FILL OUT THE SUPPLEMENTARY APPLICATION BELOW Please enable JavaScript in your browser to complete this form.Company name: (Named Insured) *Name *FirstLastMailing Address *Location Address *CheckboxesHotelMotelResortTourist Courts/CabinsDude RanchPhysicalOtherIF Other (Please describe in the box below)Number of roomsAverage room chargeAverage occupancy rate %Room rental by the:HourDayWeekMonthOtherIF Other (Please describe in the box below)Any leased areas ?YESNOLeased to whom?Operation:Area: "sq. ft."2. National affiliation?YESNOIF YES, with whom?Recommended by local Chamber of Commerce or American Automobile Association (AAA) ?YESNO3. Building information/protection:Central station fire alarmSprinkleredStandpipes and hoseLocal fire alarmPeep holesGuest rooms have smoke detectorsEmergency lightingDeadbolt locksNon-slip surfaces in tubs/showersNumber of stories:Construction:4. Annual gross sales for insured's and their concessionaires' operationsRoom rentalConvenience StoreNumber of storesFood from restaurantNumber of restaurants or loungesLiquor from restaurant or loungeConferences & conventionsMaximum occupancy for premises:Health or Swim clubNumber of members:Equipment rental (snowmobiles, boats, skis, etc.)Type of Equipment:Other(describe)Total of aboveOther operations/exposuresBaseball fieldsNumber of Baseball fields and Room Spas Other operations/exposures: Sport courts (tennis, basketball,racquetball,volleyball,etc.)Sport courts (tennis, basketball,racquetball,volleyball,etc.)Number of Sports courtsOther operations/exposures: TrailsTrailsOther operations/exposures: Bike BikeMiles:Other operations/exposures: HorseHorseMiles:Other operations/exposures: OtherOtherIF Other (describe):Other operations/exposures: BoatsBoatsNumber of BoatsType (sail, power, canoe, etc.)Other operations/exposures: Boat docks or slipsBoat docks or slipsNumber of Boat docks or slipsOther operations/exposures: Club Houses (including exercise rooms)Club Houses(including exercise rooms)Number of Club HousesSquare footage:Other operations/exposures: LakeLakeNumber of acresOther operations/exposures: ParkParkNumber of acresOther operations/exposures: PlaygroundsPlaygroundsNumber of acresOther operations/exposures: Skeet/trap/archery rangesSkeet/trap/archery rangesNumber of Skeet/trap/archery rangesOther operations/exposures: Saddle animalsSaddle animalsNumber of Saddle animalsType of animal:Other operations/exposures: Saunas/hot tubsSaunas/hot tubsNumber of Saunas/hot tubsOther operations/exposures: SpasSpasNumber of SpasSwimmingSwimmingSwimming: Indoor poolIndoor poolNumber of Indoor poolSwimming: Outdoor poolOutdoor poolNumber of Outdoor poolSwimming: Bathing beachBathing beachNumber of Bathing beachSwimming: In-groundIn-groundNumber of In-groundSwimming: Ocean beachOcean beachNumber of Ocean beachSwimming: Above-groundAbove-groundNumber of Above-groundSwimming: Lake/River beachLake/River beachNumber of diving boards/slides/rafts:Board/slide height: "ft."Swimming pool rules posted ?YESNOIs outdoor, in-ground pool fenced with a self-latching gate or surrounded by the building with no direct access to roadways or parking areas?YESNOLife-safety equipment available at pool side?YESNODescribe any additional recreational facilities operated by you or others on the premises:6. Clientele:Elderly : %Spring break crowd: %Resident housing: %Room registration: Monthly: %Weekly: %Daily: %7. Security :Employees are required to wear ID badges at all time?YESNORoom doors have viewing devices (peep holes) ?YESNORoom doors have deadbolt locks and door chains?YESNODoor keys are card keys for electronic locks?YESNOAdjoining room doors have security bars or poles within door tracks?YESNOSliding glass doors have security bars or poles within door tracks?YESNODo you release guest's names and room numbers to others?YESNODo room security contain instructions for guest?YESNOFacility has CCTV for monitoring parking and entrances?YESNOSubmit76687
