• Bed & Breakfast Insurance Questionnaire

  • Applicant is:
  • General Information (Please complete all questions in this section.)

  • 3. Is your operation year round?
  • 5. Do you provide any transportation?
  • 5a. If yes, are MVRs checked?
  • 6. Do you need Liquor Liability? (Only available if we write general liability.)
  • Basic Property Information

  • 2. Was the building completely renovated to bring everything up to code?
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  • 5. Are there smoke alarms in all corridors and bedrooms?
  • 5a. If yes,
  • 6. Are fire alarms and fire extinguishers present?
  • 7. Do you have wood burning stoves or fireplaces?
  • 7a. If yes, were they properly installed by a professional?
  • 7b. If yes, are the chimneys and flues cleaned annually?
  • 8. Do you have antiques that need coverage? If yes, please verify acquisition cost.
  • 9a. If commercial cooking is extensive, is a UL 300 extinguishing in place?
  • 9b. Are the hoods and ducts cleaned semi-annually by an outside firm?
  • 10. Are firearms allowed on premises or kept on premises?
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  • 12. Do you need Equipment Coverage?
  • 12a. 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?
  • COMMERCIAL CRIME

  • 1. Do you desire coverage for Crime (Employee Dishonesty, Money, Forgery)?
  • UMBRELLA AND WORKERS' COMPENSATION INSURANCE

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

  • 1. Is there a swimming pool on premises?
  • 1b. Does pool have a diving board or slide?
  • 1c. Is pool in-ground?
  • 1d. Are there depth markers at all changes in depth on the pool?
  • 1e. Is pool fenced with a self-latching gate?
  • 1f. Is there a lifeguard on duty?
  • 1g. If no lifeguard, is there signage, “No lifeguard, swim at your own disk, no diving?
  • 1h. Is there beach swimming on property? (If yes, please answer the following questions)
  • 1j. If beach swimming, are swimming areas marked to prevent boats entering swimming area?
  • 2. Does the property have a dock or pier?
  • 2a. If yes, are NO DIVING signs posted at dock and raft area? (Please submit photo)
  • 3. Slides into water - If yes, please submit photo.
  • 4. Swim rafts - If yes, please submit photo.
  • 5. Any boats?
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  • 5c. Any motors?
  • 5e. Are life jackets supplied with all boats?
  • 6. Tennis Court
  • 7. Bicycle Rental
  • 7b. Are helmets provided with all bikes?
  • 8. Cross Country Skiing, including rental
  • 9. Fishing guides
  • 12. Petting zoo
  • 13. Paint ball facilities or fields
  • 14. Rock climbing on artificial walls, otherwise by exception.
  • 15. Ropes Course
  • 16. Inflatables
  • 17. Hunting campgrounds for deer and non-predatory animals?
  • 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://bedbreakfastinsurance.com/

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