer produce Horse Shows ?     If YES, Annual number of show days
Do you sells tack or clothing ?
Additional Insureds added to policy ?
Do Independent Trainers carry insurance ?
Care, Custody & Control  -  Choose Limit     Limit option is Per Head / Per Accident
   
Any losses in past 3 years?
How did you hear about us?
Comments or Special Instructions
AFIG Producer - Please enter Name & Number
Insurance Definitions