Property Survey - July 2014 Rev.

• Audit Title

• Conducted on

  Date

• Document No.

Business Continuity

• Does the insured have a formalized business continuity plan that addresses their primary time-element loss exposures?

  Yes

  No

  N/A

Construction Features

• Current building condition

  Excellent

  Good

  Fair

  Poor

• Any fire walls or separation present?

  Yes

  No

• Describe

• Any "green building" items present?

  Yes

  No

• Describe

Special Hazards

• Commercial cooking?

  Yes

  No

• Is a fryer or open flame present?

  Yes

  No

• Is the flame or fryer fired by gas?

  Yes

  No

• Does the gas line include an automatic shut-off feature?

  Yes

  No

• Is the area protected by a UL 300 system?

  Yes

  No

• Who services the system?

  Insured

  3rd party

• How often is the system serviced?

  Quarterly or more

  Semi-annually

  Annually

  Less than annually

• Date of last service

  Date

• Flammable or combustible liquid, gas, metal storage, use, production, mixing?

  Yes

  No

• Describe hazards and controls

• Water reactive materials are present?

  Yes

  No

• Describe hazards and controls

• Storage of rolled paper, plastics, rubber tires, or other challenging materials?

  Yes

  No

• Describe hazards and controls

• Welding, cutting, grinding, ovens, kilns, or other hot work?

  Yes

  No

• Describe hazards and controls

• Injection molding, metal smelting or remelting?

  Yes

  No

• Describe hazards and controls

• Woodworking, heat treating, dust hazards, or other special hazards?

  Yes

  No

• Describe hazards and controls

Fire Protection and Detection

• Sprinkler system is present?

  Yes

  No

• % sprinklered

• Other spot protection systems present?

  Yes

  No

• Describe hazard and system used for protection

• Manual pull stations (fire alarm) present?

  Yes

  No

• % coverage

• Monitoring

  Select Alarm company Local 24 hr staffed proprietary Law enforcement Fire department None

  • Alarm company
  • Local
  • 24 hr staffed proprietary
  • Law enforcement
  • Fire department
  • None

• Smoke detection present?

  Yes

  No

• % coverage

• Monitoring

  Select Alarm company Local 24 hr staffed proprietary Law enforcement Fire department None

  • Alarm company
  • Local
  • 24 hr staffed proprietary
  • Law enforcement
  • Fire department
  • None

• Heat detection present?

  Yes

  No

• % coverage

• Monitoring

  Select Alarm company Local 24 hr staffed proprietary Law enforcement Fire department None

  • Alarm company
  • Local
  • 24 hr staffed proprietary
  • Law enforcement
  • Fire department
  • None

• Security system present?

  Yes

  No

• % coverage

• Monitoring

  Select Alarm company Local 24 hr staffed proprietary Law enforcement Fire department None

  • Alarm company
  • Local
  • 24 hr staffed proprietary
  • Law enforcement
  • Fire department
  • None

• Other systems?

  Yes

  No

• Type of system

• % coverage

• Monitoring

  Select Alarm company Local 24 hr staffed proprietary Law enforcement Fire department None

  • Alarm company
  • Local
  • 24 hr staffed proprietary
  • Law enforcement
  • Fire department
  • None

Public Protection

• Is public protection deemed sufficient, with no problems noted to response times, water availability, railroad tracks, etc?

  Yes

  No

• Describe concerns noted

Exterior Exposures

• North

• South

• East

• West

Building Information

• Tap on locate to obtain GPS coordinates (if connected to data or wifi)
  Address

• Gross Area

• Max Eave Height

Construction Type

• Construction Type

  Select Frame Non-combustible Joisted Masonry Masonry Non-combustible Mod Fire Resistive Fire Resistive

  • Frame
  • Non-combustible
  • Joisted Masonry
  • Masonry Non-combustible
  • Mod Fire Resistive
  • Fire Resistive

• Sq Ft

• Occupancy

• Year Built

Other Underwriter Information

• Please provide additional information that will assist the underwriter regarding this coverage.