BOP Insurance Application – Tiger Insurance Group LLC

BOP - Insurance Quote

Get your BOP Insurance application in today!

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1BOP Insurance Quote

2Insured Information

3Policy Information

4Coverages

5Property Location

6For Underwriting

7Final Details

BOP Insurance Quote

Save up to 20% on your insurance. Get a quote and get covered.

Risk State*

Currently Licensed in CO, NV Only

Insured Information

Fun Fact - Tigers

Applicant Information

First Last

Mailing Address

Street Address Address Line 2 City State ZIP Code

Entity Type*

Is this a Non-Profit?*

Yes

Years in Business:*

When was business established?*

MM slash DD slash YYYY

Business Phone #*

Business Website Address

Policy Information

Proposed Effective Date*

MM slash DD slash YYYY

Nature of the business:*

Description of Operation:*

Hours of Operations:*

Any Towing / Roadside Assistance?*

Yes

Any Tire Sales?*

Yes

% Of Tire Sales*

Please enter a number from 0 to 100.

Any Vehicle Sales?*

Yes

# Of Vehicles Sold Per Year*

Please enter a number greater than or equal to 0.

Work Performed On Heavy / Extra Heavy Trucks?*

Yes

Supplemental App might be required based on carrier approached

Classification?*

Retail store or service operations % of total sales?*

Please enter a number from 0 to 100.

% Of Liquor Sales*

Please enter a number from 0 to 100.

Are there any gas pumps?*

Yes

Number of Gas Pumps?*

Please enter a number from 1 to 20.

Is Building coverage needed for this property?*

Yes

Is the building undergoing structural renovations currently or are any extensive renovations planned?*

Yes

Does the prospect need coverage for a canopy and/or gas pumps?*

Yes

Is there propane tank filling at this location?*

Yes

What is the percentage of occupancy?*

Please enter a number from 0 to 100.

What are the annual receipts from the sale of gasoline?*

Please enter a number greater than or equal to 0.

What are the annual receipts from the sale of convenience store items?*

Please enter a number greater than or equal to 0.

Number Of Rooms?*

Please enter a number greater than or equal to 1.

Vacancy Rate?*

Please enter a number from 0 to 100.

Avg Cost Per Night?*

Please enter a number greater than or equal to 0.

Any Kitchenettes?*

Yes

Any Stoves?*

Yes

Restaurant On Premises?*

Yes

Exterior Facing Room Doors?*

Yes

Extended Stay Options?*

Yes

Security Cameras In Place?*

Yes

% Of Liquor Sales?*

Please enter a number from 0 to 100.

Any table side cooking?

Yes

% Of Liquor Sales?*

Please enter a number from 0 to 100.

Any entertainment?*

Yes

Please explain:*

Retail store or service operations % of total sales?*

Please enter a number from 0 to 100.

Retail store or service operations % of total sales?*

Please enter a number from 0 to 100.

Any direct importing, owned label and repackaging?*

Yes

Please explain:*

Coverage

See a required field but don't understand? Don't worry! You can hover over the question mark to get details to help with your selection. Your agent will go over your choices before policy binding.

Coverage Form*

Occurrence - Covers claims made for injuries sustained during the life of an insurance policy, even if they're filed after the policy is canceled. They cater specifically to events that may cause injury of damage years after they occur, such as exposure to hazardous chemicals.
Claims Made - Your coverage only kicks in when you file a claim during the policy period. As long as an insurable event happened after the policy's retroactive date, your insurer should provide coverage.

Hired & Non-Owned Auto?*

Covers damages the insured is legally obligated to pay due to bodily injury or property damage arising out of the use, loading or unloading of a hired or non-owned automobile in connection with the insureds business.

Yes

Limit*

Liquor Liability?

Covers liability arising out of injury caused by the selling, serving or furnishing of any alcoholic beverages. Separate limits apply for this optional coverage.

Yes

Limit*

Covers liability arising out of injury caused by selling, servicing, or furnishing of any alcoholic beverages. Separate limits apply for this optional coverage.

Directors & Officers Liability?*

Directors & Officers (D&O) Liability Insurance - a type of liability insurance covering directors and officers for claims made on them while serving on a board directors and/or as an officer. D&O liability insurance can be written to cover directors or officers of for-profit businesses, privately held firms, not-for-profit organizations, and educational institutions. In effect, the policies function as "managements errors & omissions liability," covering claim resulting from managerial decisions that have adverse financial consequences.

Yes

Limit*

Garage Keepers Liability?*

Provides physical damage coverage for "customer's autos" on an Actual Cash Value basis.
"Customer's autos" means a land motor, vehicle, trailer, or semi-trailer in the insureds care, custody or control for the purpose of receiving the services normally provided in connection with the business.

Yes

Coverage From*

Limit*

Please enter a number greater than or equal to 0.

Employment Practice Liability(EPL)?*

EPL is a type of liability insurance that covering wrongful acts arising out of the employment process. Including allegations of wrongful termination, discrimination, workplace harassment and retaliation.

Yes

Coverage From*

Beautician Liability?*

Yes

Number of Beauticians?*

Coverage From*

LIMITS

Limit Applies Per?*

The Business Liability Coverage Form includes damages because of bodily injury, property damage and medical expenses. The limit of insurance for any one occurrence is the Liability and Medical Expenses Limit shown in the Declarations. Even though this Business Liability can be purchased either at the location, project or policy level, some carriers only offer Business Liability at the policy level.

Each Occurrence?*

In a commercial general liability (CGL) coverage form, an accident, including continuous or repeated exposure to substantially the same general harmful conditions. General liability policies insure liability for bodily injury (BI) or property damage (PD) that is caused by an occurrence. Per Occurrence Limit is the maximum amount the insurer will pay for all claims resulting from a single occurrence, no matter how many people are injured, how much property is damaged, or how many different claimants may make claims.

General Aggregate?*

General Aggregate Limit - the maximum limit of insurance payable during any given annual policy period for all losses other than those arising from specified exposures. Under the standard commercial general liability (CGL) policy, the general aggregate limit applies to all covered bodily injury (BI) and property damage (PD) (except for injury or damage arising out of the products-completed operations hazard) and all covered personal and advertising injury. When paid losses in these categories reach the specified aggregate limit, that limit is exhausted and no more losses in any of those categories will be paid under teh policy. In other words, once the general aggregate limit is paid out, the only coverage remaining under the policy will be for products completed operations claims- which are paid out of a separate aggregate.

Products & Completed Operations Aggregate?*

Products-Completed Operations– one of the hazards ordinarily insured by a general liability policy. It encompasses liability arising out of the insured's products or business operations conducted away from the insured's premises once those operations have been completed or abandoned.

Personal & Advertising Injury ?*

Advertising Injury – a general liability coverage, combined in standard commercial general liability (CGL) policies with personal injury (PI) coverage, that insures the following offenses in connection with the insured's advertising of its goods or services libel, slander, invasion of privacy, copy right infringement, and misappropriation of advertising ideas.

Damage To Rented Premises (Each Occurrence)?*

"Damage to Premises Rented to You" – one ot the limits of liability prescribed by the standard commercial general liability (CGL) policy, it applies to damage by fire to premises rented to the insured and to damage regardless of cause to premises (including contents).

Medical Expense ?*

A general liability coverage that reimburses others, without regard to the insured's lability, for medical or funeral expenses incurred by such persons as a result of bodily injury (BI) or death sustained by accident under the conditions specified in the policy.

Employee Benefits?*

Covers claims from a negligent act or omission in teh administration of the named insured's employee benefit programs. The Coverage is provided on an occurrence basis with an aggregate limit. The "Each Claim" limit must be equal to teh Liability and Medical Expenses Limit of the policy.

Yes

Limits?*

See a required field but don't understand? Don't worry! You can hover over the question mark to get details to help with your selection. Your agent will go over your choices before policy binding.

Primary Location*

Predominant State is the state with the highest amount of Property values of sales. The quote must have at least one location in the state designated as Predominant. A change of teh Predominant State may impact the Policy Level Description of Operations or desirability of the risk.

Same as mailing address

Street Address Address Line 2 City State ZIP Code

Annual Revenues?*

Interests*

Owner Interest is someone that occupying all or a part of the building for their own business. The rest of the space can be leased out to other tenants. The owner interest will need to insure the building (BPP) and the general liability at that location.
Tenant Interest is someone that not owning the building and only leasing a part or all of the building to operate the business. Tenant interest will only need to insure the BPP and the general liability.
LRO Interest is a building owner that is leasing out 100% of the building to other tenants. LRO interest will need to insure the building and the general liability for the building.

Any area leased to others?*

Yes

Business Property Coverages

Row ID	Building / Property Description	Actions

There are no Additional Business Properties.

Maximum number of additional business properties reached.

Underwriting

General Information

Is the applicant a subsidiary of another entity?*

Yes

Entity Name*

Parent Company Name Relationship Description

Number*

Please enter a number greater than or equal to 0.

% Owned

Does the applicant have any subsidiaries?*

Yes

Entity Name*

Parent Company Name Relationship Description

Number*

Please enter a number greater than or equal to 0.

% Owned

Is a formal safety program in operation?*

Yes

Untitled*

Safety Manual

Safety Position

Monthly Meetings

Osha

Other

Any exposure to flammables, explosives, chemicals?*

Yes

Exposure...*

Any policy or coverage declined, canceled or non-renewed during the prior three (3) years for any premises or operations?*

Yes

Untitled*

Non-Payment

Non-Renewal

Underwriting

Condition Corrected

Agent No Longer Represents Carrier

Any past losses or claims relating to sexual abuse or molestation allegations, discrimination or negligent hiring?*

Yes

untitiled*

During the last five years (TEN IN RI), has any applicant been indicted for or convicted of any degree of the crime of fraud, bribery, arson or any other arson-related crime in connection with this or any other property?*

Yes

untitiled*

Any uncorrected fire and/or safety code violations?*

Yes

Occur Date*

MM slash DD slash YYYY

Explanation*

Resolution*

Resolve Date*

MM slash DD slash YYYY

Occur Date*

MM slash DD slash YYYY

Explanation*

Resolution*

Resolve Date*

MM slash DD slash YYYY

Has applicant had a foreclosure, repossession, bankruptcy or filed for bankruptcy during the last five (5) years?*

Yes

Occur Date*

MM slash DD slash YYYY

Explanation*

Resolution*

Resolve Date*

MM slash DD slash YYYY

Occur Date*

MM slash DD slash YYYY

Explanation*

Resolution*

Resolve Date*

MM slash DD slash YYYY

Has applicant had a judgment or lien during the last five (5) years?*

Yes

Occur Date*

MM slash DD slash YYYY

Explanation*

Resolution*

Resolve Date*

MM slash DD slash YYYY

Occur Date*

MM slash DD slash YYYY

Explanation*

Resolution*

Resolve Date*

MM slash DD slash YYYY

Has business been placed in a trust?*

Yes

Untitled*

Any foreign operations, foreign products distributed in USA, or us products sold / distributed in foreign countries?*

Yes

Does applicant have other business ventures for which coverage is not requested?*

Yes

Untitled*

Does applicant own / lease / operate any drones?*

Yes

Untitled*

Does the applicant hire others to operate drones?*

Yes

Untitled*

Any medical facilities provided, or medical professionals employed or contracted?*

Yes

Untitled*

Any exposure to radioactive / nuclear materials?*

Yes

Untitled*

Do/have past, present or discontinued operations involve(d) storing, treating, discharging, applying, disposing, or transporting of hazardous material? (e.g. landfills, wastes, fuel tanks, etc.)*

Yes

Untitled*

Any operations sold, acquired, or discontinued in last five (5) years?*

Yes

Untitled*

Any watercraft, docks, floats owned, hired or leased?*

Yes

Untitled*

Any parking facilities owned / rented?*

Yes

Untitled*

Is a fee charged for parking?*

Yes

Untitled*

Recreation facilities provided?*

Yes

Untitled*

Are social events sponsored?*

Yes

Untitled*

Any structural alterations contemplated?*

Yes

Untitled*

Any demolition exposure contemplated?*

Yes

Untitled*

Has applicant been active in or is currently active in joint ventures?*

Yes

Untitled*

Is there a labor interchange with any other business or subsidiaries?*

Yes

Untitled*

Are daycare facilities operated or controlled?*

Yes

Untitled*

Have any crimes occurred or been attempted on your property within the last three (3) years?*

Yes

Untitled*

Is there a formal, written safety and security policy in effect?*

Yes

Untitled*

Does the business promotional literature make any representations about the safety and security of the premises?*

Yes

Untitled*

Do you rent equipment to others?*

Yes

Equipment Description*

Type Of Equipment*

instruction Given?

Yes

Is there a swimming pool on premises?*

Yes

Untitled*

APPROVED FENCE

LIMITED ACCESS

DIVING BOARD

SLIDE

ABOVE GROUND

IN GROUND

LIFE GUARD

Are there any lodging operations including apartments?*

Yes

# Apts / Units?*

Total Apt / Unit Area?*

SQ FT

Describe other operations*

Are athletic teams sponsored?*

Yes

Input type of sport*

Contact Sport?

Yes

Age Group?*

Extent Of Sponsorship?*

Do you lease employees to or from other employers?*

Yes

Input employee lease*

Final Details

Additional Interest?*

Yes

Untitled

Row ID	Interest Type	Actions

There are no Additional Interest.

Maximum number of additional interest reached.

Would you like to quote umbrella coverage?*

The Umbrella liability provides a layer of excess insurance over specifically identified primary polices; business liability on the general liability, automobile liability, liquor liability and employers liability.

Yes

Effective Date*

MM slash DD slash YYYY

Limit of Liability?*

Any other related topics you wish to disclose or communicate?

Attachments (Any optional or pertinent information to include with this application)

Max. file size: 750 MB.

Consent*

*To provide you with an accurate quote, our carrier partners obtain information about you and other household members from consumer reporting agencies. This includes credit-based insurance score, driving and claim histories and other consumer reports. They use this information to underwrite and rate your policy. They may order additional reports to update or renew your insurance. Our carrier partners may use a third party to develop a credit-based insurance score. Not all reports are ordered in all states.

* I affirm that I have reviewed this information with the customer as required by law.

info@tigerinsurancegroup.com

702.518.1535

About Us

Contact info

BOP - Insurance Quote

BOP Insurance Quote

Insured Information

Policy Information

Coverage

LIMITS

Underwriting

Final Details

Save up to 20% on your insurance. Get a quote and get covered.

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