• Bowling Center Insurance Questionnaire

  • Applicant is:
  • How did you hear about us?

  • Bowling Teams | Bowling Clubs | Bowling Leagues | Bowling Camps | Bowling Clinics | Bowling Tournaments | Races

  • GENERAL INFORMATION

  • 2. Do you want Abuse & Molestation coverage (available for youth leagues)?
  • 3. Participants' medical payments: (choose one)

  • 4. Please list locations and buildings at each location (List additional locations on separate page)

  • OPERATIONS

  • 2. Hours of operation during:
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  • 3. Does the bar remain open after the bowling lanes have closed?
  • 4. Does the insured inspect and disinfect rental bowling shoes after each use?
  • 5. Annual gross sales from: (Please provide 2 most recent years of income statements and balance sheets.)
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  • 6a. Is there child care for league bowlers?
  • 7. Other activities: (check if applicable)
  • 8. Have you ever had a bankruptcy or outstanding tax liens? (i.e. property tax, sales tax, unemployment tax, etc.)

  • Property - Please provide inside and outside photos of building.

  • 2. Provide years last updated for:
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  • 5. Does the roof have a bowstring truss design type?
  • 7. Is a CCTV system used to monitor the premises?
  • 8. Any flammable liquids stored on premises?
  • 10a. Lane construction:
  • 10b. Lane Finish:
  • 11. Do you or an outside company refinish the lanes?
  • 11a. Do you require a Certificate of Insurance from refinisher?
  • 11b. Is refinishing material used flammable?
  • 12. Do employees repair and/or maintain the automatic bowling equipment?
  • 13. Are food and drinks restricted from bowling area?

  • Concessions (Food & Beverages)

  • 1. Do you offer food and beverage concessions?
  • 1a. If yes, complete table below:
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  • 2. What is restaurant exposure?
  • 3. Is fast food delivery service available?
  • 4. Are food operations handled by?
  • 4a. If subcontracted, is certificate collected?
  • 5. Is there cooking on premises?
  • 5a. If yes, indicate which of the following apply and the number of each:
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  • 6. Is there a 40 BC fire extinguisher in the kitchen?
  • 7. Are all cooking surfaces covered by an UL300 Extinguishing system?
  • 8. Are hoods/ducts cleaned by contractor?
  • 8a. How often?
  • 9. Do you serve alcohol at your operation?
  • 9d. Will you allow others to serve alcohol at this event? (If yes, Certificates of Insurance are required.)

  • Note: If Liquor Liability coverage is desired, please contact Kevin Morency for a quote. (Liquor Liability will only be available if we provide the General Liability for your family entertainment center operation.)

  • MEDICAL ASSISTANCE

  • 1. Is there an accident/medical policy for participants/members?
  • 2. Are first aid kits available?
  • 3. Is any of your staff certified in:
  • 5. Do you have a written crisis/disaster management plan? (If yes, please provide.)
  • 6. Do you have a written medical emergency plan? (If yes, please provide.)
  • 7. Are annual background checks done on all staff?

  • SEXUAL ABUSE -  (If located in Illinois, this section MUST be completed. If located in other states, complete only if you desire coverage.)

  • 1. Does the applicant perform a criminal background investigation, including sexual abuse or child abuse-related offenses:
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  • 2. Does the applicant verify employment/volunteer-related references?
  • 3. Does the applicant conduct personal interviews?
  • 4. Does the applicant discuss the following items at staff orientation:
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  • 5. Does applicant have supervision plan to monitor staff in day-to-day relationships with clients/children?
  • 6. Does the applicant have knowledge of any incident which could give rise to, or result in, an allegation of sexual abuse?
  • 7. Has there ever been an allegation of sexual abuse made against the insured?

  • LEAGUES

  • 1. Do you offer bowling leagues?
  • 1c. Does the league provide umpires, referees, or other officials?
  • 1d. Does the league provide training for officials, team managers, or coaches?
  • 1e. Youth Leagues: Are written procedures in place for the prevention of abuse and molestation?
  • 1f. Has there ever been any allegation of sexual abuse, misconduct or molestation?

  • CLUBS

  • 1. Do you offer bowling clubs?
  • 1b. Are non-members allowed to participate?
  • 1d. Does the club provide any officials?
  • 1e. Are there any other activities the club hosts or promotes other than the primary sport?
  • 1f. Do members volunteer time to work for the club?

  • TOURNAMENTS

  • 1. Do you offer tournaments?
  • Please complete table:
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  • RACES

  • 1. Do you offer races?
  • Please complete table:
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  • CAMPS

  • 1. Do you offer camps?

  • CAMP OPERATIONS

  • 1. Dates of operation:
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  • 2. Select the sport(s) and camp type:
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  • 6. Is the camp:
  • 8. Are any meals or food provided or sold to participants?
  • 9. Please check any other sports or activities at the camp:
  • 10. Age range of participants:
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  • 11. Is the camp co-ed?
  • 11a. Percentage of:
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  • 12. Are participants (or parents) required to sign waivers? (Please attach a copy.)

  • STAFFING

  • 1. What is the usual ratio of instructors to participants?
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  • 2. Qualification and experience of instructors/volunteers: (use additional page if necessary)
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  • 3. Do you employ any medical professionals? (EMT, paramedics, doctors, nurses, therapists)
  • 4. Is any of your staff certified in:

  • SPORT FACILITIES

  • 1. Do you own the field/facility?
  • 4. Are there bleachers or a grandstand?
  • 4a. If yes to bleachers or grandstand:
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  • 4b. If yes, are there railings on the back and sides?
  • 6. Do you sell or rent any equipment to the camp participants?
  • 7. Do you sell any food or beverages?
  • 8. Are there any non-sport activities?
  • 9. Do you host any banquets?

  • CAMP TRAVEL

  • 1. Is there any travel away from the camp?
  • 3. Does the camp own any of the vehicles used?
  • 4. Do you verify that all drivers are properly licensed adults with acceptable MVRs?
  • 5. Is anyone under age 21 allowed to transport participants?
  • 6. Is parent/guardian permission obtained for minors who will be transported?

  • OVERNIGHT CAMPS

  • 1. Do you offer overnight camps?
  • 1e. Do these facilities conform to life safety standards?
  • 1f. Are the premises open to the general public?

  • COMMERCIAL CRIME

  • 1. Do you desire coverage for Crime (Employee Dishonesty, Money, Forgery)?

  • OPTIONAL PROPERTY COVERAGES

  • 1. Do you need Computer Coverage?
  • 2. Do you need Outdoor Sign Coverage?
  • 3. Do you need Equipment Coverage?
  • 3a. If yes, total value to insure for?
  • 3b. If yes, please complete equipment schedule below or provide a separate equipment schedule with the following information:
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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?
  • 2a. (If yes, complete chart below or provide a separate vehicle/fleet schedule with following info.)
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  • 2b. If yes, limits desired:
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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 UMBRELLA

     

  • 1. Do you need a Commercial Umbrella?

  • DIRECTORS & OFFICERS LIABILITY AND WORKERS' COMPENSATION INSURANCE

     

  • 1. Do you need Directors and Officers Liability Coverage? (If yes, please contact Kevin Morency.)
  • 2. Do you need Workers Compensation? (If yes, please contact Kevin Morency.)
  • Privacy Policy and Terms & Conditions*

  • 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
    kmorency@morencyinsurance.com 

    Kevin Morency, Licensed Producer
    Morency & Associates Inc.
    141 New Shackle Island Rd, Hendersonville, TN 37075
    Fax: 615-452-6580

    https://familyfuninsurance.com/

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