Who performs the fire suppression system inspection/test? YES NO Are operators trained in measures to take in case of fire? Are operators trained in precautions to take to avoid a potential fire? YES NO How many propane tanks are in the truck at any given time? What are the sizes of the propane tanks that are kept in the truck? Are propane tanks properly maintained, inspected and tested? YES NO Is there a schedule set for tank maintenance/inspection/testing? YES NO How often are propane tanks inspected/ tested? Who performs the tank inspection/test? How many people (max) are usually inside the truck at any given time? Does the truck have seating capacity for customers? YES NO If answer to the above question is yes then what is the seating capacity? Is the Canteen or Food truck used at any one of the following? Events, Carnivals, Fairs or Festivals Construction Sites Industrial Areas, college campuses or offices Designated food truck spot on street Other please specify – Select which best describes the operations: Coffee/Sandwich Truck Canteen Truck No Cooking – Canteen Truck with Cooking – Does insured have proper licenses and/or permits in place to operate legally in the municipality/ province? YES NO If answer to the above question is yes, then please specify the licenses and/or permits in place This Supplementary Form is intended to provide information in addition to that provided within the corresponding Ontario Application for Automobile Insurance Form (OAF 1). Consent and disclosure provided within the corresponding Owner’s Ontario Application for Form (OAF 1) extend to this Supplementary Form, and the applicant Automobile Insurance Owner’s acknowledges that the Ontario Application for Automobile Form (OAF 1) is based on the truth of the Insurance Owner’s information provided herein. Date Applicant’s Signature Broker/Agent Signature Date
Who performs the fire suppression system inspection/test? Are operators trained in measures to take in case of fire? YES NO Are operators trained in precautions to take to avoid a potential fire? YES NO How many propane tanks are in the truck at any given time? What are the sizes of the propane tanks that are kept in the truck? Are propane tanks properly maintained, inspected and tested? YES NO Is there a schedule set for tank maintenance/inspection/testing? YES NO How often are propane tanks inspected/ tested? Who performs the tank inspection/test? How many people (max) are usually inside the truck at any given time? Does the truck have seating capacity for customers? YES NO If answer to the above question is yes then what is the seating capacity? Is the Canteen or Food truck used at any one of the following? Events, Carnivals, Fairs or Festivals Construction Sites Industrial Areas, college campuses or offices Designated food truck spot on street Other – please specify Select which best describes the operations: Coffee/Sandwich Truck Canteen Truck – No Cooking Canteen Truck – with Cooking Does insured have proper licenses and/or permits in place to operate legally in the municipality/ province? YES NO If answer to the above question is yes, then please specify the licenses and/or permits in place This Supplementary Form is intended to provide information in addition to that provided within the corresponding Ontario Application for Automobile Insurance Owner’s Form (OAF 1). Consent and disclosure provided within the corresponding Ontario Application for Automobile Insurance Owner’s Form (OAF 1) extend to this Supplementary Form, and the applicant acknowledges that the Ontario Application for Automobile Insurance Owner’s Form (OAF 1) is based on the truth of the information provided herein. Applicant’s Signature Date Broker/Agent Signature Date
20269-(08-17)-canteen-questionnaire.docx