Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 802 (2011/09)
Hotel / Motel Supplement
ACORD 802, Hotel / Motel Supplement, should be used as a
supplement to ACORD 126, Commercial General Liability Section, to provide necessary
information when applying for hotel / motel coverage.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Loc #
Enter number: The location number for the premises.
IDENTIFICATION SECTION Date
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION SECTION Agency
Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
IDENTIFICATION SECTION Effective Date
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
IDENTIFICATION SECTION Carrier
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
Use the actual name of the company within the group to which the policy has been issued.
This is not the insurer's group name or trade name.
IDENTIFICATION SECTION NAIC Code
Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION SECTION Named Insured/Applicant
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION SECTION Street
Enter text: The first address line of the physical location.
IDENTIFICATION SECTION City
Enter text: The city of the physical location.
IDENTIFICATION SECTION State
Enter code: The state or province of the physical location.
IDENTIFICATION SECTION County
Enter text: The county of the location.
IDENTIFICATION SECTION Zip
Enter code: The postal code of the physical location.
IDENTIFICATION SECTION No. of Guests
Enter number: The number of guest rooms.
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION SECTION Average Occ Rate
Enter percentage: The average percent of occupancy for motel guest rooms.
IDENTIFICATION SECTION Maximum Occ (Guests)
Enter number: The maximum occupancy (number of guests).
IDENTIFICATION SECTION Hotel/Motel
Check the box (if applicable): Indicates the nature of business is a hotel or motel.
IDENTIFICATION SECTION Bed & Breakfast Inn
Check the box (if applicable): Indicates the nature of business is a bed and breakfast inn.
IDENTIFICATION SECTION Other
Check the box (if applicable): Indicates the nature of business is other than those listed.
IDENTIFICATION SECTION Describe Other
Enter text: The description of the nature/type of business.
GENERAL INFORMATION
Does the applicant host business
meetings, conferences or trade
shows? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does the applicant host business meetings, conferences or trade shows?
GENERAL INFORMATION
# of Meeting Rooms
Enter number: The number of meeting rooms in the hotel/motel.
GENERAL INFORMATION
Maximum Occ (largest attendee
count)
Enter number: The maximum occupancy (largest attendee count).
GENERAL INFORMATION
# of Events Per Year
Enter number: The number of events per year.
GENERAL INFORMATION
Is the parking lot in good
condition and well lighted? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is the parking lit in good condition and well lighted??
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel parking lot is not in good condition or
is not is not well lit.
GENERAL INFORMATION
Does the business contract with a
pest control service? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does the business contract with a pest control service?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel business contracts with a pest control
service.
GENERAL INFORMATION
Are the insured's heating,
refrigeration and air conditioning
systems regularly checked? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are the insured's heating, refrigeration and air conditioning systems regularly
checked? (if yes, how often?)
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the insured's heating, refrigeration and air
conditioning systems are regularly checked.
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Section Name
Field Name
Field and/or Section Description
GENERAL INFORMATION
Is the structure in compliance with
(National Fire Protection
Association) NFPA 13 and NFPA
101? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, is the structure in compliance with (National Fire Protection Association) NFPA
13 and NFPA 101?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel structure is compliant with NPFA
(National Fire Protection Association 13 and 101) standards.
GENERAL INFORMATION
Are all rooms equipped with
smoke detectors? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are all rooms equipped with smoke detectors?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if all hotel/motel rooms are equipped with smoke
detectors.
GENERAL INFORMATION
Are all rooms equipped with
sprinklers? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are all rooms equipped with sprinklers?
GENERAL INFORMATION
Explanation
Enter text: A statements explaining if all hotel/motel rooms are equipped with sprinklers.
GENERAL INFORMATION
Are there special smoke or fire
alarm devices in rooms for hearing
impaired guests? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are there special smoke or fire alarm devices in rooms for hearing impaired
guests?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if a hotel/motel rooms have special smoke or fire alarm
devices in rooms for hearing impaired guests.
GENERAL INFORMATION
Are fire safety messages posted in
all rooms? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are fire safety messages posted in all rooms?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if fire safety messages are posted in all rooms.
GENERAL INFORMATION
Is there an emergency evacuation
plan in place? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there an emergency evacuation plan in place?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining whether the hotel/motel has an emergency evacuation
plan in place.
GENERAL INFORMATION
Are there sufficient and well-
illuminated fire exits? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are there sufficient and well-illuminated fire exists?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel has sufficient and well illuminated fire
exits.
GENERAL INFORMATION
Do fire exits have emergency
lighting? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Do fire exists have emergency lighting?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel fire exit's have emergency lighting.
GENERAL INFORMATION
Do hallways have emergency
lighting? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Do hallways have emergency lighting?
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Section Name
Field Name
Field and/or Section Description
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel hallways have emergency lighting.
GENERAL INFORMATION
Do individual guest rooms have
balconies? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Do individual guest rooms have balconies? (if yes, describe)
GENERAL INFORMATION
Explanation
Enter text: A statement explaining individual guest rooms in the hotel/motel have
balconies.
GENERAL INFORMATION
Are balcony platforms and railings
regularly inspected for structural
integrity and strength? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are balcony platforms and railings regularly inspected for structural integrity and
strength? (If yes, how often?)
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if individual balcony platforms and railings are regularly
inspected for structural integrity and strength.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Loc #
Enter number: The location number for the premises.
GENERAL INFORMATION
Do security personnel carry guns?
Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Do security personnel carry guns? (If yes, describe training procedures)
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if hotel/motel security personnel carry guns.
GENERAL INFORMATION
Are employees trained in first aid?
Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are employees trained in first aid?
GENERAL INFORMATION
Are the elevators and/or escalators
inspected regularly? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are the elevators and/or escalators inspected regularly? (If yes, how often?)
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if hotel/motel elevator and or escalators are regularly
inspected.
GENERAL INFORMATION
Are laundry facilites provided? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are laundry facilities provided?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if hotel/motel laundry facilities are provided.
GENERAL INFORMATION
Does the insured allow guests to
store valuables in the hotel safe?
Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does the insured allow guests to store valuables in the hotel safe?
GENERAL INFORMATION
Are all entrances locked or
monitored at night? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are all entrances locked or monitored at night?
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Section Name
Field Name
Field and/or Section Description
GENERAL INFORMATION
Explanation
Enter text: A Statement explaining if the hotel motel entrances are locked and or
monitored at night.
GENERAL INFORMATION
Are there any facilities that will
draw crowds to the upper floors?
Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are there any facilities that will draw crowds to the upper floors?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel has any facilities that will draw crowds
to the upper floors.
GENERAL INFORMATION
Does the insured have a policy of
providing alternate
accomodations? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does the insured have a policy of providing alternate accommodations?
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the insured has a policy in place to provide alternate
accommodations if necessary.
GENERAL INFORMATION
Any special facilities or amenities
offered? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any special facilities or amities offered? Including but not limited to: Day care,
fitness, swimming, horses, scuba, fishing, boating, ballooning, etc.
GENERAL INFORMATION
Explanation
Enter text: A statement explaining if the hotel/motel offers any special facilities or amities
including but not limited to: day care, fitness, swimming, horses, scuba, fishing, boating,
ballooning, etc.
BED & BREAKFAST
INFORMATION ONLY
Name of Innn
Enter text: The name of the Inn.
BED & BREAKFAST
INFORMATION ONLY
Cleaning solvents storage location
Enter text: The cleaning solvents storage location.
BED & BREAKFAST
INFORMATION ONLY
Cleaning solvents cabinet locked
or stored out of reach of children?
Check the box (if applicable): Indicates cleaning solvent cabinet is locked or stored out of
reach of children.
BED & BREAKFAST
INFORMATION ONLY
Does the inn owner reside
elsewhere; or is the inn operated
by someone other than the owner?
Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does the inn owner reside elsewhere; or is the inn operated by someone other
than the owner? (If yes, provide name and experience of operator)
BED & BREAKFAST
INFORMATION ONLY
If Yes provide the name and
experience of operator
Enter text: A statement explaining if the own of the bed & breakfast resides elsewhere or
the inn is operated by someone other than the owner.
FOOD SERVICE
INFORMATION ONLY
Is food served? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is food prepared? ( vending machines not applicable)
FOOD SERVICE
INFORMATION ONLY
Does food preparation involve
cooking? If yes, complete
ACORD 185) Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does food preparation involve cooking?
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Section Name
Field Name
Field and/or Section Description
FOOD SERVICE
INFORMATION ONLY
Are preparations and sanitation
procedures followed to prevent
food borne illness? Y/N
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are preparation and sanitation procedures followed to prevent food borne
illness?
FOOD SERVICE
INFORMATION ONLY
Explanation
Enter text: A statement explaining whether hotel/ motel preparation and sanitation
procedures are followed to prevent food borne illness.
FOOD SERVICE
INFORMATION ONLY
Continental Breakfast
Check the box (if applicable): Indicates a continental breakfast is served at the
establishment.
FOOD SERVICE
INFORMATION ONLY
Self Service
Check the box (if applicable): Indicates self service is available at the establishment.
FOOD SERVICE
INFORMATION ONLY
Re-Heating Pre-Cooked Food
Check the box (if applicable): Indicates re-heating of pre-cooked food occurs at the
establishment.
FOOD SERVICE
INFORMATION ONLY
Food Service
Check the box (if applicable): Indicates food service is available at the establishment.
FOOD SERVICE
INFORMATION ONLY
Number of Tables
Enter number: The number of tables within the dining area of the hotel/motel.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
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