RV Park Insurance Application

RV Park Insurance Application

RV Parks Insurance Application
8111 Ashlane Way, Suite 205 OIS

The Woodlands, TX 77382

(832) 497-5312

info@outdoorinsuranceservices.com

www.outdoorinsuranceservices.com
Legal Name of Entity*
DBA*
Sole ProprietorshipPartnershipCorporationLLCLLPOther
FEIN
Contact Person*
Cell Phone
Format: (000) 000-0000.
Email*
example@example.com
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone #
Format: (000) 000-0000.
Website
Year Built
Prior or Current Insurance Carrier
Gross Revenue
Total Amount of Acreage at Park
Number of RV Sites
Number of Rental Units

Average Rents:

Rows	Amount
Monthly
Weekly
Daily

Please answer the following questions:*

Rows	YES	NO
Fire Hydrants
Any Lakes, Ponds, or Water Source?
Any Swimming Pools?
Any LPG (Liquid Petroleum Gas) Sales?

City Water or Well Water?
City Sewage or Septic System?
Inside or Outside City Limits?

BUILDING DETAILS
Please complete this section as accurately as possible:

Rows	Building Description/Name	Building Amount ($)	Contents ($)	Exterior Construction Type	Year Built	Square Feet	Roof Type
1
2
3
4
5
6
7
8
9
10

Additional Comments:
Should be Empty: