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Get Special Event Ins Application - Csu, Chico - Csuchico

) group or entity planning the event Contact Name Address Phone Source(s) of Funding for Event Faculty Advisor Name Dept. Additional Insured Name * Address/City/ST/Zip * For example, if the event is held in an off-campus facility, the facility owner may require "additional insured" status on the policy. Event Name Event Start Day and Date Time Event End Day and Date Time Is this a round-the-clock activity? Yes No Location of Event Description of Event (Coverage may be rescind.

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