Free Motel/Hotel
Insurance Quote
Fill out the form below and we will
forward your information to a company that understands insurance for
the Hospitality Industry.
You will receive a FREE quote with no
obligation whatsoever!
Contact Information
Contact First Name
Contact Last Name
Contact Phone
Email
General Property Information
Property Name
Property Address
Property City
Property State
Property Zip
Total Rooms
Year Property Established
How Long Have You Owned
Is there any vacant land?
Please Select One
Yes
No
Any Lakes, Ponds, or Creeks on Property
Please Select One
Yes
No
Distance to nearest Fire Station (in
miles)
Distance to nearest Fire Hydrant (in
feet)
Recreational Info
Is there a swimming pool on premises?
Please Select One
Yes
No
Are there any diving boards or slides at
the pool?
Please Select One
Not Applicable
Yes
No
Is the pool fenced with a self locking
gates?
Please Select One
Not Applicable
Yes
No
Are the rules posted, depths marked, and
local safety standards met?
Please Select One
Not Applicable
Yes
No
Employee Information
Do you have employees
perform maintenance or repair work?
Please Select One
Yes
No
If yes, please describe the work they
conduct:
Number of Employees
Do you utilize Independent Contractors?
Please Select One
Yes
No
If yes, please describe and give
approximate $ payments made to them per year.
Pet Information
Do you allow pets?
Please Select One
Yes
No
Any animal bite incidents in the past
5 years?
Please Select One
Yes
No
Additional Questions
Have there been any insurance claims in
the past 3 years?
Please Select One
Yes
No
If yes, please describe what happened
and the $ value of the settlement (if any).
Buildings and Structures
Building 1
Construction type (wood frame / metal)
Building Age
Approximate Square Footage
Building Value ($)
Contents Value ($)
Building 2
Construction type (wood frame / metal)
Building Age
Approximate Square Footage
Building Value ($)
Contents Value ($)
Additional Property to Insure
Please describe any additional property
you want insured (signs, fences, equipment, etc)