• Alarm Installation & Monitoring Insurance Questionnaire

  • Applicant is:

  • GENERAL INFORMATION
    Please provide customer contract. If both installation and monitoring are done, provide two separate contracts.

  • 2. Are you a member of any trade organizations?
  • 4. Are all installers/service technicians licensed, certified or manufacturer trained?
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  • Note: Employees' include: Sole proprietors, Partners, Executive Officers, Seasonal employees, Part-time employees, Full-time employees.
  • 7. Have you had any losses in the last 5 years? (Please provide loss runs for last 5 years.)

  • DESCRIPTION OF OPERATIONS 

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  • 3. Do you design alarm systems for others without performing installation?
  • 4. Do you do your own monitoring?
  • 4b. Is there a written agreement with the Central Station / Monitoring Company?
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  • 6. Do you ever hire sub-contractors/independent contractors that carry their own insurance?
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  • 6c. Do you require a certificate of insurance from all subcontractors with equal or higher limits than your own?
  • 6d. Do you always require subcontractors to list you as additional insured on their policy?
  • 7. Do you manufacture or sell alarms or their components?

  • CUSTOMER CONTRACTS AND SERVICE AGREEMENTS

  • 1. Do you use installation, monitoring or service contracts with all customers?
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  • PROPERTY INSURANCE

  • 1. Do you need Building and/or Content Coverage?
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  • 2. Do you need Equipment Coverage?
  • 2a. If yes, total value to insure for?
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  • COMMERCIAL AUTOMOBILE INSURANCE

  • 1. Does the business title any automobiles or other operating vehicles in the business name?
  • 2. Is insurance coverage needed for owned automobiles?
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  • 3. Do any of the employees, owners or officers drive personally owned automobiles/other vehicles in the course of their work?
  • 3b. Do you verify they have liability coverage?

  • UMBRELLA AND WORKERS' COMPENSATION INSURANCE

     

  • 1. Do you need a Commercial Umbrella?
  • 2. Do you need Workers Compensation? (If yes, please contact Kevin Morency.)

  • SIGNATURE

  • The information I have provided is true and accurate to the best of my knowledge. I have not willfully concealed or misrepresented any material fact(s) or information. I understand completion of this questionnaire does not compel the company to provide coverage.

  • Questions? 877-244-9090
    Kevin Morency |  kmorency@morencyinsurance.com 

    Morency & Associates Inc.
    141 New Shackle Island Rd, Hendersonville, TN 37075
    Fax: 615-452-6580

    https://alarminstallerinsurance.com

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