BED AND BREAKFAST

1	Name of Business:
2	Address
3	Website Address:
4	Phone Number:		Type Of Business:
5	Number of Owners:		Number of Guest Rooms
6	Number of Employees		Age of the Building
7	Amount of Coverage for Dwelling:
8	Current Insurance Company:
9	Is the building listed as an historical site?		Yes No
10	When were the following last updated or replaced?
	Roof Plumbing Electrical Heating
11	Do all rooms have a private bath?		Yes No
12	Do you have a central alarm?		Yes No
13	If yes, what type of alarm?
14	How far to fire hydrant?
15	Type of fire department
15	Have you had any past claims?
16	If yes, what was the claim?
17	Do you have a public restaurant?		Yes No