Questionnaire Category: Agribusiness
Risk: Beef Cattle Farms

GENERAL INFORMATION

How many years experience does the owner have in this type of business? _______________________

The applicant’s primary and operations are:

LIABILITY – GENERAL LIABILITY

ON PREMISES EXPOSURES

Describe the applicant’s on-premises operations.

Describe how the applicant disposes of waste.

Does the applicant own, jointly own, hire, or lease any watercraft or aircraft? ___ Yes ___ No

Note: If yes, there is limited or no coverage for these operations under Commercial General Liability policies. Consider completing the appropriate Aircraft Ownership or Ship or Boat Ownership Supplement.

Describe the agritainment by indicating all activities that apply:

Describe all of the applicant’s products or services.

AUTOMOBILE

List the names of the applicant’s drivers who maintain a Commercial Drivers License (CDL).

Are any of the applicant’s automobiles used in parades or other events? ___ Yes ___ No

If the applicant uses subcontractors, are procedures in place to monitor receiving certificates of insurance on a timely basis?

Are any of the applicant’s automobiles equipped with cellular telephones, two-way radios, citizens band radios or similar devices?

Do the applicant’s vehicles have theft alarms? ___ Yes ___ No

Does the applicant transport whole carcasses? ___ Yes ___ No

Does the applicant transport livestock? ___ Yes ___ No

AUTOMOBILE – HIRED AND NONOWNERSHIP

HIRED/BORROWED AUTO

Is the applicant required to provide primary coverage for any hired or borrowed vehicles? ___ Yes ___ No

If yes, answer the following: