Skip to main content
🏨 Supplemental Questionnaire

Hotel / Motel Insurance Questionnaire

Complete this supplemental questionnaire for your hotel or motel. A licensed broker will respond with coverage options within one business day.

✓ No obligation
✓ Multiple carriers compared
✓ Response within 1 business day
✓ 18+ years commercial experience
0% complete
📅

Policy Timing

Effective Date * Reason for This Date * Select one... New property / opening Current policy expiration Property acquisition / takeover Mid-term switch Other Current Policy Expiration (if renewing or switching) Do You Own or Lease This Property? *
🏢

Business Information

Corporation / Legal Name * DBA / Hotel Name (if different) EIN # * Business Entity Type * Select... Individual / Sole Proprietorship Joint Venture Partnership Corporation LLC Other Business Website Brand / Franchise (if applicable) Years in Hotel / Motel Business * Years of Management Experience * Month & Year Started at This Location * Ownership History Any other owned businesses under same or different entity name? Yes No Has owner/corporation ever been involved in bankruptcy, foreclosure, tax lien, business failure, or litigation? Yes No 📍 Property Location & Addresses Physical Property Address * City * State * Select... WashingtonOregonIdaho NevadaArkansasSouth Dakota PennsylvaniaTexasIndiana Other ZIP * Mailing Address (if different) Mailing Street Address City State ZIP 👤 Owner / Contact Information Owner's Full Name * Owner's Cell Phone * Owner's Email Address * 🏗️ Building DetailsConstruction, size, and renovation history Year Built * Construction Type * Select... WoodBrickStone MetalConcreteMixed Number of Buildings * Number of Stories * Number of Rooms * Rooms with Whirlpool / Jacuzzi Roof Material * Select... Asphalt shinglesMetal Flat / BUREPDM / rubber TPO / PVCTileOther Estimated Value of Building * Estimated Value of Owner-Owned Contents (moveable items you own — exclude guest belongings) * Renovation History — Most Recent Year Plumbing Updated Wiring Updated Heating Updated Roof Updated 💰 Operations & Financials Average Room Rate * Average Annual Occupancy % * Total Annual Gross Receipts * Select range... Under $500,000$500,000 – $1,000,000 $1,000,000 – $2,500,000$2,500,000 – $5,000,000 $5,000,000 – $10,000,000Over $10,000,000 Annual Receipts — Rooms Only * Select range... Under $250,000$250,000 – $500,000 $500,000 – $1,000,000$1,000,000 – $2,500,000 $2,500,000 – $5,000,000Over $5,000,000 Full-Time Employees * Part-Time Employees * Total Annual Payroll * Select range... Under $250,000$250,000 – $500,000 $500,000 – $1,000,000$1,000,000 – $2,500,000 Over $2,500,000 🛎️ Guest Operations Primary Type of Clientele *
Ownership History
Any other owned businesses under same or different entity name?
Has owner/corporation ever been involved in bankruptcy, foreclosure, tax lien, business failure, or litigation?
📍

Property Location & Addresses

Mailing Address (if different)
👤

Owner / Contact Information

🏗️

Building Details

Construction, size, and renovation history

Renovation History — Most Recent Year
💰

Operations & Financials

🛎️

Guest Operations

Do Rooms Exit to Outside or Inside the Building? *
Type of Key System *
Alarm System at This Location *
Guest Operations — Yes / No
Any long-term occupants (weekly/monthly renters)?
Yes No Is the hotel / motel seasonal? Yes No Is there a manager on premises / on duty 24 hours? Yes No Is the front desk / door staffed 24/7? Yes No Are there kitchenettes in guest rooms? Yes No Are there any on-site amenities (water activities, snow, golf, etc.)? Yes No Do guests store valuables in a hotel safe? Yes No Is smoking allowed inside rooms? Yes No Are laundry facilities provided? Yes No Is there a swimming pool (indoor or outdoor)? Yes No Indoor Outdoor Both 🛡️ Property Safety & Compliance Is the building sprinklered on all floors? Yes No Type of sprinkler system Wet Dry Other None Is the building equipped with smoke alarms? Yes No Type of smoke alarm Central Station Hardwired Battery Are ALL rooms equipped with smoke detectors and sprinklers? Yes No Are fire safety messages posted in all rooms? Yes No Is there an evacuation plan posted and are employees trained? Yes No Are there sufficient and well-illuminated fire exits? Yes No Is there emergency lighting? Yes No Is the structure compliant with NFPA 13 and NFPA 101? Yes No Unknown Is the facility ADA compliant? Yes No In progress Is the risk located on a lake or river? Yes No Is the parking lot in good condition and well lighted? Yes No Is there a snow and ice removal plan for the parking lot and building entrances? Yes No N/A Are non-slip floor mats at all public entrances and exits? Yes No Do individual rooms have balconies? Yes No Balconies regularly inspected Not regularly inspected Are elevators / escalators present and regularly inspected? Yes No Video surveillance — is it monitored and how often? Yes No Do you have security personnel? Yes No Armed Unarmed Direct employees Contracted service 🚌 Transportation (If Applicable) Do you offer an airport shuttle or guest transportation? Yes No Seating Capacity of Vehicles Operation Radius Driver Names & Ages Do you need Business Auto coverage for shuttle / transportation? Yes No Any owned autos (hotel vehicles)? Yes No Do you offer valet parking? Yes No 🎪 Hospitality Services (If Applicable) Do you host meetings, conferences, trade shows, or weddings? Yes No How Often? Annual Receipts from Events Are Formal Contracts Written for These Services?
Is the hotel / motel seasonal?
Is there a manager on premises / on duty 24 hours?
Is the front desk / door staffed 24/7?
Are there kitchenettes in guest rooms?
Are there any on-site amenities (water activities, snow, golf, etc.)?
Do guests store valuables in a hotel safe?
Is smoking allowed inside rooms?
Are laundry facilities provided?
Is there a swimming pool (indoor or outdoor)?
🛡️

Property Safety & Compliance

Is the building sprinklered on all floors?
Type of sprinkler system
Is the building equipped with smoke alarms?
Type of smoke alarm
Are ALL rooms equipped with smoke detectors and sprinklers?
Are fire safety messages posted in all rooms?
Is there an evacuation plan posted and are employees trained?
Are there sufficient and well-illuminated fire exits?
Is there emergency lighting?
Is the structure compliant with NFPA 13 and NFPA 101?
Is the facility ADA compliant?
Is the risk located on a lake or river?
Is the parking lot in good condition and well lighted?
Is there a snow and ice removal plan for the parking lot and building entrances?
Are non-slip floor mats at all public entrances and exits?
Do individual rooms have balconies?
Are elevators / escalators present and regularly inspected?
Video surveillance — is it monitored and how often?
Do you have security personnel?
🚌

Transportation (If Applicable)

Do you offer an airport shuttle or guest transportation?
Do you need Business Auto coverage for shuttle / transportation?
Any owned autos (hotel vehicles)?
Do you offer valet parking?
🎪

Hospitality Services (If Applicable)

Do you host meetings, conferences, trade shows, or weddings?
Do you provide health club / day spa facilities?
Yes No 🍽️ Restaurant / Lounge (If Applicable) Is There a Restaurant or Lounge on Premises? *
🍽️

Restaurant / Lounge (If Applicable)

🏊

Pool / Hot Tub (Skip if Not Applicable)

Complete this section if your facility has a pool and/or hot tub — as indicated in the Guest Operations section above. Skip if neither applies.
Was the pool built at the same time as the original facility?
Non-slip surfaces in and around the pool?
If outdoors: pool fenced ≥5 ft with no openings >4 in?
Gates self-closing and self-latching?
Pool area locked and inaccessible after posted hours?
Is the area monitored? If yes, how often?
Who is responsible for pool area monitoring?
Rules posted and enforced?
ALL water depths clearly marked?
Depth markers ≥4" high and visible from in the pool?
Designated lap lanes with "End of Lane" markings?
"No Diving" posted clearly around pool perimeter?
Pool area illuminated from dusk to closing?
Emergency phone easily accessible in pool area?
Staff fully trained in chemical handling and application?
ALL pool chemicals stored in a secured, dry, well-ventilated space?
Is Chlorine Gas used for water purification?
Pool water tested regularly for sanitary requirements?
Life rings and/or shepherd's hook provided?
Any diving facilities (boards, platforms, starting boxes, towers)?
Recreation equipment in or around pool (slides, water spouts, floats, etc.)?
Are ladders, equipment, and walkways regularly inspected?
Glass containers or alcoholic beverages permitted at poolside?
Certified lifeguards on duty?
May private parties reserve the pool area?
Hot Tub
Is there a hot tub?
🏗️

Additional Buildings (If Applicable)

Complete one entry per additional building on the property

Additional buildings: If your hotel/motel campus includes separate buildings (a second guest building, conference center, restaurant building, etc.), add one entry for each.
📋

Current Insurance & Claims History

Current Insurance Company Current Policy Number Any Claims in the Last 5 Years? *
🏦

Lien Holders (Optional)

📄

Certificate Holders (Optional)

📎

Upload Documents (Optional)

Dec pages, loss runs — or attach most recent cleaning certificates

Current Dec Page(s)
📄

Declarations Page

PDF, JPG, PNG, or DOC — max 10 MB

    Loss Runs & Cleaning Certs
    📊

    Loss Runs / Cleaning Certificates

    PDF, XLS, JPG — max 10 MB each

      Max 10 MB per file  ·  You can also email documents directly to CommercialInsuranceAgency@gmail.com

      💬

      Additional Comments (Optional)

      Any Additional Information That Will Help Evaluate This Risk Ready to Submit? A licensed commercial broker will review your questionnaire and respond within one business day with hotel/motel insurance options tailored to your property. Loading... Submit Questionnaire › ✓ Your hotel/motel insurance questionnaire has been received. A broker will contact you within one business day. Thank you! Consent is not a condition of purchase. Jump to Submit // ── PROGRESS ────────────────────────────────────────────────────────────────── function updateProgress(){ const els=document.querySelectorAll('[name]:not(.hp)'); let total=0,filled=0;const seen=new Set(); els.forEach(el=>{ if(!el.name||el.type==='file') return; if(el.type==='radio'||el.type==='checkbox'){ if(seen.has(el.name)) return; seen.add(el.name);total++; if(document.querySelector(`[name="${el.name}"]:checked`)) filled++; } else {total++;if(el.value&&el.value.trim()) filled++;} }); const pct=total?Math.round((filled/total)*100):0; document.getElementById('progressFill').style.width=pct+'%'; document.getElementById('progressLabel').textContent=pct+'% complete'; } document.addEventListener('input',updateProgress); document.addEventListener('change',updateProgress); // ── GENERIC TOGGLE ──────────────────────────────────────────────────────────── function toggleDetail(id, el, showValue){ const panel=document.getElementById(id); if(panel) panel.style.display=el.value===showValue?'block':'none'; } function toggleRestaurant(el){ document.getElementById('restaurantDetail').style.display=el.value!=='No'?'block':'none'; } // ── ADDITIONAL BUILDINGS ────────────────────────────────────────────────────── let bldgCount=0; function addBuilding(){ bldgCount++;const n=bldgCount; const div=document.createElement('div');div.className='repeater-item';div.id='bldg_'+n; div.innerHTML=` ${n} Additional Building ${n>1?`Remove`:''} Building Use / Description Address / Location on Property Year Built Construction TypeSelect...WoodBrickStoneMetalMixed Roof MaterialSelect...MetalAsphalt shinglesFlat / BUROther Number of Stories Is There a Basement?

      Ready to Submit?

      A licensed commercial broker will review your questionnaire and respond within one business day with hotel/motel insurance options tailored to your property.

      Loading...
      ✓ Your hotel/motel insurance questionnaire has been received. A broker will contact you within one business day. Thank you!
      Jump to Submit