Fairgrounds Insurance Questionnaire

Please list the dates below (or provide a separate list with this information.)

	Date of Event	Expected Attendance Each Day
Event 1
Event 2
Event 3
Event 4

1. Do you require a Certificate of Insurance from all promoters and vendors during the fair?

Yes No
2. Are there carnival rides?

Yes No
2a. If yes, are you provided with Certificate of Insurance from the carnival operators?

Yes No
3. What is the total revenue from the fair? (This should include all gate admissions, parking fees, entry fees, space rental from vendors, etc.)
4. Please indicate if the fair sponsors any of the following activities

Tractor Pull Rodeo Demolition Dery Auto Racing Fire Works
4a. Are the activities you indicated above sponsored only during the operating season?

Yes No
4ai. If no, please explain:
4b. Is there a barrier between the activity and the spectators?

Yes No
4bi. If yes, what is that distance less than?

50 feet 51-75 feet Over 75 feet
5. Do you have grandstands?

Yes No
5a. If yes, what is the maximum capacity?
5b. If yes, when was the last engineering inspection of the grandstands?
6. Do you provide any of the following: security, parking, ushers or first aid station?

Yes No
6a. If yes, please explain:
7. Please provide a schedule of the fair events. (Last year’s brochure is fine.)

8. Please provide a copy of last year’s financial statements (Include both Income Statement and Balance Sheet)

	Building Age	Building Construction	Building Limit ($)	Content Limit ($)
Building 1
Building 2