Apply Download the WBPI Application or fill in the form below. Check if you have enough property coverage with our coverage calculator! If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required GENERAL INFORMATION Entity Name to be Listed as First Named Insured * Is this business an Incorporation, LLC, Partnership, or Individual entity? YesNo Owner's Name(s) * Center's Name * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Phone * Fax Email * Website Contact Person * Title * Contact Person's Phone Number * Insured/Applicant Social Security # or Federal EIN # * Years of proprietor management experience Years of proprietor ownership No. of Full Time Employees * No. of Part Time Employees * Annual Payroll * Are you a member of any national or state BPA’s? YesNo EXISTING INSURANCE POLICY INFORMATION Property & Liability Carrier * Premium * Renewal Date * Building or Tenants Improvements Limit * Deductible * Crime Limit Deductible Business Personal Property Limit * Deductible * Business Income/Extra Expense Limit * Do you have a separate Liquor Liability Policy? * YesNoNot Sure Liquor Liability Carrier: Premium: Renewal Date: Umbrella Policy Carrier Premium Renewal Date Umbrella Amount Employment Practices Liability Insurance (EPLI) Carrier Premium Renewal Date Earthquake Policy Carrier Premium Renewal Date Retention/Deductible PROPERTY COVERAGE INFORMATION Building Square Footage * Year Built * No. of Lanes * No. of Stories Are Lanes Synthetic? * YesNo If wood lanes, year last resurfaced? Contracted out? YesNo Building Construction * Wood FrameTilt-UpBlockBrickSteelOther Roof Construction * Wood JoistGluelam BeamSteel I-BeamWood Bow-TrussSteel Bow-TrussOther Yr Last Re- Roofed * Partial or Full? * PartialFull Hail resistant? YesNo Roof Covering (select one) * Asphalt ShingleMetalTileHotmopMembraneOther/Unknown Has your roof ever collapsed? YesNo If yes, what was the cause? Any structural Engineering Report done on the roof in the last 20 years? YesNo Are A/C Units equipped with hail shields? Yes Some No We don't have much hail in our state Wiring * RomexAluminumOther/Unknown Year Updated * Breakers? * YesNo Heating Fuel Type PropaneNatural GasCoalElectricSolarOther HVAC Updates (last year) * Plumbing CopperGalvanized IronPolytubyleneOther/Unknown Year Updated * Are water lines insulated against freezing? YesNoNot Applicable-Warm Climate Fire Sprinklers * YesNo % of Facility Covered by Fire Sprinklers? Does the Proprietor Own or Lease the building? * YesNo If owned, should a mortgage company be listed as Additional Insured? YesNo Mortgage Company Name Mortgage Company Address If leased, should the building owner be listed as Additional Insured? YesNo Building Owner Name Building Owner Address Is the bowl shut down due to weather conditions at any time during the year? YesNo CRIME COVERAGES INFORMATION Does your center have a working, premises alarm? * YesNo If the alarm goes off, are police automatically notified or dispatched? YesNo Does your center have security cameras? * YesNo Where do the cameras provide coverage? (Select All That Apply) InteriorLanes/ApproachesBar/LoungeAll EntrancesExterior Parking Areas Security guards? YesNo Contracted or In-House? ContractedIn-House LIABILITY COVERAGES INFORMATION Gross Annual Receipts Total * All Bowling * Food Sales * Alcohol Sales * Pro-Shop (owned only) Arcade Lottery/Gambling Other If your pro-shop is leased, what is the square footage? Do you offer any of the following activities? If yes, write in revenues. Laser Tag Miniature Golf Volley Ball Courts Rock Climbing Walls Batting Cages Roller Skating Children's Play Structure Bumper Cars/Go Carts Mechanical Bull Riding Other Do you have any gaming machines or card rooms on the premises? YesNo If Yes, describe types of machines/games Restaurants & Snack Bars Does the center have a restaurant, snack bar, or both? * restaurantsnack barboth Does the center have an Ansul or similar cooking system? YesNoNot SureNo cooktop--Pizza Ovens/AutoFry only Do cooking and frying facilities have automatic fuel supply cutoffs? YesNo Is cooking or frying done under a non-combustible ventilation hood? YesNo Is there a splash shield between the cook top and frying grease unit? YesNo How often are your hoods cleaned? How often is the fire suppression system inspected? How often are the filters in the grease hood cleaned? Are you using a contracted service company for flew and hood cleaning? YesNo Lounge Is food serviced with liquor? YesNo Do Servers have TIPS or LEAD training? YesNo Is there a Designated Driver program in place? YesNo Is there a happy hour? YesNo Do you have entertainment? YesNo a. If “Yes,” Describe b. Are there entertainment contracts? YesNo c. Required to provide a Certificate of Insurance? YesNo d. Dance floor? YesNo Nursery Do you have a supervised kid’s play area or nursery? YesNo
Download the WBPI Application or fill in the form below. Check if you have enough property coverage with our coverage calculator! If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required GENERAL INFORMATION Entity Name to be Listed as First Named Insured * Is this business an Incorporation, LLC, Partnership, or Individual entity? YesNo Owner's Name(s) * Center's Name * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Phone * Fax Email * Website Contact Person * Title * Contact Person's Phone Number * Insured/Applicant Social Security # or Federal EIN # * Years of proprietor management experience Years of proprietor ownership No. of Full Time Employees * No. of Part Time Employees * Annual Payroll * Are you a member of any national or state BPA’s? YesNo EXISTING INSURANCE POLICY INFORMATION Property & Liability Carrier * Premium * Renewal Date * Building or Tenants Improvements Limit * Deductible * Crime Limit Deductible Business Personal Property Limit * Deductible * Business Income/Extra Expense Limit * Do you have a separate Liquor Liability Policy? * YesNoNot Sure Liquor Liability Carrier: Premium: Renewal Date: Umbrella Policy Carrier Premium Renewal Date Umbrella Amount Employment Practices Liability Insurance (EPLI) Carrier Premium Renewal Date Earthquake Policy Carrier Premium Renewal Date Retention/Deductible PROPERTY COVERAGE INFORMATION Building Square Footage * Year Built * No. of Lanes * No. of Stories Are Lanes Synthetic? * YesNo If wood lanes, year last resurfaced? Contracted out? YesNo Building Construction * Wood FrameTilt-UpBlockBrickSteelOther Roof Construction * Wood JoistGluelam BeamSteel I-BeamWood Bow-TrussSteel Bow-TrussOther Yr Last Re- Roofed * Partial or Full? * PartialFull Hail resistant? YesNo Roof Covering (select one) * Asphalt ShingleMetalTileHotmopMembraneOther/Unknown Has your roof ever collapsed? YesNo If yes, what was the cause? Any structural Engineering Report done on the roof in the last 20 years? YesNo Are A/C Units equipped with hail shields? Yes Some No We don't have much hail in our state Wiring * RomexAluminumOther/Unknown Year Updated * Breakers? * YesNo Heating Fuel Type PropaneNatural GasCoalElectricSolarOther HVAC Updates (last year) * Plumbing CopperGalvanized IronPolytubyleneOther/Unknown Year Updated * Are water lines insulated against freezing? YesNoNot Applicable-Warm Climate Fire Sprinklers * YesNo % of Facility Covered by Fire Sprinklers? Does the Proprietor Own or Lease the building? * YesNo If owned, should a mortgage company be listed as Additional Insured? YesNo Mortgage Company Name Mortgage Company Address If leased, should the building owner be listed as Additional Insured? YesNo Building Owner Name Building Owner Address Is the bowl shut down due to weather conditions at any time during the year? YesNo CRIME COVERAGES INFORMATION Does your center have a working, premises alarm? * YesNo If the alarm goes off, are police automatically notified or dispatched? YesNo Does your center have security cameras? * YesNo Where do the cameras provide coverage? (Select All That Apply) InteriorLanes/ApproachesBar/LoungeAll EntrancesExterior Parking Areas Security guards? YesNo Contracted or In-House? ContractedIn-House LIABILITY COVERAGES INFORMATION Gross Annual Receipts Total * All Bowling * Food Sales * Alcohol Sales * Pro-Shop (owned only) Arcade Lottery/Gambling Other If your pro-shop is leased, what is the square footage? Do you offer any of the following activities? If yes, write in revenues. Laser Tag Miniature Golf Volley Ball Courts Rock Climbing Walls Batting Cages Roller Skating Children's Play Structure Bumper Cars/Go Carts Mechanical Bull Riding Other Do you have any gaming machines or card rooms on the premises? YesNo If Yes, describe types of machines/games Restaurants & Snack Bars Does the center have a restaurant, snack bar, or both? * restaurantsnack barboth Does the center have an Ansul or similar cooking system? YesNoNot SureNo cooktop--Pizza Ovens/AutoFry only Do cooking and frying facilities have automatic fuel supply cutoffs? YesNo Is cooking or frying done under a non-combustible ventilation hood? YesNo Is there a splash shield between the cook top and frying grease unit? YesNo How often are your hoods cleaned? How often is the fire suppression system inspected? How often are the filters in the grease hood cleaned? Are you using a contracted service company for flew and hood cleaning? YesNo Lounge Is food serviced with liquor? YesNo Do Servers have TIPS or LEAD training? YesNo Is there a Designated Driver program in place? YesNo Is there a happy hour? YesNo Do you have entertainment? YesNo a. If “Yes,” Describe b. Are there entertainment contracts? YesNo c. Required to provide a Certificate of Insurance? YesNo d. Dance floor? YesNo Nursery Do you have a supervised kid’s play area or nursery? YesNo