VENDOR / PRODUCER INSURANCE

If you are a Vendor, Exhibitor or Concessionaire wanting to attend farmers markets and like type events. Campbell Risk Management understands your unique product and general liability coverage needs. We understand what event managers are requiring you to have and will help you meet those requirements with as little cost and hassle as possible.

Fill out the below form to receive an instant quote, purchase a policy and receive instant proof of insurance.

After purchasing this policy, you can add as many additional insureds as needed at no extra cost.

Vendor Application

Have you had this type of policy with Campbell Risk Management in the last 12 months? *

Yes

Requested policy effective date *

Policy end date *

Administrator - Override Policy Dates

Estimated gross annual sales *

Up to $25,000

$25,001 - $100,000

$100,001 - $250,000

Over $250,000: We will contact you with a customized price quote

Choose your limits of insurance *

$1,000,000 per occurrence / $2,000,000 aggregate limit

$2,000,000 per occurrence / $4,000,000 aggregate limit

Policy Holder Information

Contact & Mailing Information

First Name *

Last Name *

Street Address *

Address (Suite, Apt #)

City *

State *

Zip Code *

Business Information

Select Business Type: *

Vendor's Individual or Business Name (include DBA if applicable) *

Email Address: *

Phone *

Website/URL (if applicable)

CLAIMS HISTORY

Have you had any liability insurance claims in the past 5 years? *

Yes

Please provide claim details

Have there been any recent incidents that could result in a claim? *

Yes

We cannot process a new request for insurance while a potential claim is pending

This form will not process if you continue. Please resolve your issues before attempting to take out a new policy.

If you have questions, you can reach us here: 317-848-9075.

Are you in compliance with all County, State, and Federal Food and Safety Regulations? *

Yes

We cannot process a new request for insurance if you are not in compliance.

This form will not process if you continue. Please resolve any issues before attempting to take out a new policy.

If you have questions, you can reach us here: 317-848-9075.

Product Information

Please list types of products sold (if you are making bath or body products please list the ingredients as well): *

Do you sell any of the following? Finished products that are directly imported, herbal remedies, items targeted toward infants, children's toy's or children's furniture, Liquid raw milk, Alcoholic beverages, Tobacco related products including e-cigarettes or smokeless products, Marijuana or products containing THC, Herbal remedies or medicinal products claiming healing properties. *

Yes

Thank you for you interest in this insurance program. Due to the nature of your products we are unable to offer a quote at this time.

This form will not process if you continue.

If you have questions, you can reach us here: 317-848-9075

Please Select Source of Referral

Source Source

Terms & Conditions

By filling out the preceding form, any farmers market or vendor is eligible to become a member of the FM&V RPG, managed by Campbell Risk Management.

The FM&V RPG has worked with the Hanover Insurance Company which is rated "A" Excellent by A.M. Best & Co. to make this program available.

RISK PURCHASING GROUP NOTICE
This policy is issued to the FM&V risk purchase group. Risk purchasing groups may not be subject to all of the insurance laws and regulations of your state of domicile.

By filling out the preceding form you agree to receive occasional marketing-related or promotional emails from us. You may unsubscribe from this list at any time.

IMPORTANT NOTICE REGARDING RISK PURCHASING GROUPS
Disclosure Pursuant to Federal Law Regarding Purchasing Groups [15 U.S.C. SEC. 3901, et seq] FM&V purchasing group is a "Risk Purchasing Group", as defined under Federal law, formed to purchase liability insurance on a group basis for its Members to cover the similar or related liability exposure(s) to which the Members of the Risk Purchasing Group are exposed by virtue of their related, similar, or common businesses or services. Members do not share limits and each member is provided with its own policy and/or evidence of insurance.

Read Terms & Conditions

Terms & Conditions *

By checking this box I accept the Terms & Conditions

Total

Total Single Payment($)

VENDOR / PRODUCER INSURANCE

Administrator - Override Policy Dates arrowup6

Policy Holder Information

Contact & Mailing Information

Business Information

CLAIMS HISTORY

We cannot process a new request for insurance while a potential claim is pending

This form will not process if you continue. Please resolve your issues before attempting to take out a new policy. If you have questions, you can reach us here: 317-848-9075.

We cannot process a new request for insurance if you are not in compliance.

This form will not process if you continue. Please resolve any issues before attempting to take out a new policy. If you have questions, you can reach us here: 317-848-9075.

Product Information

Thank you for you interest in this insurance program. Due to the nature of your products we are unable to offer a quote at this time.

This form will not process if you continue. If you have questions, you can reach us here: 317-848-9075

Please Select Source of Referral

Terms & Conditions

Total

After purchasing this policy, you can add as many additional insureds as needed at no extra cost.

Your information is being submitted.

Please be patient as we register your account information and process your payment.

Administrator - Override Policy Dates

This form will not process if you continue. Please resolve your issues before attempting to take out a new policy.

If you have questions, you can reach us here: 317-848-9075.

This form will not process if you continue. Please resolve any issues before attempting to take out a new policy.

If you have questions, you can reach us here: 317-848-9075.

This form will not process if you continue.

If you have questions, you can reach us here: 317-848-9075