Speaker-Artist-Performer

Insurance Waiver Request

UPDATES:


Procurement launched a new webpage to assist with Speaker Artist Performer Agreements (SAP). The page provides step by step instructions for issuing an SAP agreement and answers frequently asked questions. Visit the link below for more information.


https://cfo.asu.edu/speaker-artist-performer-agreements


This request must be submitted 14 business days in advance of the engagement.

Insurance requirements will not automatically be waived.

Upon receipt of this request, Risk Management will review the scope of work and where appropriate either modify or waive the standard insurance requirements.


Departments should not offer a waiver nor should it be assumed that by submitting this request a waiver will be granted.

Required Information

To complete this form, you will need all of the following:

  1. Speaker, Artist, Performer full name.
  2. Department information.
  3. A detailed scope of work.
  4. What types of props they will use.
  5. Date, time, and place of the engagement.


Has the Speaker-Artist-Performer been presented with the ASU Agreement?*

Stop: Issue the Agreement

Please issue the agreement to the speaker to sign. Departments should not offer a waiver of insurance at the time the speaker is asked to sign the agreement.


If after reading the agreement the speaker explicitly and in writing states they cannot comply with the standard insurance requirements, the department may then submit this waiver request.


The Agreement can be found here: https://ogc.asu.edu/forms/speaker-artist-performer-agrmt

Has the Speaker-Artist-Performer expressed IN WRITING that they cannot comply with the standard insurance requirements?*

Stop: Request Written Concerns

Please reach out to the Speaker-Artist-Performer and request that they provide details on what specific coverage or limits they cannot comply with. Once obtained please submit this waiver request and attach the Speaker-Artist-Performers' email.

The email must come from the Speaker-Artist-Performer and must detail what specific coverage or limits they cannot comply with.

Drag and drop files here or

Department Attestation

The Submitter on behalf of the ASU department contracting with this Speaker-Artist-Performer attests to the following:

The total payment to the Speaker or Performer will not exceed $10,000.*
The Speaker-Artist-Performer is not represented by an agent for the engagement.*
The Speaker-Artist-Performer is an individual, not a company.*
Any events related to the Speaker’s or Performer’s engagement at ASU, do not include any of the following:*
Should the insurance be modified or waived, my department may be held financially liable if the speaker, artist or performer causes injuries or damages.*
If the insurance is waived or modified, I will ensure the insurance section of the Speaker, Artist, Performer Agreement is manually crossed out and will ensure it is initialed by both parties when signed. A copy of this request will be kept with a copy of the executed agreement.*

Submitter and Department Information

Submitter must be an ASU employee.

You can search for your department in the drop down menu.


IF YOU DO NOT SEE YOUR DEPARTMENT IN THE DROP DOWN, TYPE IN YOUR DEPARTMENT'S FULL OFFICAL NAME AND PRESS 'ENTER'.

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Provide the name of the ASU staff responsible for coordinating this event/Speaker:

Provide the ASU email for the ASU staff responsible for coordinating this event/Speaker:


Speaker and Event Information

Select or enter value
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Ex. "Kerr Cultural Center"


Choose from the drop down or enter the location and hit "Enter".

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If this is a multi-day event, please enter the date of the first event. In the scope of work section please list all individual days.

If this is a multi-day event, please enter the date of the last event. In the scope of work section please list all individual days.

The Scope of Work must be clear and detailed enough for Risk Management to understand exactly what the individual will be doing so that any associated risks can be determined.


Generic and short descriptions will not allow for a thorough review and may result in a denial in insurance modification or waiver.


If you would like a copy of your request, please select "Send me a copy of my response" below.

You can use the email confirmation as a reference when sending any additional documentation or communication to Risk Management.

Do not click "Submit" as your request will not be processed.

Please collect the Agreement and/or SAP's concerns in writing and resubmit this request.