RECREATIONAL VEHICLE DEALER CHECKLIST
*
Required.
1
*
Name of Dealership:
2
*
Address:
Address Line 2:
3
*
City:
*
State:
*
Zip:
4
*
Phone:
Fax:
5
*
Name of Contact:
6
*
E-Mail:
7
Website:
8
Tax ID#:
9
Franchise(s):
10
Years In Business:
11
Current Ownership Dates from:
12
Years. Of Management Experience:
13
Owners and % of ownership? (Officers):
%
14
Explanation of Losses?
Sales Breakdown:
15
New Vehicles:
Used Vehicles:
16
Parts:
Service:
17
Body Shop:
Other:
Attach Diagram (please be specific) buildings, roads, fences, posts, gates, etc. Mark fences with and X, gates with a G, and posts with an O Provide distance between buildings, roads, etc Show dimensions of buildings, fences, etc
18
Pictures of the buildings?
Yes
No
19
(Can I get them from a website?)
Yes
No
On each building we need to know the following:
20
Building 1
Building 2
Building 3
Building 4
Amount?
Contents?
Construction:
Sq. Footage:
Year Built:
# Stories:
Deductibles:
Is there a paint booth?
Select
Yes
No
Select
Yes
No
Select
Yes
No
Select
Yes
No
Burglar alarm:
Select
Local
Central Station
Select
Local
Central Station
Select
Local
Central Station
Select
Local
Central Station
Sprinklered?
Select
Yes
No
Select
Yes
No
Select
Yes
No
Select
Yes
No
Fire Extinguishers?
Select
Yes
No
Select
Yes
No
Select
Yes
No
Select
Yes
No
Responding Fire Dept:
Exposures to the left,
right and rear?
If bldg. over 25 yrs old
Year of updates?
21
Accounts receivable?
22
Valuable Papers?
23
Employee tools?
24
Detached Signs?
25
Business Income coverage amount with monthly limit of indemnity?
26
Computer Hardware?
Software?
27
Crime Coverages?
Employee theft?
28
Forgery?
Money and securities?
29
Security Guards?
Are they armed?
Employees:
30
Employee 1
Employee 2
Employee 3
Employee 4
Job duties:
Drivers Licence #:
Date of Birth:
part-time or full-time:
driving or non-driving:
31
Garage Liability Limits?
32
# of Dealer Plates
33
# of Licensed vehicles?
34
Furnished Autos and who to?
35
GarageKeepers limit?
36
Avg. # of vehicles in garagekeepers?
37
Who is the floor planner?
38
Dealers Open Lot limit?
39
Deductible?
40
Umbrella Limit?
41
Retention Limit?
Work Comp info:
42
Coverages?
43
Experience Mod/Loss runs?
Current Insurance Companies and renewal dates.
44
Company:
Renewal Date:
45
Dec Pages/Loss runs for 4 years?
46
Comments
Copyright © 2000-2004, AgencyWorkz