Submit Your Certificate of Insurance (COI)

To join the Fair, ensure your policy includes all the details shown in the Sample 2026 Bluemont Fair COI. Once everything looks good, just follow the steps below to confirm and upload it.

Do you need to purchase insurance for the fair? Check out these options.

Review & Upload

INSTRUCTIONS:

Read each question carefully and refer to your COI when answering.
Ensure all answers match your COI before submitting.
Taking a few extra minutes now to answer accurately and contacting your insurance agent if updates are needed will help prevent issues for you later.
Any mismatch WILL result in your COI being flagged as invalid and require correction and resubmission to participate in the Fair.

COI Information

Is your COI effective from 9/18/26 to 9/20/26? *

Your COI is Invalid

Please ask your insurance agent to adjust the dates for Fair coverage 9/18/26 to 9/20/26 AND ensure all other COI information is accurate as shown on the Sample 2026 Bluemont Fair COI.

What type of Commercial General Liability Coverage is on your COI? This is usually shown on a COI in a checkbox. *

Your COI is Invalid

Please ask your insurance agent for an "Occurrence" Policy AND ensure all other COI information is accurate as shown on the Sample 2026 Bluemont Fair COI.

Is your Liability Coverage at least $1,000,000 for each occurrence and $2,000,000 aggregate? *

Your COI is Invalid

Please ask your insurance agent for coverage with at least $1,000,000 Each Occurrence and $2,000,000 Aggregate AND ensure all other COI information is accurate as shown on the Sample 2026 Bluemont Fair COI.

Does your COI name as the "Certificate Holder,": Bluemont Citizens Association, dba Bluemont Fair PO Box 362, Bluemont, VA, 20135? *

Your COI is Invalid

Please ask your insurance agent to add as the Certificate Holder:

Bluemont Citizens Association
dba Bluemont Fair
PO Box 362
Bluemont, VA 20135

AND ensure all other COI information is accurate as shown on the Sample 2026 Bluemont Fair COI.

Does your COI have the "Additional Insured," box checked AND/OR include the following text "It is understood and agreed that the Certificate Holder is named as Additional Insured per attached schedule [INSURANCE COMPANY TO INSERT ENDORSEMENT NAME HERE]. Additional Insured is the Designated Person or Organization subject to all policy terms, conditions, and exclusions." *

Your COI is Invalid

Please ask your insurance agent to check the Additional Insured box or include the following text on the certificate:

"It is understood and agreed that the Certificate Holder is named as Additional Insured per attached schedule [INSURANCE COMPANY TO INSERT ENDORSEMENT NAME HERE]. Additional Insured is the Designated Person or Organization subject to all policy terms, conditions, and exclusions."

AND ensure all other COI information is accurate as shown on the Sample 2026 Bluemont Fair COI.

What type of Vendor are you? *

Are you cooking on site? *YesNo

Does the DESCRIPTION OF OPERATIONS include the following: Liability coverage is on a primary and non-contributory basis, and subrogation is waived in favor of the Bluemont Citizens Association (dba Bluemont Fair) as per attached endorsement [INSURANCE COMPANY TO INSERT ENDORSEMENT NAME HERE]. *

Your COI is Invalid

Please ask your insurance agent to change the DESCRIPTION OF OPERATIONS as shown on the Sample 2026 Bluemont Fair COI.

Is there a schedule for the Subrogation Waiver attached to the COI you'll be submitting? *

Your COI is Invalid

Please ask your insurance agent to attach both endorsements to the COI you'll be submitting.

Contact Information

Business Name (as shown on Fair Application)

Contact Name (Last, First) *

Email *

Phone *0 / 12

Upload your valid COI *

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