Liability Insurance
for Vendors

San Gennaro
(Wednesday, September 17, 2025 through Sunday, September 21, 2025)

Applicant Information (Step 1 of 4)

There were errors with this submission. Please correct the errors below and resubmit.

Fields marked with an asterisk (*) are required.

Policyholder Information

Full Legal Name or Business Name:

Type of Operation

Corporation

Individual / Sole Proprietor

Partnership / Joint Venture

Limited Liability Company (LLC)

Other

Are you operating under a Doing Business As (DBA) name?

* Yes No

DBA Name:

Other Type:

Policyholder Name:

Contact Information

Mailing Address

Please provide a valid US address for your company that is not the venue location.