2019 abilitySTRONG Parade User Liability

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PARADE USER LIABILITY APPLICATION KALIFF INSURANCE 2009 NW Military Hwy, San Antonio, TX 78213 Phone 210-829-7634 Fax 210-829-7636 E-Mail: [email protected] Endorsement Request Form DATE:_________________________ INSURED:_________________________________________By:______________________________________ EVENT SPONSOR:_ disABILITYsa, disABILITYsa Creative Services, Fiesta Especial _____ PARADE NAME:____________________________________________________________________________ __________________________________________________________________________________________ EVENT DATE(S):____________________________________________________________________________ PARADE UNIT TYPE: ________________________________________________________________________ PARADE UNIT TYPE: ________________________________________________________________________ MOTORIZED FLOAT/# OF PERSONS___________________________________________________________ MOTORIZED FLOAT/# OF PERSONS___________________________________________________________ PREMIUM:______________________ Kaliff Parade Pricing PARADE UNIT PREMIUM MOTORIZED FLOATS PREMIUM Equestrian Units $165.00 per Unit 5 or less people on float $259.00 Marching Units $57.00 per Unit 6-12 people on float $361.00 Floats on Pickups $176.00 Each 13-20 people on float $498.00 Floats on Flatbeds $176.00 Each Motorcycle Units $165.00 per Unit Convertibles/Pick Ups $138.00 per Unit I choose to decline insurance and provide Certificate of Insurance (See Sample) X______________________________________ Parade Participant 2019 abilitySTRONG Parade Saturday, October 26th, 2019

Transcript of 2019 abilitySTRONG Parade User Liability

PARADE USER LIABILITY APPLICATION KALIFF INSURANCE 2009 NW Military Hwy, San Antonio, TX 78213 Phone 210-829-7634 Fax 210-829-7636 E-Mail: [email protected]

Endorsement Request Form

DATE:_________________________ INSURED:_________________________________________By:______________________________________ EVENT SPONSOR:_ disABILITYsa, disABILITYsa Creative Services, Fiesta Especial _____ PARADE NAME:____________________________________________________________________________ __________________________________________________________________________________________ EVENT DATE(S):____________________________________________________________________________ PARADE UNIT TYPE: ________________________________________________________________________ PARADE UNIT TYPE: ________________________________________________________________________ MOTORIZED FLOAT/# OF PERSONS___________________________________________________________ MOTORIZED FLOAT/# OF PERSONS___________________________________________________________ PREMIUM:______________________

Kaliff Parade Pricing

PARADE UNIT PREMIUM MOTORIZED FLOATS PREMIUM Equestrian Units $165.00 per Unit 5 or less people on float $259.00 Marching Units $57.00 per Unit 6-12 people on float $361.00

Floats on Pickups $176.00 Each 13-20 people on float $498.00 Floats on Flatbeds $176.00 Each Motorcycle Units $165.00 per Unit

Convertibles/Pick Ups $138.00 per Unit

I choose to decline insurance and provide Certificate of Insurance (See Sample)

X______________________________________ Parade Participant

2019 abilitySTRONG Parade

Saturday, October 26th, 2019