• Haunted House Insurance Questionnaire

  • Applicant is:

  • GENERAL INFORMATION - Please complete all questions in this section.

  • 1. Has this event ever been held previously?
  • 2. Do you have any prior claims?
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  • 3. List locations of haunted houses if different than mailing address above

     

  • PLEASE ANSWER THE FOLLOWING QUESTIONS

  • 1. The haunted house is:
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  • 21. Any special handling of young children?
  • 22. Do you use lead or follow-up guides?
  • 23. Door monitors?
  • 24. Are exit signs clearly marked and illuminated?
  • 25. Are food or refreshments sold?
  • 26. Are alcoholic beverages sold?
  • 29. Will the applicant serve alcohol?
  • 39. Are certificates of insurance required?

  • 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, COMMERCIAL CRIME, AND WORKERS' COMPENSATION INSURANCE

  • 1. Do you need a Commercial Umbrella?
  • 2. Do you desire coverage for Crime (Employee Dishonesty, Money, Forgery)?
  • 3. 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://familyfuninsurance.com/haunted-house-insurance/

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