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The Cit� <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7 <br />-8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />TULIP' -19E VVENT App <br />AMICATrON <br />Date of eventG-01', 7-1 <br />08-63—! <br />Location of e�C�L --A <br />Description of event -12 <br />6?- 1 o 4- J.P - I I <br />1 0 .9 & closing <br />- P=m <br />41 --)- A f7 <br />07— <br />V -- <br />in P'M — a -, 00 P Al- <br />�O;COA- —04�VRMI. <br />NOTE: If this event is a sport or athletic event, YOU must call Aon for prior approval before coverage <br />can be bound. <br />If this event is a sport 9"thletic event� do YOU want a Premium quotation for athletic participation coverage? <br />—Y's -!:��-No NOTE: There can be no guarantee that coverage can be obtained without <br />complete information and subsequent quotation being forwarded by Aon. <br />What is applicant's current inv vement and Past acperience with this type o,4vent? <br />, / 7 'A A (. �� - I <br />Estimated attcndance--L%5-�� <br />Total anticipated receipts --7&—. <br />Ticket price -- el), J <br />Is there seating? If yes, type <br />If concert type. ___Yard Rock, —Rap Rock, <br />Performers' names &JA 117kAl ) G, 140"., <br />r <br />!::::��C&W, IZ61-assical, Other <br />fiome town <br />15. Will alcoholic beverages be sold? Have necessary permits been issued to allow <br />e3 <br />for the selling of alcoholic beverages? L-I—"Xo <br />es _No <br />If yes, will you need TULIP to Provide the Liquor Liability coverage or do you have other coverage in <br />force? 14& cipated receiptsz- (if over $28,000 <br />please compike separate liquor liability application. Premium is subject to Company Approval fand pricing.) <br />The TULIP charge f" Liquor Liability is an additional $50 per day, per event, if receipts are less than S28,00O.L4e-4 <br />7/1/98 <br />91 <br />Aon Rish <br />