Spa & Wellness: Additional Locations
Business & Personal Services
Complete for each additional location.
Location
Location Address: / City: / Province: / Postal Code:Description of the building (shopping mall; strip plaza; free standing; hotel): / Do you own the building? Yes No
Building Age: / No. of Storeys: / Total Area of Building: sqft. / Total Area of your Facility: sqft.
Construction: Fire Resistive Masonry Non-Combustible Non-Combustible Masonry Masonry Veneer Frame Mixed Construction
Latest Update if Building > 35 yrs old: / Roof: / Heat: / Plumbing: / Electric:
Sprinkler System? Yes No / Burglar Alarm? Yes No / Monitored 24 hrs? Yes No / Fire Alarm? Yes No
Please describe all adjacent operations.
Front: / Back: / Left: / Right:
Do you own, operate or rent space to associated businesses? Yes No / Details:
Property Values (Replacement Cost)
Building: $ / Equipment: $
Stock: $ / Leasehold Improvements: $
Wet Areas
Swimming Pools? Yes No / # of units: / Steam Rooms? Yes No / # of units:
Showers? Yes No / # of units: / Vichy Showers? Yes No / # of units:
Whirlpools? Yes No / # of units: / Wet Saunas? Yes No / # of units:
Hydrotherapy Tubs? Yes No / # of units: / Dry Saunas? Yes No / # of units:
Are client records kept? Yes No / How long are records kept for? yrs / Do clients sign a waiver? Yes No
Any client under the age of 18? Yes No / Do parents stay on premises? Yes No / Do you offer child care? Yes No
Do you serve alcohol? Yes No / Do you have a liquor license? Yes No / Is there a dining facility on site? Yes No
RSA is a registered trade name of Royal & Sun Alliance Insurance Company of Canada. "RSA" and the RSA logo are trademarks used under license from RSA Insurance Group plc.
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