ISO Garage Coverage Form Exposure Analysis Checklist

 

ISO AUTO DEALER COVERAGE FORM EXPOSURE ANALYSIS CHECKLIST

(October 2019)

This checklist is designed to assist in beginning the analysis of the Insurance Services Office (ISO) Auto Dealer Coverage Form. This is only a starting point and additional risk specific questions may arise as the exposures are developed. This analysis should be combined with exposure analysis checklists for other coverages to develop a complete picture of the insured’s operations.

This checklist is designed to supplement the ACORD application.

Related Article: ISO Auto Dealer Coverage Form ACORD Forms Considerations

A list of endorsements may be helpful as you discuss exposures with your client.

Related Articles:

ISO Auto Dealer Coverage Form Available Endorsements and Their Uses

ISO Auto Dealer Coverage Form Endorsements Checklist

GENERAL INFORMATION

Legal business name(s)

____________________________________________________________________________________

____________________________________________________________________________________

Mailing address:

____________________________________________________________________________________

____________________________________________________________________________________

Type of entity:

___ Individual

___ Corporation

___ Sub-S Corp.

___ Partnership

___ Joint Venture

___ Not-for-profit

___ Limited Liability Company

SIC Code(s): _________________________________________________________________________

NAICS Code(s):_______________________________________________________________________

Federal ID Number: ____________________________

When did the applicant start business operations? ___________________________________________

When did the present management assume control? _________________________________________

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

How many years of experience does the manager have in this type of business? _____________________

Has the applicant ever been involved in a bankruptcy procedure? ___ Yes ___ No

If yes, explain including the type of bankruptcy, the filing date, and the resolution.___________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

 

Names of subsidiary companies or joint ventures that are not part of this application:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Important People

Name

Phone Number

Owner/Principal:

____________________________

______________

Other Decision Makers:

____________________________

______________

Plant and Grounds:

____________________________

______________

Financial:

____________________________

______________

Legal:

____________________________

______________

Claims:

____________________________

______________

The applicant’s primary operations are:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

The applicant’s secondary and incidental operations are:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

The applicant used to be involved in the following operations, but they have been discontinued:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

The hours of operations are: _____________________________________________________________

How many days per week is the applicant open? ___

Is this a seasonal operation? ___ Yes ___ No

If yes, what is the season? From _____________ to _____________

Does the applicant have a safety program? ___ Yes ___ No

If yes, answer the following:

Name of safety director: _________________________________________________________

Safety director phone number: __________________________________________________

Safety director email address: _____________________________________________________

Attach a copy of the safety program.

Does the applicant have a disaster plan? ___ Yes ___ No

If yes, answer the following:

Disaster coordinator phone number: ______________________________________________

Disaster coordinator email address: ________________________________________________

Attach a copy of the disaster plan.

Clientele Age:   ___ 18-25 ___ 25-35 ___ 35-50 ___ Over 50 Years

Clientele Origin:

___ Families

___ Business/Professional

___ Students

___ Military

___ Other

Describe other.

____________________________________________________________________________________

____________________________________________________________________________________

Does the establishment draw its customers primarily from the immediate area? ___ Yes ___ No

If no, explain what draws customers to the establishment.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Is the establishment located in a shopping center? ___ Yes ___ No

DRIVER INFORMATION

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

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Are any officers, partners, or employees furnished an automobile for their personal use? ___ Yes ___ No

Do individuals with a furnished automobile purchase automobile insurance on personally owned autos?
___ Yes ___ No

Do owned vehicles tow special equipment such as air compressors or concrete mixers? ___ Yes ___ No

Are any automobiles used in parades or other events? ___ Yes ___ No

Are any vehicles laid up for more than 30 consecutive days or more due to seasonal
operations? ___ Yes ___ No

If subcontractors are used, are procedures in place to monitor the timely receipt of certificates of insurance?
___ Yes ___ No ____No subcontractors

If yes, describe.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Are any automobiles equipped with cellular telephones, two-way radios, citizens band radios, or similar devices? ___ Yes ___ No

If yes, describe.

Unit #                                      Type                                      Value (ACV)

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

How many automobiles are parked at one location overnight?

Location                                      # of Vehicles                                      Value

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Describe lot protection.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Does the applicant lease or rent vehicles to others with operators? ___ Yes ___ No

Does the applicant lease or rent vehicles to others without operators? ___ Yes ___ No

Does the applicant travel to Canada or Mexico? ___ Yes ___ No

Do vehicles have theft alarms? ___ Yes ___ No

Does the applicant tow vehicles? ___ Yes ___ No

If yes, answer the following:

Describe how vehicles are identified prior to tow.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Are all drivers trained in attaching the vehicle securely? ___ Yes ___ No

Provide a copy of the standard test drive procedures.

Are any vehicles furnished for groups or organizations? ___ Yes ___ No

If yes, identify the group and the purpose.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Does applicant 'drive away' or 'haul away' vehicles from factory points of distribution or other dealers?
___ Yes ___ No

If yes, answer the following:

How often does the applicant 'haul away' or 'drive away'? _______________________

How many cars are handled in a single trip? ____

What is the maximum radius of operation for such a trip? ______________

ON PREMISES EXPOSURES

Describe the applicant’s on-premises operations.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Describe how the applicant disposes of waste.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Are large panes of glass, both inside and outside, properly marked or etched to prevent accidental contact?
___ Yes ___ No

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 the Garage policy. Consider completing the appropriate Aircraft Ownership or Ship or Boat Ownership Supplement.

What are the percentages of types of floor covering in public areas?

___% Wood           ___% Linoleum           ___%Tile           ___% Carpet           ___% Other

Describe other.

____________________________________________________________________________________

____________________________________________________________________________________

How many exits are available? ______

Are all exits free of obstruction, lighted and marked with exit signs? ___ Yes ___ No

Is there emergency lighting? ___ Yes ___ No

Are all exits equipped with panic door hardware? ___ Yes ___ No

If no, are all exits kept unlocked during business hours? ___ Yes ___ No

PARKING LOTS AND SIDEWALKS

Have arrangements been made for snow and ice removal from the parking lot
and walkway? ___ Yes ___ No

If located along a busy highway, are entrances and exits well defined to allow a smooth flow of traffic?
___ Yes ___ No

Are areas where customer's view vehicles blocked from regular parking lot traffic flow? ___Yes ___ No

Are parking lots entrances blocked when the dealership is closed? ___ Yes ___ No

CONTRACTUAL EXPOSURES

Does the applicant lease the premises? ___ Yes ___ No

If yes, answer the following:

Is there a written waiver-of-rights provision for damages to property? ___ Yes ___ No

Is there a written waiver of subrogation? ___ Yes ___ No

Is there a written hold harmless agreement? ___ Yes ___ No

Are maintenance responsibilities delineated clearly in the contract? ___ Yes ___ No

Indicate under which of the following agreements the applicant has assumed liability of others:

___ Lease agreements for real estate

___ Lease agreements for signs, refrigerators, etc.

___ Sidetrack agreements

___ Contracts for electric power, steam, etc.

___ Easement agreements

___ Elevator maintenance

___ Other contracts such as construction,
         installation, compliance certificates, etc.

Attach a copy of each contract and/or agreement indicated above.

Is the applicant’s insurance policy required to be primary under any of the indicated contracts?
___ Yes ___ No

SUBCONTRACTORS

Does the applicant regularly use subcontractors? ___ Yes ___ No

If yes, answer the following:

Describe the type of work the subcontractors perform.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Describe procedures used to monitor the timely receipt of certificates of insurance.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Is there a written contract? ___ Yes ___ No

If yes, attach.

If no, describe the terms and agreements between the applicant and the subcontractor.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

PERSONAL AND ADVERTISING INJURY EXPOSURES

Does the applicant advertise its products, goods, or services? ___ Yes ___ No

If yes, what media are used and what is that medium’s percentage of the overall advertising budget?

___% Television

___% Direct mail

___% Radio

___% Signs

___% Newspaper

___% Yellow Pages

___% Magazine

___% Internet

___% Other

Describe other.

____________________________________________________________________________________

____________________________________________________________________________________

Does the applicant have a web page? ___ Yes ___ No

Does the applicant use an advertising firm and/or outside web designer? ___ Yes ___ No

PRODUCTS

Describe all of the applicant’s products or services.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

If the product or service is defective or used improperly, describe the possible damage that could occur.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Is the applicant named on the manufacturer's policy as a vendor? ___ Yes ___ No

Does the applicant receive regular training from manufacturer when new products are being introduced?
___ Yes ___ No

Does the applicant directly import any product? ___ Yes ___ No

Does the applicant recondition used goods to sell? ___ Yes ___ No

If yes, describe the process.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

What percentage of mechanics is certified by the National Institute of Automotive Service Excellence (ASE)? ______%

Does any of the equipment used in the garage require certification? ___ Yes ___ No

If yes, how is the certification process verified?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Is there a written quality control procedure? ___ Yes ___ No

If yes, attach a copy of the procedure.

LIQUOR

Does the applicant ever serve, sell, or furnish alcoholic beverages to employees, customers
or general public? ___ Yes ___ No

If yes, what precautions are taken to prevent guests from driving while intoxicated?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

CUSTOMER’S AUTOMOBILES

Locations where customers’ autos are kept:

Location                    Location owner                    # of vehicles                    Maximum value

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

If the applicant is not the owner, is there a contractual relationship between the owner and the applicant?
___ Yes ___ No

If yes, attach the lease agreement.

Describe the lot protection at each location (fences, dogs, alarms, video, or guards).

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Describe the procedures to protect the customer’s keys from being stolen.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Are vehicles locked when unattended? ___ Yes ___ No

Does the applicant pick up or deliver customers’ vehicles? ___ Yes ___ No

Does the applicant park customer cars on public streets and/or other lots? ___ Yes ___ No

Are vehicles left overnight? ___ Yes ___ No

If yes, describe precautions to protect the vehicles.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________