Application For Garage Policy Cgz App 6 7 17

Application For Garage Policy Cgz App 6 7 17 Application for Garage Policy CGZ App 6 7 17 This document details an application for a garage policy submitted on July 6 2017 using the CGZ App The application is intended to provide comprehensive coverage for a garage business outlining the specific risks and exposures faced by the business and seeking appropriate insurance protection Applicant Information Name Applicant Name Business Name Business Name Address Business Address Contact Information Phone Number Email Address Business Type of Business Specify type of garage business eg auto repair shop body shop tire shop etc Services Offered List specific services offered by the garage eg oil changes repairs inspections etc Number of Employees Specify the number of employees working for the garage Annual Revenue Provide an estimate of the garages annual revenue Inventory Value Provide an estimated value of the garages inventory including parts tools and equipment Risk Assessment Property Risks Buildings Describe the physical structure of the garage including its size materials and age Contents Describe the contents of the garage including vehicles parts tools and equipment Provide an estimated value for each category Business Income Assess the potential loss of income due to a covered event such as a fire or natural disaster Liability Risks Customer Property Assess the risk of damage to customer vehicles or property while in the 2 garages possession Employee Injuries Assess the risk of employee injuries including potential for accidents or exposure to hazardous materials Third Party Liability Assess the risk of liability claims from third parties such as customers suppliers or visitors Other Risks Environmental Liability Assess the risk of environmental damage due to spills leaks or improper disposal of hazardous materials Cybersecurity Assess the risk of cyberattacks including data breaches and system failures Insurance Coverage Requested Property Coverage Building Coverage Request coverage for the building itself including the cost of repairs or reconstruction Contents Coverage Request coverage for the garages contents including vehicles parts tools and equipment Business Income Coverage Request coverage for lost income due to a covered event including lost revenue and ongoing expenses Liability Coverage Customer Property Coverage Request coverage for damage to customer vehicles or property while in the garages possession Employee Injury Coverage Request coverage for employee injuries including medical expenses and lost wages Third Party Liability Coverage Request coverage for liability claims from third parties such as customers suppliers or visitors Other Coverage Environmental Liability Coverage Request coverage for environmental damage due to spills leaks or improper disposal of hazardous materials Cybersecurity Coverage Request coverage for cyberattacks including data breaches and system failures Financial Information Annual Premium Budget Provide an estimate of the maximum premium the garage is willing to pay for insurance coverage Financial Statements Submit recent financial statements including balance sheets and income statements 3 Supporting Documentation Property Valuation Report Provide a recent property valuation report if available to support the estimated values provided Inventory List Submit a detailed inventory list of all parts tools and equipment including estimated values Employee Safety Manual Submit a copy of the garages employee safety manual if available Environmental Compliance Documents Submit documentation of the garages compliance with environmental regulations if applicable Declaration of Accuracy I Applicant Name hereby declare that all information provided in this application is true and accurate to the best of my knowledge I understand that any false or misleading information may result in the rejection of this application or the voiding of any policy issued Signature Applicant Signature Date July 6 2017 Disclaimer This document serves as a sample application for a garage policy and should be adapted to meet the specific needs of each individual garage business It is recommended to consult with an insurance agent or broker to discuss the specific coverage requirements and options available