• RV Park & Campground Insurance Questionnaire

  • Applicant is:

  • General Information (Please include a brochure or copy of advertising literature and a diagram of the premises)

  • 5. Any trailer units rented?
  • 7. Sales from other sources?
  • 8. Does owner reside on premises year round?
  • 9. For laundry/shower buildings, does the electrical have Ground Fault Interrupter circuits?
  • 10. Tavern or restaurant occupancy?

  • 11. Describe the extent of cooking exposures inside of buildings with Restaurant or Tavern occupancy:

  • 11a. Commercial cooking?
  • 11ai. If yes, protected by extinguishing system meeting UL 300 standards?
  • 11b. Do you have a semi-annual servicing/cleaning contract for extinguishing system?
  • 11c. Live bands?
  • 11d. Disc jockey?
  • 12. Individual gas space heater in cabins?
  • 12a. With automatic shut-off?
  • 13. Woodstove(s) in any building?
  • 13a. All UL approved and installed to code?

  • RECREATIONAL ACTIVITIES

  • 2. Is there a swimming pool on premises?
  • 2b. Does pool have a diving board or slide?
  • 2c. Is pool in-ground?
  • 2d. Are there depth markers at all changes in depth on the pool?
  • 2e. Is pool fenced with a self-latching gate?
  • 2f. Is there a lifeguard on duty?
  • 2g. If no lifeguard, is there signage, “No lifeguard, swim at your own disk, no diving?
  • 2h. Is there beach swimming on property? (If yes, please answer the following questions)
  • 2j. If beach swimming, are swimming areas marked to prevent boats entering swimming area?
  • 3. Does the property have a dock or pier?
  • 3a. If yes, are NO DIVING signs posted at dock and raft area? (Please submit photo)
  • 4. Slides into water - If yes, please submit photo.
  • 5. Swim rafts - If yes, please submit photo.
  • 6. Any boats?
  • Rows
  • 6c. Any motors?
  • 6e. Are life jackets supplied with all boats?
  • 7. Tennis Court
  • 8. Bicycle Rental
  • 8b. Are helmets provided with all bikes?
  • 9. Cross Country Skiing, including rental
  • 10. Fishing guides
  • 13. Petting zoo
  • 14. Paint ball facilities or fields
  • 15. Rock climbing on artificial walls, otherwise by exception.
  • 16. Ropes Course
  • 17. Inflatables
  • 18. Weddings
  • 19. Receptions
  • 20. Any other recreational services, children’s activities, field trips off-premises, etc.
  • 21a. Is tank fenced and/or protected by concrete abutment/posts, etc.?
  • 23. Personal pets with aggressive history; exclusion may apply
  • 24. Do you need Liquor Liability? (only available if we provide General Liability)
  • 25. Hunting campgrounds for deer and non-predatory animals?

  • 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?

  • 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.)

  • 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://insurancecampground.com/

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