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Festival Insurance Form

In order to protect you and your organization from any issues with spectators suing you or your organization, there are a few options. Insurance coverage should be from the dates of Feb. 9-17, 2019.

  • Add the Edison Festival of Light Inc. and the City of Fort Myers as an additional insured on your insurance policy that has a minimum of $1,000,000 general liability.

  • If you do not have insurance, please research insurance companies that will meet the general liability requirements.


First Name
Last Name
Email Address

Organization Information

Organization/Family/Group Name
Title
Address Line 1
Address Line 2
City
Postal Code
Phone Number
Cell Phone Number
Business Phone Number
Home Phone Number
Website

Entry Information

Entry Type
Title of Entry
Description of Entry
Size of Entry (including vehicle)
Number of Entry Pariticpants

Proof of Insurance

Upload Copy of Insurance with additional Insured - max file size 5 MB
 


Signature

E-signature
Type in your name
Title
Date

Acceptance of this application by the Edison Festival of Light Inc. via confirmation email constitutes a contract.

To the best of my ability, I agree that all the information is provided is correct.


I agree to the terms and conditions
 
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