Amwins Garage Package (Not Finished) - Drag N' Drop FormBuilder

Amwins Garage Package (Not Finished)

General Information

Interview date: *
- Month
- Day
- Year

Person interviewed: *

Neighborhood type: *
- Commercial
- Residential
- Commercial and Residential

Insured's hours of operations (Example: Mon-Fri 8-5): *

Distance to tidal water (In miles): *

Any previous losses? *
- Yes
- No

Describe any prior losses: *

Website: *

Description of operations: *

Mark all that apply: *
- General Repair - Service
- Towing
- Dealers Section

General Repair - Service

Annual sales (In US dollars): *

Number of bays (Numbers only - 0 if none): *

Number of service pits (Numbers only - 0 if none): *

Paint booth: *
- Yes
- No

Is it UL approved? *
- Yes
- No

Self-service vehicle wash available for the general public? *
- Yes
- No

Self-service wash sales (Numbers only): *

Propane sales to the public? *
- Yes
- No

How many gallons? *

Propane sales (Numbers only - in dollars): *

Service Operations - Percentages

% of A/C service (Numbers only): *

% of brake service (Numbers only): *

% of cooling service (Numbers only): *

% of electrical service (Numbers only): *

% of exhaust service (Numbers only): *

% of frame work service (Numbers only): *

Any frame cutting/stretching or shortening/welding? *
- Yes
- No

Explain frame cutting/stretching or shortening/welding: *

% of front end service (Numbers only): *

% of fuel systems service (Numbers only): *

% of oil change service (Numbers only): *

% of paint and body work (Numbers only): *

% of shock service (Numbers only): *

% of tune ups (Numbers only): *

% of welding (Numbers only): *

Total percentage (Must equal 100%): *

Loaner vehicles provided? *
- Yes
- No

Rental/Leasing operations? *
- Yes
- No

"Authorized Personnel Only" or "Employees Only" signs posted in restricted areas? *
- Yes
- No

Used or salvage parts installed? *
- Yes
- No

Describe used or salvage parts installed: *

Vehicles test driven? *
- Yes
- No

Describe how vehicles are test driven: *

Other business operations at this location? *
- Yes
- No

Explain other business operations at this location: *

Does risk sponsor, repair, or engage in racing or competitive activities? *
- Yes
- No

Explain risk sponsor, repair, or engage in racing or competitive activities: *

Storage and Disposal Procedures

Rags tainted with oils, fuels, or solvents disposed of and stored in self-closing, fire resistive containers? *
- Yes
- No
- N/A

Are waste solvents, oil, gasoline, etc. removed by a licensed waste removal contractor? *
- Yes
- No
- N/A

Explain waste solvents, oils, gasoline, etc. removed by a licensed waste removal contractor: *

Holding tank used for motor oil and fluids? *
- Yes
- No

Explain holding tank for used motor oil and fluids size, location and what's stored: *

Are all paints and other flammables or combustible materials on site stored in a UL-rated flammable storage cabinet? *
- Yes
- No

Explain combustibles not in UL-rated flammable storage cabinet: *

Security

Burglar alarm: *
- Central alarm
- Local alarm
- None observed

Name of monitoring company: *

Motion sensors? *
- Yes
- No

Surveillance cameras? *
- Yes
- No

Free of guard or aggressive dogs? *
- Yes
- No

Break-ins within the last 12 months? *
- Yes
- No
- Unknown

Explain break-ins within the last 12 months: *

Fire Protection

Number of fire extinguishers: *

Type of fire extinguishers: *
- ABC
- AB
- K-class

Fire extinguishers currently tagged? *
- Yes
- No

Last service date: *
- Month
- Day
- Year