Clone of Commercial Insurance Quote Form

Clone of Commercial Insurance Quote Form

Hotel Insurance Quote Form
Business Name
DBA (If any)
Contact Person

First NameLast Name
E-Mail
Business Website
Phone Number
Business Fax
optional
Business Tax ID (FEIN)
Years in Business
Entity Type
Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different from Location Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Description of Business
Annual Total Revenue from Room and Other Sales
Food Sales (if any)
Liquor Sales (If any)
Annual Payroll
Full Time Employees
Part Time Employees
Desired/Current Building Limit
Desired/Current Business Personal Property Limit
Desired/Current Loss of Use Limit
Desired/Current General Liability Limit
Desired/Current Deductible

Security and Safety

Rows	Yes	No
Central Fire Alarm
Local Fire Alarm
Central Burglar Alarm
Local Burglar Alarm
Sprinklers

Construction Type
Square Footage
Year Built
Number of Buildings
Age of Roof
Electrical Update (Year)
Plumbing Update (Year)
HVAC Update (Year)
Franchise Name (if Applicable)
Average Room Rate per Night
Average Occupancy %
Number of Rooms
Number of Stories
Type of Property
Cooking in Rooms
Any area leased to others
Shuttle Service for Clients

Property Recreational Features

Rows	Yes	No
Pool
Sauna
Steam
Gym
Playground
If Yes to Pool, Diving Board
Tennis/Basketball/ Volley/ Other Courts
Boats, Docks and Slips

Please upload the following

1. Current/Renewal Insurance Policies

2. DL for Owner

3. 5 Year Loss Runs
File Upload

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Insurance Products You Are Interested In

General PropertyWorkers CompensationGeneral LiabilityCommercial AutoBusiness Owners PolicyLiquor LiabilityProfessional LiabilityTruckers InsuranceOther (Describe in comment section)
Comments/Any Other Information you want to sharre
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