HOTELS BLOCK

 

INSURANCE QUESTIONNAIRE

 

                                                                                                                                                                                                                                                                عودة الي بيانات اكتتابية

 

 

From:

 

 

Quotation needed by:

 

 

Coverage Effective date:

 

 

 

 

Hotel Name:

 

Contact Name:

 

 

 

Address:

 

 

 

 

 

 

 

Hotel Brand:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facilities :

 

How Many?

 

 

 

Guest Rooms

 

Number of Buildings

 

 

Restaurants

 

Number of Floors

 

 

Bar/Lounges

 

 

 

 

Conference Rooms

 

 

 

 

Parking Facilities:

 

 

 

 

Self Parking:

 

 

 

 

Valet Parking:

 

 

 

 

# of Parking Spaces

 

 

 

 

 

 

 

 

 

Hotel Revenues:

US$

 

 

Annual Hotel

Restaurant Revenues:

US$

 

 

Reveues:

Other Revenues:

US$

 

 

 

Liquor Revenues:

US$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPERTY/CASUALTY INSURANCE EXPOSURE INFORMATION:

 

Insured Values:

 

Buildings:

 

US$

 

 

 

(If material damage cover is desired)

Contents:

US$

 

 

Business Interruption:

 

 

 

24 Months Gross Profit:

US$

 

 

 

 

 

(Include all values for computer equipment, fine arts, antiques, boiler & machinery or any other furnishings or equipment)

 

Loss History:

 

Date

 

Description

 

Open/Closed

 

Paid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please attach detailed information for losses greater than $25,000)

 

Fire Protection:

 

 

Type:

 

Service

Areas

 

 

 

 

Guest

Rooms

 

 

 

 

Public

Areas

 

 

 

 

 

Garages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sprinklers

%

 

100%

 

100%

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

Automatic Fire Detectors

100%

 

100%

 

100%

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

Manual

Fire Alarms

100%

 

100%

 

100%

 

N/A

 

 

 

 

 

 

 

Property Data:

 

1.)

 

When was the hotel built?

 

 

2.)

What is the total square footage of the hotel?

 

 

3.)

What is the distance from:

Sea

 

 

 

 

 

 

 

River

-------

 

 

 

 

 

 

Flood Plain

---------

 

4.)

What is the hotel construction type?

 

 

5.)

Please attach a site plan and/or brochure of the property.

 

6.)

If a resort property, describe all activities offered:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                         

 


 

 

 

 

 

 

Safety:

Fire alarm system:

YES

 

Emergency Generator:

Yes

 

No

 

 

 

Booster Fire Pump:

Yes

 

No

 

 

 

Other: (i.e. voice evacuation system, etc.):

COPMLETE VOICE EVACUATION

 

Are all emergency exits properly marked?

Yes

 

No

 

 

Emergency exits per floor:

YES