1Basic Info

2Company Info

3Management, Financial & Subcontractors

4Operations

5Classification Information

6Locations

7Ownership/Officer Information

8Workers' Compensation

9Vehicle Information

10Driver Information

11Claims History

Legal Business Name(Required)

DBA (if Any)

When would you like coverage to start?(Required)

MM slash DD slash YYYY

What type of Hotel or Motel do you operate?(Required)

Business Information

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Physical Address(Required)

Same as Mailing Address

Street Address Address Line 2 City State ZIP Code

Name(Required)

First Last

Phone(Required)

Mobile Phone

Email(Required)

Consent

Can we text you with updates on your quote?

By checking this box, you agree to receive text messages from 360 Risk Partners about your quote. Standard message and data rates may apply. You can reply STOP to end texts at any time.

Does the business have a website?(Required)

Website(Required)

Business Structure(Required)

Management & Financials

Projected gross revenue over the next 12 months(Required)

How many employees does your business have?(Required)

Total annual wages paid to W-2 employees (excluding owners, officers, subcontractors, and 1099 workers)(Required)

Are there any Employee Benefit Plans? (e.g. Health Insurance, 401K, etc)(Required)

Do you have an employee stock ownership plan (ESOP)?(Required)

Have you had any investigations or reviews from regulators involving your benefit plans in the past year?(Required)

Describe the investigation/review details and outcome(Required)

Subcontractors

Do you provide any of your workers or subcontractors with a 1099 or pay them with cash (excluding owners and officers)(Required)

Estimated annual amount paid to subcontractors/1099 workers (excluding owners and officers)(Required)

Does business collect Certificates of Insurance verifying Worker's Comp coverage for all subcontractors/1099 workers?(Required)

Does business collect Certificates of Insurance verifying General Liability coverage and Waivers of Subrogation for all subcontractors/1099 workers?(Required)

Operations

Does the business own or lease any locations outside of the USA?(Required)

Does the business own or operate any aircraft (including drones greater than 15 lbs) or watercraft?(Required)

Is there a restaurant in the building?(Required)

What is your estimated annual revenue from the Restaurant?(Required)

Does any cooking involve deep-fat frying, grilling, or other processes capable of producing grease vapors?(Required)

Are there automatic extinguishing, cooking hood, and exhaust systems in place?(Required)

Is there a written semi-annual service contract for the cooking hood, exhaust, and extinguishing systems?(Required)

What are the estimated annual sales from alcohol?(Required)

What is the approximate average daily rate charged for rooms?(Required)

Is there a pool or beach on premises?(Required)

Do you have any diving boards that are more than 5 feet above the ground?(Required)

How many waterslides at the pool or beach?(Required)

How Many Rooms are there?(Required)

Property Classifiction Information

Does the building have a central station fire alarm with Monitoring?(Required)

Do you allow smoking in any guest rooms?(Required)

Do you have on your premises any form of gambling activity(Required)

Liability Classification

Has the business been required to close due to health code violations in the past 5 years?(Required)

Describe the nature of the violation, the year in which it occurred, and any corrective steps taken(Required)

Do any employees provide valet service?(Required)

Is there a parking lot that the business is responsible for maintaining?(Required)

What is the approximate square footage of the parking lot?(Required)

Are the entrances to the guest rooms primarily located on the building exterior?(Required)

What percentage of rooms are typically rented on a long-term basis, such as weekly or monthly rentals?(Required)

How many years of experience does the hotel management have in operating hotels?(Required)

Are there any amusement attractions such as a waterpark, go-karts, batting cages, etc?(Required)

Is the business a franchisee?(Required)

Franchise Name(Required)

What is the business's estimated annual revenue excluding rooms and the restaurant (if any)?

For a hotel, revenue outside of rooms and the main restaurant can come from several sources, such as event space rentals for weddings, conferences, or meetings, sales from a bar or lounge, spa and wellness services, parking fees, resort or amenity charges, gift shop or retail sales, vending machines, laundry or dry-cleaning services, tours or shuttle services, equipment rentals like bikes or skis, and business center charges for printing or meeting rooms.

Are background checks performed on all employees?(Required)

Locations

Location 1(Required)

Same as Mailing Address

Street Address Address Line 2 City State ZIP Code

Building Name(Required)

How should the location show on the Policy Dec Page

Occupancy(Required)

Construction Type(Required)

Year Built?(Required)

How Many Square Feet?(Required)

How many Stories?(Required)

Does the building have an Automatic Fire Sprinkler System?(Required)

What % of the Building is Protected by Sprinklers?(Required)

Building Limit Coverage Amount Requested(Required)

This will be the estimated cost to replace the building in the event a loss occurs

Other Property Limit Requested(Required)

Other Property coverage protects everything the business owns that is not a building structure or exterior. Examples of covered items would be computers, Furniture, Fixtures, Inventory, tools and Equipment. It also includes permanent improvements paid for by the tenant to a building if leased which cannot be legally removed. Insured values are recorded at each premises, but a single blanket limit applies to all Other Property regardless of its location, anywhere in the world

Is there a Mortgagee on this Property?(Required)

Mortgagee/Lender Name(Required)

Mortgagee/Lender Address

Street Address Address Line 2 City State ZIP Code

Do you have another location?

Additional Locations/Buildings

Address	Building/Location Name	Year Built	How Many Square Feet?	Building Limit Coverage Amount Requested?	Other Property Limit Requested	Actions

There are no Buildings.

Maximum number of buildings reached.

Ownership Information

List all corporate officers. This includes President, Vice President, and/or other officer titles that were officially appointed or approved by ownership or the Board of Directors to manage or perform daily operations.

Primary Officer(Required)

First Last

Primary Officer Date of Birth(Required)

MM slash DD slash YYYY

Title(Required)

% Ownership(Required)

Primary Officer Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Consent

Authorize that a soft credit check be run on this individual in order to save up to 40%.

The credit check will be run upon Quoting and only if the quote includes scheduled vehicles.

This soft credit check will not impact the individual's credit score.

Add Another Officer?(Required)

Name(Required)

First Last

Title(Required)

% Ownership(Required)

Workers' Compensation

I confirm that I have no employees and do not need workers' compensation.(Required)

Class Code & Payroll Information

Class Codes	# of Full Time Employees	# of Part Time Employees	Est. Annual Payroll	Actions

There are no Class Codes.

Maximum number of class codes reached.

Company Vehicle Information

Does the business own any vehicles?(Required)

Vehicle Schedule

Please enter all company owned vehicles that should be scheduled to the policy

VIN	Year	Make	Model	Radius of Travel	Garaging Zip	Estimated Current Value	Actions

There are no Vehicles.

Maximum number of vehicles reached.

Vehicle 1 Year(Required)

Vehicle 1 Make(Required)

Vehicle 1 Model(Required)

Vehicle 1 Vehicle Type(Required)

Vehicle 1 GVWR(Required)

Estimated Current Value(Required)

Vehicle Radius(Required)

Is there a Lien Holder for this vehicle?(Required)

Lien Holder/Lender Name(Required)

Lien Holder Address(Required)

Street Address Address Line 2 City State ZIP Code

Drivers

Driver Schedule

Please list all drivers who operate company-owned vehicles.

Driver Name	Date of Birth	Drivers License #	Drivers License State	Actions

There are no Drivers.

Maximum number of drivers reached.

Claims History

Have you had any claims in the last 3 years?(Required)

Date of Loss(Required)

MM slash DD slash YYYY

Claim Type(Required)

Claim Description(Required)

Give a brief description of what occurred and any corrective steps taken to mitigate future losses

Add another claim?(Required)

Loss Runs

If you have loss runs, current policy information, coverage limits, or any other details that may help us prepare a custom proposal, please upload them here.

Drop files here or

Max. file size: 20 MB.

Comments

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