Patron Admission Costs : Adults $
Child $ Discount $
Sales / Receipts: a) Amusements $
b) Beer and liquor sales:
$
c) Parking:
$ d) Food & Beverage $
Describe: e) Souvenirs / Novelties
$ Describe:
Operating season:
to
Any medical facilities provided or any employed physicians / nurses?
Yes
No
Any storage, treating, discharging, applying, disposing or transporting hazardous materials?
Yes
No
Any operations sold, acquired or discontinued in the last five (5) years?
Yes
No
Do you have any type of machinery, equipment or attractions rented to others?
Yes
No
Any watercraft docks (not bumper boats), floats on premises?
Yes
No
Is there a swimming pool on premises?
Yes
No
Are there any water hazards or unfenced bodies of water on your premises?
Yes
No
Any special events scheduled throughout the year?
Yes
No
Does the Applicant own or lease the facility?
Own
Lease
Please provide the following information concerning your parking areas:
Do you have Valet Parking?
Yes
No
Does your parking area have a hard, smooth surface?
Yes
No
If open after dark, are your parking areas lighted?
Yes
No
Does security patrol your parking areas?
Yes
No
Does applicant own any other commercial property?
Yes
No
Any structural alterations contemplated?
Yes
No
Are any of the insureds locations within 1/2 mile of a military base, defense contractor, major
utility, known US landmark, major sports stadium, or a major amusement park?
Yes
No
If yes, please explain:
Are any services subcontracted?
Yes
No
Do you have any tenants?
Yes
No
Distance to nearest hospital?