Total Dollar Insurance

Barre Fitness Insurance Quote

Company Profile
Legal Business Name: *
dba Name:
30
Legal Entity type: LLC  S-Corp  Corp  Inc  Other
Mailing Address
City
State
Zip
Owner(s) *
FEIN# *
Preferred Phone
Preferred Email
Building Information
Do your best to answer. I will contact the landlord for missing info.
Physical Location Address
Name of Landlord or Property Manager
Contact Phone
Contact Email
Construction type: Frame  Joisted Masonry  Masonry noncombustible
Year Built
Number of Stories
Total Square footage of building:
Burglar Alarm : No  Yes ( If Yes: Local or Central Station)
Fire Alarm: No  Yes ( If Yes: Local or Central Station)
Automatic Sprinklers in Building:
Business Information
Business Information
Average number of classes/week
Approximate or Estimated Gross Annual Revenue: $0 - $250,000
$250,00 - $500,000
$500,000 - $1,000,000
$1,000,000 +
Additional Exposures or Comments
Employee Information
Employee Information
Number of Instructors (excluding owners)
Number of Clerical Staff: exclude owners (must be receptionist ONLY and not a teacher)
Approximate Annual Payroll for Worker’s Compensation calculations
Studio Information
Studio Information
Square footage of your location
# of Exercise Studio Rooms
Replacement Cost of Business Property: (mats, foam, weights, straps, balls, equipment, stereo equipment, office equipment/furniture, computers, etc.
Amount Betterments and Improvement to Building: (padding, carpet, bars, stall bars, brackets, fixtures, etc.(Basically the price of your build out)
Do you provide Day Care? No  Yes (If yes, ratio teachers to children?)
Do you have showers? No  Yes
Do you have non slip surfaces in all potentially wet areas? No  Yes
Do you have AED? No  Yes
Most Recent renovation to:
Please enter Most Recent Renovations: if not known I will contact the landlord or property manager
Roof
Heating
Plumbing
Electric
CURRENT INSURANCE INFORMATION:
CURRENT INSURANCE INFORMATION: (Whatever information you can provide is helpful)
  Yes/No Current Insurer Current Premium Are Policies in Good Standing? What is your Renewal Date? Do you have any concerns or issues with your existing Insurance Program? What are your Claims to date: Other Information
General Liability
Property
EPLI
Commercial Umbrella
Workers Comp
Builders Risk
* = Required Field
Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.