Section 3: PROPERTY INFORMATION
NOTE: Remember not to hit your back button or your refresh button so that you do not accidentally erase or wipe out any type of information that you have typed in.
Have you made any operational changes since last year:
Yes
No
(Examples: name changes or additional names, new attractions, location changes, etc.) If yes, describe:
Fill in the information below for all New Attractions.
Please complete the following for any operations not previously reported:
How many new operations do you currently own:
0
1
2
3
4
5
6
7
8
9
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Name:
Manufacturer:
Receipts:
Attraction ht:
Age/ht req:
Describe
Loss Information
If you were insured with another Insurance Company in the last 5 years, please provide updated loss runs for that period.
Number of locations currently insured under Property Policy:
0
1
2
3
4
5
6
7
8
9
PROPERTY NO. 1
Address:
City:
State:
Zip:
BUILDING VALUES
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THIS YEAR:
CONTENTS VALUES
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LOSS OF INCOME VALUES
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PROPERTY NO. 2
Address:
City:
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CONTENTS VALUES
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LOSS OF INCOME VALUES
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PROPERTY NO. 3
Address:
City:
State:
Zip:
BUILDING VALUES
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LOSS OF INCOME VALUES
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PROPERTY NO. 4
Address:
City:
State:
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BUILDING VALUES
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LOSS OF INCOME VALUES
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PROPERTY NO. 5
Address:
City:
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LOSS OF INCOME VALUES
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PROPERTY NO. 6
Address:
City:
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BUILDING VALUES
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PROPERTY NO. 7
Address:
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PROPERTY NO. 8
Address:
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PROPERTY NO. 9
Address:
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PROPERTY NO. 10
Address:
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Zip:
BUILDING VALUES
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CONTENTS VALUES
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THIS YEAR:
LOSS OF INCOME VALUES
LAST YEAR:
THIS YEAR:
Please make sure that you have completed everything to the best of your knowledge before going to the next page.
