• Stable and Riding Academy Insurance Questionnaire

  • Applicant is:
  • GENERAL LIABILITY

  • 2. Is there any farming done on the premise?
  • 3. Does the insured have any of their own horses?
  • 4. Does the insured breed or sell horses?
  • BOARDING

  • Rows
  • TRAINING

  • 1. Does the insured have a trainer or do they do any training themselves?
  • 2. Are the trainers certified?
  • 5. Are jumping, racing, steeple chase, or obstacle course skills taught?
  • 6. Are riding helmets required for all children under 18?
  • 7. Are riding helmets required for all adults?
  • 7a. If no, do they sign a separate hold harmless? (Please attach a copy.)
  • 8. Do you use breakaway stirrups?
  • 9. Are your horses rented for lessons?
  • 10. Are boarded horses rented for lessons?
  • 11. Is there an exercising ring on the premise?
  • RIDING ON PREMISE TRAILS

  • Rows
  • PROPERTY

  • 2. Is more than one week’s worth of hay or grain kept in the barn the horses are kept in?
  • 5. Is coverage desired for horses in the insured’s care, custody, and control?
  • PROPERTY INSURANCE

  • 1. Do you need Building and/or Content Coverage?
  • Rows
  • 2. Do you need Equipment Coverage?
  • 2a. If yes, total value to insure for?
  • Rows
  • 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?
  • Rows
  • Rows
  • 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://agri-tourisminsurance.com/

  • Should be Empty: