Additional Insured Request | Vape Insurance

Adding an Additional Insured status to another company/individual extends your policy to them. In the event of a lawsuit, you will be sharing your policy limits and coverages with another party.
Additional Insured Vendors: those who sell your the vape products your manufacture or distributeAdditional Insured Lessors: individual or corporation which you lease your business premise from

Additional Insured Loss Payee: the lender of your business equipment

Additional Insured Trade Shows/Event organizers: for trade shows which you exhibit at

Adding an Additional Insured to your policy may result in additional premium. Please review their requirements provided to you and enter their name exactly as they requested. Need assistance? Call us (877) 678-0201 ADDITIONAL INSURED REQUEST
Your Business Name*
Email*
Mobile Phone*
Additional Insured Name (exactly as they requested)
Enter any Special Wording Requested by the Additional Insured*
Additional Insured Address
Relationship to you? Is this the Landlord, Vendor (sells for your products), Loss Payee (lender on equipment), or Trade Show Organizer/Venue
Specific Location (Street Address)
Date
Date Format: MM slash DD slash YYYY
Is there a written contract between the named insured and the additional insured ?
- No
- Yes
30 Day notice of cancellation required (Additional charge may apply)
- No
- Yes
Waiver of Subrogation Endorsement (Additional charge may apply)
- No
- Yes
Primary Non-Contributory Endorsement (Additional charge may apply)
- No
- Yes
Optional but helpful. Attach the insurance requirement provided to you.
Drop files here or
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