Name: Johnson Insurance Agency
Price range: $$

This field is for validation purposes and should be left unchanged.

Business Information

Legal Business Name*

DBA / Property Name

Business Entity Type*

Year Business Started*

Years Under Current Ownership*

Owner/Manager Years of Hotel Experience*

Is the property franchised or branded?*

Yes

No

Brand / Franchise Name*

Who manages the property?*

Owner-operated

Third-party management company

Management Company Name*

Property Website

Primary Contact

Contact Name*

First Last

Title

Phone*

Email*

Location

Property Address*

Street Address Address Line 2 City State ZIP Code

Is the mailing address the same as the property address?*

Yes

No

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Loss History (past 5 years)

Any insurance claims or losses in the past 5 years?*

Yes

No

Claims*

Date

Type (property, guest injury, workers' comp, etc.)

Amount Paid ($)

Open / Closed

Any lawsuits or pending legal actions involving the property?*

Yes

No

Please describe*

Has any policy been cancelled or non-renewed in the past 3 years?*

Yes

No

Please explain*

Any open fire, health, or building code violations?*

Yes

No

Please describe the violations and corrective actions*

Documents & Notes

Upload loss runs, current declarations pages, or a building schedule (optional)

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, Max. file size: 20 MB, Max. files: 5.

Anything else we should know? (franchise or lender requirements, renovations, special exposures)

Acknowledgment*

I confirm the information provided is accurate to the best of my knowledge and authorize Johnson Insurance Agency to obtain quotes on my behalf.

Hotel Insurance Quote

Business Information

Primary Contact

Location

Property & Occupancy

Security & Guest Safety

Amenities

Pool & Hot Tub

Food & Liquor

Vehicles & Events

Ownership

Building Details

Building Schedule

Protection & Exposures

Values

Employees

Coverage

Loss History (past 5 years)

Documents & Notes

Necessary Cookies

Functional Cookies

Statistics Cookies

Marketing Cookies