(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
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
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? ______________
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
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, |
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
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.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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
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.
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?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________