BED AND BREAKFAST PROGRAM
GENERAL QUESTIONS
Name of Your Bed and Breakfast:
Address:
Contact Person:
Phone #:
Fax #:
Email Address:
Website:
Present Insurance Company:
Policy #:
Expiry Date:
Are you a member of any Bed & Breakfast Associations?
Yes
No
What is the distance to the nearest body of water?
Is your building at a lower elevation than those in the surrounding area?
Yes
No
Is your property on a flood plain?
Yes
No
Do you live on site?
Yes
No If so, year round?
Yes
No Seasonal Only?
Yes
No
Do you have a swimming pool?
Yes
No Do you rent out rooms for longer than a week at a time?
Yes
No
Are there any cooking facilities in the rooms?
Yes
No
Do you operate any other businesses from this location?
Yes
No
PROPERTY OF EVERY DESCRIPTION
Building:
$
Contents:
$
Other
(any special coverage required)
:
$
Do you have any wood burning stoves?
Yes
No Do you have a fireplace with an
aritight insert
?
Yes
No
Age of building?
# of floors?
Excluding Basement
Square Footage
Excluding Basement
Fire Hydrant Protected
(Within 1000 ft.)
Yes
No Firehall Protected
(Within 8 miles)
?
Yes
No
Does your company own any other property?
Yes
No If Yes, Location of property:
LIABILITY
Our package includes $2,000,000 General Liability. Is a higher limit required?
Yes
No
Valued Required?
$
OPERATION
Sales per year?
$
# of Rooms for Rent?
Updates
Discounts
Do you rent equipment to others?
(snowmobiles, bicycles etc.)
Yes
No
Roof
Claims Free
(3 years)
Yes
No
Do you operate a restaurant on the premises?
Yes
No
Furnace
Age Discount
(Over 50)
Yes
No
Is alcohol served on the premises?
Yes
No
Electrical
Monitored Alarm System
Yes
No
Number of years in business
Plumbing
Mortgage
(on your house)
Yes
No
Any claims in the past 6 years?
Yes
No
If so, please list below
Non Smokers
Yes
No
Date of Loss
Description of Loss
$ Amount Paid Out