"Municipality Insurance Services, Inc. -- Innovators and Creators of Municipal Programs"
 
 
 
 
 
 
 

Online  Applications:

 

- SPARTA

- EVENTS

       

Covering Concerts,  Parades, Conventions, Theatrical Shows, Seminars, Weddings, and more!

                         

                   Or Call Now For MORE INFO: 1-800-420-0555

                                   To see a list of participating cities and counties, click HERE.

 

THE  PROMPT Cover ADVANTAGE:

  • The entire process can be completed within 4 hours and provides the city with protection at a fraction of the usual cost to event holder.
  • Municipality Insurance Services, Inc. is responsible for all underwriting decisions and works directly with the event holder.
  • Municipality Insurance Services, Inc. provides proof of coverage to the event holder and the participating city, county or public entity.
  • The PROMPT Cover participant no longer has to be concerned with collecting the premium, we collect it directly from the event holder.
  • Monthly reports are provided to the participating city, county or public entity noting the type of event held, location and premium charged. In the event of claims being made, a report of claims activity would also be provided each month.

HOW DOES THE POLICY WORK?   

The city/county/public entity would be the Named Insured on a master policy issued by the insurance company covering a large variety of events. Guidelines would be customized to fit your particular needs.

 

When the event holder contacted the City for a permit or permission to use a City facility, they would be informed of the insurance requirement and offered the opportunity to access the master policy.  Our office provides a simple handout with a toll free number for the event holder to call for additional information and a quotation. We then either mail the event holder a formal quotation, or or collect the premium from the Insured and fax a certificate to the concerned City department indicating event coverage.

 

        

 

FOR SPECIAL EVENTS

PLEASE FILL IN THE BLANKS WITH THE REQUESTED INFORMATION SO WE CAN PROCESS YOUR REQUEST CORRECTLY;

Please fill out this application carefully to avoid having to send it twice!


 

CONTACT INFORMATION
CONTACT PERSON:   (Your Name) 
BILLING ADDRESS:  
CITY, STATE, ZIP CODE:   ,
DAYTIME PHONE NUMBER TO REACH YOU:  
FAX NUMBER FOR QUOTE:
Your E-MAIL ADDRESS:  
     
EVENT INFORMATION
WHAT IS THE NAME YOU USED TO APPLY FOR YOUR EVENT PERMIT? Example: ("Bradford Wedding" / "Alder St. Block Party")     
WHERE WILL THE EVENT BE HELD?
(Descanso Gardens, Seal Beach, etc.)
 
 
WHAT ACTIVITIES WILL THE EVENT INCLUDE?

(Example: "Family Reunion picnic with D.J." or "birthday party with jumper")

Note: We do not cover D.J.'s or Jumpers, they must carry their own insurance.

 
WHAT IS THE DATE OF YOUR EVENT?  
HOW MANY WILL ATTEND?  
(Must be same number applied for on permit)
 
COVERAGE INFORMATION

Will coverage for VENDORS selling Food or Non-Food products be required?

  NO    YES
       
If YES,      
How many will sell FOOD?
How many will sell NONFOOD Products? (Clothing, etc)
IF ALCOHOL will be SOLD, click here:  YES 
IF ALCOHOL will be SERVED, click here: YES   

IF YES, click here for HOST LIQUOR APPLICATION.

If you do not have Adobe Reader® software, please click HERE for free download.

 

NOTE: (If you are NOT selling or serving alcohol, you do NOT need this additional form.)

 

 

Print it, fill it out, sign and fax it to us at 714-687-1106

Or fill it out on line, complete digital signature and E-mail.

 

After completing that step, please minimize or close the PDF form to RETURN TO THIS FORM. (If serving alcohol, it is necessary to fill out both forms.)

 

COMMENTS


Please don't submit until all your information is filled in!

Please only submit your form once. Thank you.
 

Click here to send us your information.
If you would like to start over, click here:  

 

Thank you for your application. We will respond quickly.

 

Phone: 714-687-1100

TOLL FREE: (800) 420-0555 

 

E-MAIL:

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