G1011-0114
MOTORCYCLE, WATERCRAFT & OFF ROAD VEHICLE QUESTIONNAIRE
This Questionnaire is supplemental to and part of the Colony Specialty Garage Application (G1000) or the
Colony Specialty Garage Renewal Application (G1001).
Business Trade Name ____________________________________________________________________________
1. What percentage of your operations involve:
Motorcycles ________% Dune Buggies/Sand Rails _______ %
ATV’s ________% Go-Karts _______ %
Dirt Bikes ________% Snowmobiles _______ %
Mopeds/Scooters ________% If Mopeds/Scooters, provide lowest # of CCs _______
Watercraft ________% If Watercraft, any in-water or marina exposure?
Yes No
Other (Describe) ________% __________________________________________________________
2. Is above inventory stored inside a building at night?
Yes No
If yes, do you have a Central Station Alarm (CSA)?
Yes No
If not inside and/or no CSA, provide details: ________________________________________________________
3. Do you permit off premises test drives?
Yes No
If yes, do you have a specified Route?
Yes No
Describe ___________________________________________________________________________________
a. Is this route a distance of 1 mile or less?
Yes No
If no, provide details: ______________________________________________________________________
b. Do you allow customers under age 21 to test drive?
Yes No
c. Do you require customers to have a motorcycle license?
Yes No
4. Do you permit overnight try outs?
Yes No
5. Is anyone furnished one of these vehicles for personal use or as a demo?
Yes No
If yes, provide details (who, type of vehicle): _______________________________________________________
6. Do employees who drive have the required endorsement on their Drivers License?
Yes No N/A
7. What are your annual sales to customers for each of these categories? (add Related Operations)
Uninstalled Parts $ ____________ Clothing $ ___________ Accessories $ ______________
8. Racing
a. Do you own a vehicle with a racing or exhibition exposure?
Yes No
If yes, provide details: _____________________________________________________________________
b. Do you service any vehicles involved in racing or exhibition events?
Yes No
If yes, _______ % Details: _________________________________________________________________
9. Do you perform any of the following:
Customization or Fabrication ________ % Fuel Conversions __________ %
Structural Alterations (Fork & Frame) ________ % Custom Building __________ %
Alter original performance specifications ________ %
If any of the above, provide details: ______________________________________________________________
10. Do you convert bikes to trikes?
Yes No
If yes, provide details. If kit is used, include name of kit manufacturer: ___________________________________
11. Do you loan or rent motorcycles?
Yes No
If yes, is coverage for this exposure in place elsewhere?
Yes No