EXPO-PLU$ Event Cancellation Insurance Coverage Quote
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1. Association or Organization Holding Event
Is the above Association a member of the following associations:
Open Dates of Event: (inclusive of lease dates)
For events outside of the U.S., please select "Non U.S." and provide the location under Country.
Please provide the following information about the event to be insured:
5. Pre-Existing Potential Loss
Note: If you become aware of any circumstances after completing this Application and before the date insurance for the Event commences, you must disclose the circumstances to the insurers immediately to see if the insurance will be affected.
Please read and acknowledge below:
Submitting this Application and Declaration does not bind the applicant or the underwriter to complete the insurance, but it is agreed that this Application and Declaration shall be attached to and form part of any policy subsequently issued.
Mercer Health & Benefits Administration LLC, 540 W. Madison St., Chicago, IL 60661. Or fax to 1-312-627-6172. If you have any questions, please call toll-free: 1-877-451-4003.