ࡱ> ` lbjbj ĐYD>>>4rh^R\rH~8!(`!`!`!?".m""((((<(pn8pG$JhLjH>#;"?"##H`!`!H"("("(#j`!>`!("(#("("($(6>4(`! $x)P#((t(LH0H.(YM$YM4(YM>4(@"""(" "S"""HH'^"""H####rrrrrrrrr Arlington/Roe & Co.  HYPERLINK "http://www.arlingtonroe.com" www.arlingtonroe.com Motel Program Supplemental Application (Complete in addition to General Liability Application) Name of Applicant:  FORMTEXT       1. Operation:  FORMCHECKBOX  Hotel  FORMCHECKBOX  Motel  FORMCHECKBOX  Tourist Courts/Cabins  FORMCHECKBOX  Resort  FORMCHECKBOX  Dude Ranch  FORMCHECKBOX  Other (describe):  FORMTEXT       Number of rooms:  FORMTEXT       Average room charge:  FORMTEXT       Average occupancy rate:  FORMTEXT     % Room rental by the:  FORMCHECKBOX  Hour  FORMCHECKBOX  Day  FORMCHECKBOX  Week  FORMCHECKBOX  Month  FORMCHECKBOX  Other (describe):  FORMTEXT       Any leased areas?  FORMCHECKBOX Yes FORMCHECKBOX No Leased to whom?  FORMTEXT       Operation:  FORMTEXT       Area:  FORMTEXT       Sq. Ft. 2. National affiliation?  FORMCHECKBOX Yes FORMCHECKBOX No If yes, with whom?  FORMTEXT       3. Recommended by local Chamber of Commerce or American Automobile Association (AAA)?  FORMCHECKBOX Yes FORMCHECKBOX No 4. Building information/protection: Number of stories:  FORMTEXT       Construction:  FORMTEXT        FORMCHECKBOX  Central station fire alarm  FORMCHECKBOX  Local fire alarm  FORMCHECKBOX  Emergency lighting  FORMCHECKBOX  Guards  FORMCHECKBOX  Sprinklered  FORMCHECKBOX  Standpipes and hose  FORMCHECKBOX  Guest rooms have smoke detectors 5. Annual gross sales for insured's and their concessionaires' operations: $ FORMTEXT       Room rental $ FORMTEXT       Convenience store Number of stores:  FORMTEXT       $ FORMTEXT       Food from restaurant Number of restaurants or lounges:  FORMTEXT       $ FORMTEXT       Liquor from restaurant or lounge $ FORMTEXT       Conferences and conventions Maximum occupancy for premises:  FORMTEXT       $ FORMTEXT       Health or swim club Number of members:  FORMTEXT       $ FORMTEXT       Equipment rental (snowmobiles, boats, skis, etc.) Type of equipment:  FORMTEXT       $ FORMTEXT       Other (describe):  FORMTEXT       $ FORMTEXT       Total of above 6. Other operations/exposures:  FORMCHECKBOX  Baseball fields Number of fields:  FORMTEXT        FORMCHECKBOX  Sports courts (tennis, basketball, racquetball, volleyball, etc.) Total number of courts:  FORMTEXT        FORMCHECKBOX  Trails  FORMCHECKBOX  Bike Number of trail miles:  FORMTEXT        FORMCHECKBOX  Horse Number of trail miles:  FORMTEXT        FORMCHECKBOX  Other (describe):  FORMTEXT        FORMCHECKBOX  Boats Number of boats:  FORMTEXT       Type (sail, power, canoe, etc.):  FORMTEXT        FORMCHECKBOX  Boat docks or slips Number:  FORMTEXT        FORMCHECKBOX  Club houses (including exercise rooms) Square footage:  FORMTEXT        FORMCHECKBOX  Lake Number of acres:  FORMTEXT        FORMCHECKBOX  Park Number of acres:  FORMTEXT        FORMCHECKBOX  Playgrounds Number of playgrounds:  FORMTEXT        FORMCHECKBOX  Saddle animals Number and describe type of animal:  FORMTEXT        FORMCHECKBOX  Saunas/hot tubs Number of saunas and hot tubs:  FORMTEXT        FORMCHECKBOX  Security guards Number &(*Px|~j l 緳l\QFhbpi5CJOJQJhbpi>*CJOJQJjh4>*CJOJQJU$jhbpi>*CJOJQJUhbpi>*CJOJQJjhbpi>*CJOJQJU hbpiCJhbpiCJOJQJhbpi5OJQJhbpi hsm9CJ4hE_-hsm90JCJ$jhE_-hsm9CJ$Uhsm9hsm9CJ$ hsm9CJ$jhsm9CJ$U hbpiCJ4hsm9hsm9CJ4(l f ` p$  0 0*hd<^ha$$ 0*hd<^ha$$ P @0*hd<^ha$$ X 0*hd<^h`a$$ 0*hd^h`a$ $d|a$ $d<a$$a$ k~ll  & ( * 8 : V X Z    < > R qfhbpi>*CJOJQJjhbpi>*CJOJQJU!jhbpiCJOJQJU!jKhbpiCJOJQJU!jhbpiCJOJQJU!jchbpiCJOJQJU!jhbpiCJOJQJU!j{hbpiCJOJQJUhbpiCJOJQJjhbpiCJOJQJU R T V ` b d f    8 : N P R X Z \ ݽݞݽݞxݽݞeݽWjhbpiCJOJQJU$jhbpi>*CJOJQJU$jmhbpi>*CJOJQJU$jhbpi>*CJOJQJUhbpi>*CJOJQJhbpiCJOJQJhbpiCJOJQJhbpi>*CJOJQJ)jhbpi>*CJOJQJUmHnHujhbpi>*CJOJQJU$j3hbpi>*CJOJQJU! 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!"!$!!!!!!!!!!!!!!ƻƓƈ~mƻZƓƈ~I!j+hbpiCJOJQJU$j*hbpi>*CJOJQJU!j*hbpiCJOJQJUhbpiCJOJQJhbpi>*CJOJQJ)jhbpi>*CJOJQJUmHnHu$j)hbpi>*CJOJQJUhbpi>*CJOJQJjhbpi>*CJOJQJUhbpiCJOJQJjhbpiCJOJQJU!jY)hbpiCJOJQJU!F!!!>TT&U~UUUDVzVVW@W$ 8d<^8a$$8d<^8`a$$  d<^a$$ d<^a$$ d<^a$$d<^`a$employed:  FORMTEXT       Number of independent contractors:  FORMTEXT       Are they:  FORMCHECKBOX  armed  FORMCHECKBOX  unarmed  FORMCHECKBOX  Skeet/trap/archery ranges Number of ranges:  FORMTEXT        FORMCHECKBOX  Spas Number of spas:  FORMTEXT        FORMCHECKBOX  Swimming  FORMCHECKBOX  Indoor pool Number of pools:  FORMTEXT        FORMCHECKBOX  Outdoor pool ( FORMCHECKBOX  In-ground  FORMCHECKBOX  Above-ground) Number of pools:  FORMTEXT        FORMCHECKBOX  Bathing beach ( FORMCHECKBOX  Ocean beach  FORMCHECKBOX  Lake/river beach) Number of beaches:  FORMTEXT       Number of diving boards/slides/rafts:  FORMTEXT       Board/slide height:  FORMTEXT       ft. Swimming rules posted?  FORMCHECKBOX Yes FORMCHECKBOX No Is outdoor, in-ground pool fenced with a self-latching gate or surrounded by the building with no direct access to roadways or parking areas?  FORMCHECKBOX Yes FORMCHECKBOX No Life-safety equipment available at pool side?  FORMCHECKBOX Yes FORMCHECKBOX No 7. Describe any additional recreational facilities operated by you or others on the premises:  FORMTEXT       8. Security: Employees are required to wear ID badges at all times.  FORMCHECKBOX Yes FORMCHECKBOX No Room doors have viewing devices (peep holes).  FORMCHECKBOX Yes FORMCHECKBOX No Room doors have deadbolt locks and door chains.  FORMCHECKBOX Yes FORMCHECKBOX No Door keys are card keys for electronic locks.  FORMCHECKBOX Yes FORMCHECKBOX No Adjoining room doors have deadbolt locks.  FORMCHECKBOX Yes FORMCHECKBOX No Sliding glass doors have security bars or poles within door tracks.  FORMCHECKBOX Yes FORMCHECKBOX No Do you release guest names and room numbers to others?  FORMCHECKBOX Yes FORMCHECKBOX No Do rooms contain security instructions for guests?  FORMCHECKBOX Yes FORMCHECKBOX No Facility has CCTV for monitoring parking and entrances.  FORMCHECKBOX Yes FORMCHECKBOX No 9. Innkeepers liability limit:  FORMCHECKBOX  $1,000 per occurrence/$10,000 aggregate FORMCHECKBOX  $2,500 per occurrence/$25,000 aggregate 10. Clientele Elderly  FORMTEXT       % Spring Break Crowd  FORMTEXT       % Resident Housing  FORMTEXT       % FRAUD WARNING Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties. NAME AND TITLE APPLICANT S SIGNATURE Date Name and Phone Number of person to contact for inspection and/or premium audit purposes AGENT SIGNATURE ANSWER ALL QUESTIONS  IF THEY DO NOT APPLY, INDICATE NOT APPLICABLE     Page  PAGE 1 of  NUMPAGES 3 GLS-APP-48s (3-02) !"TTT*T,T.T8T:TTTTTTTTTTTTTTTTTUUU&U(UDU䦜ى{j{{Y{{!j).hbpiCJOJQJU!j-hbpiCJOJQJUjhbpiCJOJQJU$j,hbpi>*CJOJQJUhbpiCJOJQJhbpi>*CJOJQJ)jhbpi>*CJOJQJUmHnHu$j+,hbpi>*CJOJQJUhbpi>*CJOJQJjhbpi>*CJOJQJUUhbpiCJOJQJ DUFUHUUUUUUUUUUUUUUVV0V2V4V>V@VBVDVFVbVdVfVƻƓƈ~mƻZƓƈ~I!j0hbpiCJOJQJU$j'0hbpi>*CJOJQJU!j/hbpiCJOJQJUhbpiCJOJQJhbpi>*CJOJQJ)jhbpi>*CJOJQJUmHnHu$j/hbpi>*CJOJQJUhbpi>*CJOJQJjhbpi>*CJOJQJUhbpiCJOJQJjhbpiCJOJQJU!j.hbpiCJOJQJUfVzV|VVVVVVVVVVVWWW W"W$WBWDW`WbWdWzW|WWWWWǼǔljn]L!jC3hbpiCJOJQJU!j2hbpiCJOJQJU!j[2hbpiCJOJQJUhbpiCJOJQJhbpi>*CJOJQJ)jhbpi>*CJOJQJUmHnHu$j1hbpi>*CJOJQJUhbpi>*CJOJQJjhbpi>*CJOJQJU!j91hbpiCJOJQJUjhbpiCJOJQJUhbpiCJOJQJ@WWXFXXYYYxZ[ll$ (d<](^a$$ 8d<^8`a$$ 8d<^8`a$$ 8d<^8a$$8d<^8`a$$ d<^`a$$ @ d<^`a$ WWWWWXXXXX$X&X(XHXJXfXhXjXXXXXXXXY Y YY𲨚n]J$j5hbpi>*CJOJQJU!jE5hbpiCJOJQJU!j4hbpiCJOJQJU!j]4hbpiCJOJQJUhbpiCJOJQJjhbpiCJOJQJUhbpiCJOJQJhbpi>*CJOJQJ)jhbpi>*CJOJQJUmHnHu$j3hbpi>*CJOJQJUhbpi>*CJOJQJjhbpi>*CJOJQJUYYYYhYjY~YYYYYYYYYYYYYYYZZ6Z8Z:ZLZNZjZlZnZZƳƋ}l}}[}!j98hbpiCJOJQJU!j7hbpiCJOJQJUjhbpiCJOJQJU$j'7hbpi>*CJOJQJU)jhbpi>*CJOJQJUmHnHu$j]6hbpi>*CJOJQJUhbpi>*CJOJQJhbpiCJOJQJhbpiCJOJQJhbpi>*CJOJQJjhbpi>*CJOJQJUZZ[[[[[[[[[[P\R\n\p\r\\\\\\\n]p]r]]]]}r_}$j}:hbpi>*CJOJQJUhbpi>*CJOJQJjhbpi>*CJOJQJUhbpi5CJOJQJ!j :hbpiCJOJQJU!j9hbpiCJOJQJU!j!9hbpiCJOJQJU!j8hbpiCJOJQJUjhbpiCJOJQJUhbpiCJOJQJhbpiCJNHOJQJ[\\\]]^>__`naVb$ccd$ 0* hd^ha$$ 0* hd<^ha$$ 0*hd<^h`a$$ 0*hdP<^h`a$$ (d](^a$]]]]]]"^$^@^B^D^V^X^t^v^x^^^^^___0_2_4______źo^M!j/=hbpiCJOJQJU!j<hbpiCJOJQJU!jG<hbpiCJOJQJU!j;hbpiCJOJQJU!j_;hbpiCJOJQJUjhbpiCJOJQJUhbpiCJOJQJhbpi5CJOJQJhbpiCJOJQJhbpi>*CJOJQJjhbpi>*CJOJQJU)jhbpi>*CJOJQJUmHnHu______Z`\`x`z`|``````aa,a.a0aBaDa`abadaaabbb*b,bHbJbLbbbbq!j[@hbpiCJOJQJU!j?hbpiCJOJQJU!js?hbpiCJOJQJU!j>hbpiCJOJQJU!j>hbpiCJOJQJU!j>hbpiCJOJQJU!j=hbpiCJOJQJUjhbpiCJOJQJUhbpiCJOJQJ&bbbbbcccccccccccccZd\dxdzd|dddddddddeeeejeִ֣֒ցve[hsm9CJOJQJ!jChbpiCJOJQJUhbpi5CJOJQJ!jChbpiCJOJQJU!jBhbpiCJOJQJU!j+BhbpiCJOJQJU!jAhbpiCJOJQJU!jCAhbpiCJOJQJUhbpiCJOJQJjhbpiCJOJQJU!j@hbpiCJOJQJU#ddeefffffjjj6j8jvjxj,k.k $  0*a$$a$$ 0*a$$1$a$$ @ 0*hd<^h`a$gdsm9$ 0*d<^`a$gdsm9$ @ 0*hd<^h`a$jeleeeeeee ff"f$f&f0f2f4f^f`ftfvfxffffffffff̱~q̱^~̱K~$jEhsm9>*CJOJQJU$j+Ehsm9>*CJOJQJUhsm9hsm9CJOJQJ)jhsm9>*CJOJQJUmHnHu$joDhsm9>*CJOJQJUhsm9>*CJOJQJjhsm9>*CJOJQJUhsm95CJOJQJhsm9CJOJQJ!jChbpiCJOJQJUhbpiCJOJQJjhbpiCJOJQJUffffff2j6jdjfjrjvj(k*k.kNkZklkkkkkklll llll(l*l,l.l6l8lLlöì{o{^{o{o!h[G0JCJOJQJmHnHuhbpi0JCJOJQJjhbpi0JCJOJQJUhbpiCJOJQJhf#jhf#Uhbpi5CJOJQJhbpiCJOJQJhbpi>*CJmHnHuhbpi>*CJOJQJhbpiCJOJQJhbpi5CJOJQJhbpihsm9hsm95CJOJQJhsm9CJOJQJ$.kZk\k^k`kbkdkfkhkjklkkkkllll lllTlzl|l~ll$a$gdbpi$a$$a$ $ !a$LlNlPlRlzl|l~lllllƼhbpiCJOJQJ hbpiCJhf#hbpihbpiCJOJQJ!h[G0JCJOJQJmHnHujhbpi0JCJOJQJU llllll$a$6&P/R :psm9/ =!"#$%. 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DyK www.arlingtonroe.comyK :http://www.arlingtonroe.com/DJText1Enter applicant's name.tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck2DFEnter type of operation.D #,##0Enter number of rooms.D #,##0 Enter amount.D 0Enter percentage.tDeCheck1tDCheck1tDCheck1tDeCheck1tDeCheck1D0Enter the length of time rooms can be rented by.tDeCheck1tDeCheck1DHEnter who rents the rooms.D/Enter operation.D #,##0Enter square footage.tDeCheck1tDeCheck1DH-Enter who you are nationally affiliated with.tDeCheck1tDeCheck1D #,##0Enter number of stories.DEnter type of construction.tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1D #,##0 Enter amount.D #,##0 Enter amount.D #,##0Enter number of stores.D #,##0 Enter amount.D #,##0'Enter number of restaurants or lounges.D #,##0 Enter amount.D #,##0 Enter amount.D #,##0Enter maximum occupancy.D #,##0 Enter amount.D #,##0Enter number of members.D #,##0 Enter amount.DEnter type of equipment.D #,##0 Enter amount.D<Describe other operation.D #,##0 Enter amount.tDeCheck1D #,##0Enter number of fields.tDeCheck1D #,##0Enter number of courts.tDeCheck1tDeCheck1D #,##0Enter number of miles.tDeCheck1D #,##0Enter number of miles.tDeCheck1DDescribe other type of trail.tDeCheck1D #,##0Enter number of boats.D $Enter number of boat docks or slips.tDeCheck1D #,##0$Enter number of boat docks or slips.tDeCheck1D #,##0Enter square footage.tDeCheck1D #,##0Enter number of acres.tDeCheck1D #,##0Enter number of acres.tDeCheck1D #,##0Enter number of playgrounds.tDeCheck1D(Enter number and type of saddle animals.tDeCheck1D #,##0$Enter number of saunas and hot tubs.tDeCheck1D #,##0)Enter number of employed security guards.D #,##0(Enter number of independent contractors.tDeCheck1tDeCheck1tDeCheck1D #,##0Enter number of ranges.tDeCheck1D #,##0Enter number of spas.tDeCheck1tDeCheck1D #,##0Enter number of indoor pools.tDeCheck1tDeCheck1tDeCheck1D Enter number of outdoor pools.tDeCheck1tDeCheck1tDeCheck1D #,##0Enter number of beaches.D #,##0+Enter number of diving boards/slides/rafts.D #,##0Enter number of feet.tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1D<Describe additional recreational facilities on the premises.tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1D #,##0$Enter number of saunas and hot tubs.D #,##0$Enter number of saunas and hot tubs.D #,##0$Enter number of saunas and hot tubs.<@< NormalCJ_HmH sH tH N@N Heading 1$$1$@&a$5CJOJQJDA@D Default Paragraph FontViV  Table Normal :V 44 la (k(No List >B@> Body Textx OJQJkH@Y@  Document Map-D OJQJ4@4 Header  !4 @"4 Footer  !.)@1. 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Miller Tim MainesOh+'0 $0 P \ h tINTENTRobert V. MillerMotelProgramSupp.dot Tim Maines3Microsoft Office Word@@=@Jq)P@Z)P՜.+,D՜.+,P  hp   Scottsdale Insurance Company. M INTENT Title 8@ _PID_HLINKSAtZShttp://www.arlingtonroe.com/1  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklnopqrstuvwxyz{|}~Root Entry Fx)PData IF1TablemYMWordDocumentĐSummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q