Serving CT, NY, NJ, PA, DE☎ (203) 204-2555 | info@gosafeshield.com
SAFESHIELD INSURANCE
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Safeshield - Special Event Insurance Intake
Complete the form below so we can shop 73+ carriers for the right coverage at the best price.
★★★★★
"Austin got us our GL, workers comp, and commercial auto placed in one week. Nobody else came close."
— Tony M., Electrical — Stamford CT
★★★★★
"Eric got our COI to the GC in 20 minutes. We've never had an agency turn certs around that fast."
— Danny R., Plumbing — Norwalk CT
★★★★★
"Switched our whole construction book. Austin found better coverage and saved us $14K annually."
— Marco S., General Contractor — Bridgeport CT
★★★★★
"Justin helped us get a last-minute COI for a job in Manhattan. Friday at 4pm. Had it before 5."
— Chris P., HVAC — Bronx NY
★★★★★
"We're a landscaping company with 12 trucks. Austin understood our exposures — inland marine, hired/non-owned, all of it."
— Ray L., Landscaping — Greenwich CT
★★★★★
"After 15 years with State Farm I finally switched. Better coverage for less money in one phone call."
— Kevin O., Homeowner — Stamford CT
★★★★★
"They set up our entire commercial package and had certs to our three biggest clients within 24 hours."
— Sam K., Roofing — Danbury CT
★★★★★
"Eric rewrote our workers comp and saved us $8K. First agent who ever explained class codes straight."
— Pete D., Masonry — Waterbury CT
★★★★★
"Austin got us our GL, workers comp, and commercial auto placed in one week. Nobody else came close."
— Tony M., Electrical — Stamford CT
★★★★★
"Eric got our COI to the GC in 20 minutes. We've never had an agency turn certs around that fast."
— Danny R., Plumbing — Norwalk CT
★★★★★
"Switched our whole construction book. Austin found better coverage and saved us $14K annually."
— Marco S., General Contractor — Bridgeport CT
★★★★★
"Justin helped us get a last-minute COI for a job in Manhattan. Friday at 4pm. Had it before 5."
— Chris P., HVAC — Bronx NY
★★★★★
"We're a landscaping company with 12 trucks. Austin understood our exposures — inland marine, hired/non-owned, all of it."
— Ray L., Landscaping — Greenwich CT
★★★★★
"After 15 years with State Farm I finally switched. Better coverage for less money in one phone call."
— Kevin O., Homeowner — Stamford CT
★★★★★
"They set up our entire commercial package and had certs to our three biggest clients within 24 hours."
— Sam K., Roofing — Danbury CT
★★★★★
"Eric rewrote our workers comp and saved us $8K. First agent who ever explained class codes straight."
— Pete D., Masonry — Waterbury CT
Contact Information
Tell us who's organizing the event
Full Name or Organization Name *
DBA (if applicable)
Primary Contact Name *
Email Address *
Phone Number *
Mailing Address *
Are you the... *
Event Details
Tell us about the event itself
Event Name *
Type of Event *
If other, please describe
Brief Description of the Event *
Event Start Date *
Event End Date *
Event Start Time *
Event End Time *
Setup / Teardown Dates
Expected Total Attendance *
Peak Attendance at One Time
Is the Event Open to the Public? *
Ticket Price (if applicable)
Venue Information
Where is the event taking place?
Venue Name *
Venue Type *
Venue Address *
Does the Venue Require Proof of Insurance? *
Does the Venue Need to be Named as Additional Insured? *
Venue's Required Liability Limits (if known)
Coverage Needs
What coverages do you need for this event?
Coverages Requested *
General Liability Limit Requested
Alcohol & Food
Alcohol is one of the biggest underwriting factors
Will Alcohol Be Served or Sold? *
Who is Providing / Serving Alcohol?
Alcohol Details
Food Service
Activities & Risk Factors
These help us match you with the right carrier
Will the Event Include Any of These?
High-Risk Activity Details
Vendors, Security & Staff
Who else is involved?
Will There Be Vendors / Exhibitors? *
Approximate Number of Vendors
Are Vendors Required to Carry Their Own Insurance?
Will There Be Security? *
If Independent Security, Do They Carry Their Own Insurance?
Will Volunteers Be Working the Event?
Financial Details
Only relevant for cancellation coverage
Total Event Budget
Non-Refundable Deposits at Risk
Prior History
Underwriters will ask
Have You Hosted Similar Events Before?
Any Prior Insurance Claims from Past Events? *
If Yes, Describe the Claim(s)
Have You Ever Been Denied / Non-Renewed for Event Coverage?
Documents & Contracts
Optional but helpful
Upload Venue Contract (Optional)
📄
Upload your current declarations page
Drag & drop or click to browse. PDF, JPG, PNG accepted.
Upload Prior Event Insurance Dec Page (Optional)
📄
Upload your current declarations page
Drag & drop or click to browse. PDF, JPG, PNG accepted.
Additional Information
When Do You Need Coverage? *
Certificate of Insurance Needed By
Anything Else We Should Know?
How Did You Hear About Us?
Your information is secure and will only be used to provide an insurance quote.
★★★★★
"I run 22 trucks across the tristate. Austin consolidated everything under one policy and the premium dropped."
— Jorge V., Trucking — Queens NY
★★★★★
"Austin saved me $700/year on auto and got better home coverage for half the price."
— Michelle T., Homeowner — Cos Cob CT
★★★★★
"Justin put together a life insurance plan that actually made sense. No pressure, just options."
— Brian W., Business Owner — Westport CT
★★★★★
"Their tech is unreal. All my policies, renewals, and certs in one dashboard. No other agency has this."
— Alex F., Property Manager — Manhattan NY
★★★★★
"We needed builder's risk same day for a closing. Eric made it happen. No drama, no excuses."
— Nick G., Developer — Stamford CT
★★★★★
"10 rental properties insured through Safeshield. Re-shopped every one and found savings on 8."
— Linda C., Real Estate — Norwalk CT
★★★★★
"They monitor our renewals 60 days out. Got a call saying they saved us $2K before renewal even hit."
— Steve H., Restaurant — Fairfield CT
★★★★★
"Eric walked us through our umbrella options like a teacher. Patient and genuinely cared."
— Diane M., Homeowner — New Canaan CT
★★★★★
"I run 22 trucks across the tristate. Austin consolidated everything under one policy and the premium dropped."
— Jorge V., Trucking — Queens NY
★★★★★
"Austin saved me $700/year on auto and got better home coverage for half the price."
— Michelle T., Homeowner — Cos Cob CT
★★★★★
"Justin put together a life insurance plan that actually made sense. No pressure, just options."
— Brian W., Business Owner — Westport CT
★★★★★
"Their tech is unreal. All my policies, renewals, and certs in one dashboard. No other agency has this."
— Alex F., Property Manager — Manhattan NY
★★★★★
"We needed builder's risk same day for a closing. Eric made it happen. No drama, no excuses."
— Nick G., Developer — Stamford CT
★★★★★
"10 rental properties insured through Safeshield. Re-shopped every one and found savings on 8."
— Linda C., Real Estate — Norwalk CT
★★★★★
"They monitor our renewals 60 days out. Got a call saying they saved us $2K before renewal even hit."
— Steve H., Restaurant — Fairfield CT
★★★★★
"Eric walked us through our umbrella options like a teacher. Patient and genuinely cared."
— Diane M., Homeowner — New Canaan CT
★★★★★
"COI to the GC in under 15 minutes. Every. Single. Time. Worth switching for if you're in the trades."
— Vinny A., Painting — Brooklyn NY
★★★★★
"Austin found gaps in my coverage I had no idea existed. For a high-value home, that matters."
— Robert K., Homeowner — Greenwich CT
★★★★★
"Old agent took 3 days for a certificate. Safeshield does it in minutes. Speed is money."
— Carlos R., Concrete — Yonkers NY
★★★★★
"Justin set me up with term life and disability. Sole proprietor — family needs to be covered."
— Mike T., Electrician — Trumbull CT
★★★★★
"Moved my restaurant's commercial package and liquor liability. Better coverage, lower premium."
— Anna P., Restaurant — Stamford CT
★★★★★
"He made me feel like a human being, not a policy number. All 4 of my businesses are here now."
— David N., Multi-Business — White Plains NY
★★★★★
"They shopped 73 carriers for our commercial property. We would've overpaid by $6K if we'd just renewed."
— Frank J., Property Mgmt — Bridgeport CT
★★★★★
"Eric handles our entire book. Whenever I need something, I text him and it's done. That simple."
— Sophia L., Client — Darien CT
★★★★★
"COI to the GC in under 15 minutes. Every. Single. Time. Worth switching for if you're in the trades."
— Vinny A., Painting — Brooklyn NY
★★★★★
"Austin found gaps in my coverage I had no idea existed. For a high-value home, that matters."
— Robert K., Homeowner — Greenwich CT
★★★★★
"Old agent took 3 days for a certificate. Safeshield does it in minutes. Speed is money."
— Carlos R., Concrete — Yonkers NY
★★★★★
"Justin set me up with term life and disability. Sole proprietor — family needs to be covered."
— Mike T., Electrician — Trumbull CT
★★★★★
"Moved my restaurant's commercial package and liquor liability. Better coverage, lower premium."
— Anna P., Restaurant — Stamford CT
★★★★★
"He made me feel like a human being, not a policy number. All 4 of my businesses are here now."
— David N., Multi-Business — White Plains NY
★★★★★
"They shopped 73 carriers for our commercial property. We would've overpaid by $6K if we'd just renewed."
— Frank J., Property Mgmt — Bridgeport CT
★★★★★
"Eric handles our entire book. Whenever I need something, I text him and it's done. That simple."
— Sophia L., Client — Darien CT
SAFESHIELD INSURANCE We Work For You. Not The Insurance Company.
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