1 1 Account Setup

2 2 Policy Options

3 3 Additional Insureds

4 4 Payment, Review & Submit

Sorry, we don't have availability to purchase it online, but we are working on it! In the meantime, please submit quote for underwriting and we’ll reach out with any remaining questions!

Policy start date

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Policy end date

This policy will go into force on the start date and stay in force for {[{ policyLength }]} {[{ policyLength == 1 ? 'day' : 'days' }]}.

Payments for this policy will stay in effect until cancelled.

This field is required

Please enter valid email address

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Confirm Email

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Please enter valid email address

Email address should match

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

An account with this email address already exists. Click here to go to login page.

Password

This field is required

Invalid password

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Password must be at least 8 characters long and should contain at least one capital character, one lowercase character and one number.

Confirm Password

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Password should match

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Physical Address

First name

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Name can be between 2 and 70 characters long and can contain letters, hyphens, commas, dots, apostrophes and spaces

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Last name

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Name can be between 2 and 70 characters long and can contain letters, hyphens, commas, dots, apostrophes and spaces

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Street address

This field is required

WE CANNOT ACCEPT A PO BOX AS A PHYSICAL ADDRESS. KINDLY ENTER A PHYSICAL ADDRESS FOR YOUR BUSINESS.

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Address line 2

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

City

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

State

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Please click here to be directed to an application that is specifically for those whose business is in .

Quote only for this state.

Zip code

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Invalid physical ZIP code

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Mailing Address is the Same as the Physical Address

Your state and zip code are invalid. Please edit your address. Suggested state:

Mailing address

Street address

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Address line 2

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

City

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

State

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Please click here to be directed to an application that is specifically for those whose business is in .

Quote only for this state.

Zip code

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Invalid ZIP code

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Business information

Business type

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Business Name

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Business name - Only letters (A-Z), numbers (0-9), & (ampersand), - (hyphen) and ' (apostrophe) are allowed.

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Please provide your full name under mailing address.

A business you own and operate, not a business that employs you.

DBA

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Mobile number

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Invalid phone

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Website

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Taxable option group

Don't add

Add

Your application will be submitted for underwriting.

Additional Insureds

Do you need to add or list someone on your policy as an additional insured/certificate holder?

When you add a person†, event, or organization to your policy as an additional insured, they receive protection if they are named in a suit due to a covered business-related loss/claim because of your actions or operations.

†Additional insured status cannot be granted to a friend or co-worker as an extension of your policy. Each individual must purchase their own policy to obtain liability coverage.

†A written contract, such as a lease, booth rental agreement, or employment contract is required to add another party as additional insured.

Don't have any additional insureds to add? You can add them later in your customer dashboard.

Payment information

PREMIUMS ARE 100% EARNED AND NON-REFUNDABLE ONCE COVERAGE BEGINS.

Your billing information must match the billing address for the credit card entered or we will be unable to process your payment.

Select payment method

Initial payment:

Switch to annual

Pay

Switch to

Credit Card

[selected]

Credit card information

Payment profile

Use different credit card

Card number

This field is required

Invalid credit card number

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Please enter your credit card and bank information. Your credit card will be used for the down payment and your bank information will be used for the Capital Premium finance agreement monthly draft. If you have questions about alternative payment methods for the capital monthly draft please contact Capital Premium.

Expiration month

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Expiration year

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CVV

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Invalid cvv

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Billing zip code

This field is required

Invalid ZIP code

You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Use this card later

This feature will create a customer payment profile for your billing information to allow easy checkout during future policy coverage extensions or updates. Credit card information is not stored within our system. All billing information is processed through authorize.net

With this beneficial feature your insurance coverage will be continuous without you worrying about having a lapse in your insurance policy.

You will receive a Conditional Renewal Notice prior to the renewal date of your policy. If you wish to cancel your policy, you must notify us in writing prior to the policy renewal date. You can cancel EZ-renew at any time from your dashboard. Your policy will be renewed with the same coverage's, additional insureds and endorsements as your current policy. If you wish to change any coverages, you can login to your on-line account and make changes to your policy at any time.

Please note that we do NOT store credit/debit card numbers, nor do we share customer details with any third parties. Recurring billing is managed via Authorize.net.

Coupon

{[{ couponResult.text }]}

Discount applies to Additional Insureds only!

Coupon is applying. Please wait....

Review and Purchase

Note: Your order will NOT be processed until you click the “purchase policy” button below.

Policy Holder Information Edit

, ,

Email:

Mobile number:

Mailing Address is the Same as the Physical Address

Mailing Address:

, ,

Payment Information Edit

Payment Method:

A simple event policy PCI

Payment Breakdown

Policy start date: - Policy end date: Edit

Edit

Policy Holder Business Information

Edit

Business Type
name
DBA
Mobile number
Website
Business Activities
Business Activities Description
Other Business Activities

Additional Insureds

Edit

Unlimited Additional Insureds

Additional Insureds

{[{ ai.name }]}

Employees

Edit

{[{ employee.firstName }]} {[{ employee.lastName }]}

Independent Contractors

Edit

{[{ contractor.firstName }]} {[{ contractor.lastName }]}

Your policy will be issued and your documents available immediately after clicking the "Purchase Policy" button below. Your policy application may be subject to review by our underwriting team to verify that the business operation, product, and/or service meet the eligibility guidelines established for the program. In the event we need further clarification to determine eligibility, we will contact you via email at the email address used to establish your account. If an account is found to be ineligible during the underwriting period, the policy will be subject to immediate cancellation and a full refund will be issued. After the underwriting period, the premium is 100% earned and no refunds will be given.

Your agent will be contacting you soon. There is a pending document to be submitted.

Your form contains error(s). Please correct and try again.

An account with this email address already exists. Please login or change email address.

Quote only for this state.

Please click here to be directed to an application that is specifically for those whose business is in .

Quote only for this state.

Annual

Order total

A simple event policy PCI

Additional options

Policy Endorsements

Additional insureds

Unlimited

Cancel unlimited AIs

Coverage for Employees

Coverage for Independent Contractors

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monthly

^{DUE TODAY:} ^{(downpayment)}

Build Your Policy

Physical Address

Mailing address

Business information

Additional Insureds

Payment information

Select payment method

Initial payment:

Pay

Credit card information

Review and Purchase

Policy Holder Information Edit

Payment Information Edit

A simple event policy PCI

Policy Holder Business Information

Additional Insureds

Employees

Independent Contractors

Order total

Additional options

Policy Endorsements

Additional insureds

Coverage for Employees

Coverage for Independent Contractors

Hours of Operation

Build Your Policy

Physical Address

Mailing address

Business information

Additional Insureds

Payment information

Select payment method

Initial payment:

Pay

Credit card information

Review and Purchase

Policy Holder Information Edit

Payment Information Edit

A simple event policy PCI

Policy Holder Business Information

Additional Insureds

Employees

Independent Contractors

Order total

Additional options

Policy Endorsements

Additional insureds

Coverage for Employees

Coverage for Independent Contractors

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