Christmas Tree Lots
Short Term Liability Insurance Inquiry 
Mailing Address:
  State:      Zipcode: 
Phone Number:
E-Mail Address:
Location of Lot:
       Sales at this location: 

Effective Date of Coverage:
     Expiration Date: 
Limit of Liability:
Any losses in past years? (explain)

If trees are Pre-Cut.....
Number of lots you operate: 

If "Cut Your Own"........

Number of Acres of tree farm
Who insures the balance of the operation annually?
Any spraying done by the insured or contracted out?
Number of days the farm is open to the public:
Do they also have a retail lot on site for pre-cut trees?  Yes  /  No
Type of cutting equipment provide by the insured
Are waivers signed or signs posted on the premises
(ie warnings, etc)
Are we to insure growing, pre-season exposure? Yes  /  No
Are roads properly maintained (plowed) by the insured or a contractor?
Are walk areas and parking lots clear and accessible? Yes /  No



4170 William Penn Highway   Murrysville, PA.   15668
(724) 327-8474      fax: (724) 327-7911
Toll Free: 1-800-977-2999     fax: 1-888-800-0034