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:

Life Safety/

General Liability:

1.

Do the swimming pools meet the following criteria?

a)

Fenced with a self-closing gate of fully enclosed

by the building in a courtyard?

Yes

No

b)

Controlled periods of use?

Yes

No

c)

Rules posted?

Yes

No

d)

Pool water tested at least daily?twice per day

Yes

No

e)

Depths clearly marked?

Yes

No

f)

Chemicals properly stored?

Yes

No

Automobile:

A.

Number of vehicles:

 One

B.

Use of vehicles:

Guest Transportation

C.

Average distance travelled:

10 km approx

Year

Make

Model

# Passengers

VIN #

Payroll:

Total Payroll : US$

Hotel Payroll:

US$

Restaurant Payroll:

US$

Clerical Payroll:

US$

Total Number of Employees:

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:

Life Safety/

General Liability:

1.

Do the swimming pools meet the following criteria?

a)

Fenced with a self-closing gate of fully enclosed

by the building in a courtyard?

Yes

No

b)

Controlled periods of use?

Yes

No

c)

Rules posted?

Yes

No

d)

Pool water tested at least daily?twice per day

Yes

No

e)

Depths clearly marked?

Yes

No

f)

Chemicals properly stored?

Yes

No

Automobile:

A.

Number of vehicles:

 One

B.

Use of vehicles:

Guest Transportation

C.

Average distance travelled:

10 km approx

Year

Make

Model

# Passengers

VIN #

Payroll:

Total Payroll : US$

Hotel Payroll:

US$

Restaurant Payroll:

US$

Clerical Payroll:

US$

Total Number of Employees: