G1004-0114
VALET PARKING QUESTIONNAIRE
(Complete for each location)
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. Name of the business for which you provide valet service:______________________________________________
a) Is the Insured an entity other than a valet service? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
b) Address of the business for which you provide valet service: _____________________________________
c) What type of establishment are you parking for?
Restaurant Bar Club Resort Other ______
d) What days of the week and hours of the day do you provide valet service? __________________________
2. Is the parking lot on their premises? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
3. Do you park customer’s cars on the street? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
4. If any parking is not on premises, what is the lot location address?
Main Lot: ____________________________________________________________________________________
Overflow Lot: _________________________________________________________________________________
5. If any parking lot is not
on their premises: Main Lot Overflow Lot
Do you drive customer’s cars on or across a street to get to the lot? . . . . Yes No Yes No
If Yes: a] is the street more than 2 lanes wide? . . . . . . . . . . . . . . . . . . . . . . Yes No Yes No
b] is the distance driven in either direction over 500 ft from the podium?
Yes No Yes No
6. How many spaces are reserved for valet parking? _____________
7. Is self-parking permitted? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
If Yes, is self-parking in an area separated from valet parking? . . . . . . . . . . . . . . . . . Yes No
8. Do you use at least a 3 part ticket (customer, dashboard, key-tag?) . . . . . . . . . . . . . . . . .
Yes No
9. Where do you keep the customer’s keys? __________________________________________________________
10. Do you refuse to give an obviously intoxicated customer his/her car keys? . . . . . . . . . . .
Yes No
If “Yes”, do you suggest or provide alternate transportation? . . . . . . . . . . . . . . . . .
Yes No
11. Is the lot manned by an attendant when open? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
If “No,” is the lot fenced and gated for controlled access? . . . . . . . . . . . . . . . . . . . . .
Yes No
12. Are you required to provide premises security for other than Valet operations? ...
Yes No
If yes, describe security ops here: ________________________________________________________________
13. Do you provide valet service for special events? . . . . . . . . . . . . . . . . . . . . . .
Yes No
If “Yes,” describe types of events and their parking locations: ___________________________________________
___________________________________________________________________________________________
Please Note: Events must be reported to your agent for pre-approval with a completed Valet Questionnaire.
14. Do you hire employees under the age of 18? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
15. Do you obtain MVR verification on all drivers? . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
