b. Retrofit (occupied) $ $ c. Design $ $ d. Service / Repair $ $ e. Inspection $ $ f. New Installation $ $ g. Other—Describe: $ $ h. Does applicant have other business ventures for which coverage is not requested? Yes No If yes, explain and advise where insured: 6. Projects/Client Base Aircraft Hangers % Government Buildings % Offshore Exposure % Apartments % Hospitals % Rack Storage % Casinos % Hotels % Refineries % Chemical, Fertilizer or % Manufacturing % Schools % Petrochemical Churches % Mercantile % Single Family % Condos/Townhouses % Nuclear Power Plants % Theaters > 100 Seating % Detention/Correctional % Nursing Homes % Warehouses % Facilities Special Hazards: % Describe: % 7. Do you install extinguishing systems in vehicles, mobile equipment, watercraft, or aircraft? Yes No If yes, explain: 8. Types of Sprinkler Systems Installation/Repair/Service Inspection Type Designed by You Deluge % Deluge % Dry Pipe % Dry Pipe % Hydraulically Calculated % Hydraulically Calculated % Preaction % Preaction % Wet Pipe % Wet Pipe % Special Hazards: Special Hazards: Carbon Dioxide % Carbon Dioxide % Dry Chemicals % Dry Chemicals % Foam % Foam % 9. Do you do any manufacturing or sell anything under your own label? If yes, explain: 10. Do you sell any items other than items which are installed by you? Yes No If yes, provide listing of products sold: Sales amount for these products? 11. Do you do design work for others? Yes No If yes, percent of operation: %
b. Retrofit (occupied) $ $ c. Design $ $ d. Service / Repair $ $ e. Inspection $ $ f. New Installation $ $ g. Other—Describe: $ $ h. Does applicant have other business ventures for which coverage is not requested? Yes No If yes, explain and advise where insured: 6. Projects/Client Base Aircraft Hangers % Government Buildings % Offshore Exposure % Apartments % Hospitals % Rack Storage % Casinos % Hotels % Refineries % Chemical, Fertilizer or Petrochemical % Manufacturing % Schools % Churches % Mercantile % Single Family % Condos/Townhouses % Nuclear Power Plants % Theaters > 100 Seating % Detention/Correctional Facilities % Nursing Homes % Warehouses % Special Hazards: % Describe: % 7. Do you install extinguishing systems in vehicles, mobile equipment, watercraft, or aircraft? Yes No If yes, explain: 8. Types of Sprinkler Systems Installation/Repair/Service Inspection Type Designed by You Deluge % Deluge % Dry Pipe % Dry Pipe % Hydraulically Calculated % Hydraulically Calculated % Preaction % Preaction % Wet Pipe % Wet Pipe % Special Hazards: Special Hazards: Carbon Dioxide % Carbon Dioxide % Dry Chemicals % Dry Chemicals % Foam % Foam % 9. Do you do any manufacturing or sell anything under your own label? If yes, explain: 10. Do you sell any items other than items which are installed by you? Yes No If yes, provide listing of products sold: Sales amount for these products? 11. Do you do design work for others? Yes No If yes, percent of operation: %
Fire-Sprinkler-Installation.docx