Art Car Insurance for Small Businesses | Burning Man

ART CAR INSURANCE QUESTIONNAIRE
Contact Information
Name* Contact Person*
Legal Entity (if any)
Address*
City, State, ZIP*
Phone* Fax
Email * Website
Numbers of Years Attending Burning Man
Art Car Exposure
Is your vehicle street legal (i.e. registered with the department of motor vehicles)?:
Please note coverage is for non-street legal vehicles. If your vehicle is driven on state or federal roads, you must have auto liability coverage. This coverage is for liability on the playa only.
What is the maximum capacity of your vehicle?:
Is the vehicle self propelled or towed by another vehicle?:
Does your art car involve fire and/or pyrotechnics?:

Do you require a Loss Payee, Evidence of Insurance, or Additional Insured Certificate? If so, please provide the certificate holder's name and address. Please also include any special wording instructions.

877-731-7905