Hotel/Motel Supplemental Application
Date: 
General
1.  Number of Buildings  
2.  If more than one, please provide diagram.    
3.  Number of Stories per Building  
4.  Number of Units per Building  
5.  Seasonal Operations  Yes  No  
6.  Occupancy Rate of 40% or less at anytime?
(Formula: # of room rentals per year x 365)		  Yes  No  
7.  Current Average Room Rate  
8.  Recreational Facilities (please describe):  Yes  No  
9.  Personal Services Provided (please describe):  Yes  No  
10.  Is there a concierge?  Yes  No  
Property
1.  What type of fire alarms does the building have?   Manual Pull  Single Station at Desk
     Central Station  None
2.  If Building is 3 stories or less does each room have a
direct mean of egress (i.e.; walkway)?		  Yes  No
3.  Are there hard-wired Smoke Detectors/Fire Alarms in
each sleeping room and hallways?		  Yes  No
4.  Are there individual cooking facilities in units?  Yes  No If Yes, Number: 
5.  Any wood burning fireplaces?  Yes  No If Yes, Number: 
General Liability
1.  Emergency Lighting  Yes  No  
  Where:
2.  Exits Marked and Illuminated?  Yes  No  
3.  In the event of a fire do all elevators return to the ground floor?  Yes  No  
4.  Is there an elevator maintenance program?  Yes  No  
5.  Are all interior stairwells enclosed and separately vented?  Yes  No  
6.  Is there a formal evacuation plan posted and communicated to staff?  Yes  No  
7.  Is there an accident investigatiopn program?  Yes  No  
8.  Are there any pools?  Yes  No If Yes, Number: 
  Are all pools fenced?  Yes  No  
  Are all pool gates self-closing/locking?  Yes  No  
  Do all pools have depth markings?  Yes  No  
  Are there diving boards and/or slides?  Yes  No  
9.  Does insured rent/lease property to others?  Yes  No If "Yes," please describe separately.
10.  Is there a restaurant on premises?  Yes  No If "Yes," attach Restaurant Supplement.
  Is the restaurant (if any) operated by the insured?  Yes  No  
11.  Does the insured provide transportation for guests?  Yes  No  
12.  Does insured have any banquet or catering?  Yes  No  
Security
1.  Room Security    
  Do all rooms have peepholes?  Yes  No  
  Do all rooms have deadbolts?  Yes  No  
  Do all sliding glass doors on ground floors have secondary locking devices?  Yes  No  
2.  Are background and reference checks required for all employees?  Yes  No  
3.  Do you have any private security measures in place?  Yes  No  
  Patrols?  Yes  No If Yes, are they armed?   Yes  No 
  Employees?  Yes  No  
  Sub-Contracted?  Yes  No  
  TV Monitors?  Yes  No  
4.  Are security complaints investigated?  Yes  No  
5.  Are the parking areas well lighted?  Yes  No  
Key Controls
1.  Is there a process in place to identify guests prior to replacing their lost key?  Yes  No  
2.  Is there a master key program in place?  Yes  No  
3.  What type of keys are utilized?
4.  How often is re-keying performed?
5.  Is the room number and/or hotel name listed on keys?  Yes  No  
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