• Fitness Center Insurance Questionnaire

  • GENERAL LIABILITY (Attach a copy of the club’s sales brochure.)

  • SERVICES PROVIDED

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  • Note: Center MUST be licensed or certified to be considered for coverage (or "Registered" for Iowa only. (Attach copy of state license)
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  • ABUSE & MOLESTATION (If located in Illinois, this section MUST be completed.)

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  • PROPERTY INSURANCE

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  • COMMERCIAL AUTOMOBILE INSURANCE

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  • COMMERCIAL CRIME

  • COMMERCIAL UMBRELLA

  • DIRECTORS AND OFFICERS INSURANCE

  • WORKERS' COMPENSATION INSURANCE

  • 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.

  • Clear
  • 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://insurancefitnesscenter.com/

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