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Home » Our Forms » National Trust Insurance Services – Insurance Questionnaire for Theatres

Every historic theatre is different. Consider filling out our form and we’ll get back to you soon.

Get the insurance your historic theatre needs.

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General Information

Applicant Name*

First Name* Last Name*

Contact Person

First Name Last Name

Contact Email*

Contact Phone Number*

Mailing Address

Street Address City State ZIP Code

Location Address

Street Address City State ZIP Code

Federal Employer Identification Number (FEIN)

Total Annual Revenue

Total Annual Payroll

Total Assets of Organization

Number of Employees

Building Information

Does the Applicant own the building?

Is your building on the local, state, or national register of historic places?

What is the total square footage of building?

What is the seating capacity of the theatre?

Year of Building’s original construction?

Year of last major renovation?

Roof Type?

Year of last roof replacement or major servicing/repair?

Number of stories?

Is electric system on a functioning Circuit Breaker?

Plumbing type (i.e. PVC, Copper, Galvanized, Other)?

Heating type (i.e. Gas, Electric, Oil, Other)?

Theatre Operations

Do you rent the building to others (i.e. weddings, meetings, events)?

Any performing arts camps for youth/children?

Annual number of Admissions (i.e. total tickets sold for all performances)?

Annual concessions (food, not alcohol) sales?

Annual liquor sales?

Life Safety

Is building sprinklered?

Central station fire alarm?

Central station burglar alarm?

Commercial cooking facilities on premises?

Do you have multiple means of egress (i.e. methods to exit the building)?

Are doors locked during performances?

Are all exits clearly marked and lighted?

Are aisles lighted?

Are doors equipped with panic hardware?

Do you have backup emergency lighting in event of power failure?

Are there written emergency procedures including an emergency evacuation plan?

Are evacuation procedures and floor plans posted?

Is security armed?

Is there balcony seating?

Is there a lowered pit near the stage?

Are hydraulics or other mechanical means used to raise or lower stage sections?

Vendor and Subcontractor Agreements

Please specify who has responsibility for the following operations:

Ushers

Employee

Volunteer

Subcontractor

Box Office

Employee

Volunteer

Subcontractor

Facility maintenance (i.e. property manager, janitorial)

Employee

Volunteer

Subcontractor

Stage Crew and Lighting

Employee

Volunteer

Subcontractor

Food Concessions

Employee

Volunteer

Subcontractor

Liquor Concessions

Employee

Volunteer

Subcontractor

Security

Employee

Volunteer

Subcontractor

Vendor and Subcontractor Agreements

Does Applicant require written contract with all contractors, subcontractors, vendors, and renters of the building?

Does contract have Indemnification Clause (i.e. Hold Harmless)?

Does Applicant collect Certificate of Insurance from all contractors, subcontractors, vendors, and renters of building?

Is Applicant listed as Additional Insured on the Certificate of Insurance of these contractors, subcontractors, vendors, and renters?

Abuse and Molestation

Is employee/volunteer contact with minors supervised (i.e. no one-on-one contact)?

Have there been any claims or reported incidents of abuse?

Are reference checks completed on all employees and volunteers?

Are criminal background checks completed including local, state, federal, and sexual offender registries?

Are there written guidelines for reporting and responding to allegations of abuse?

Current Insurance

Do you currently carry any of the following insurance policies?

Property Insurance (i.e. Building, Contents, etc.)?

General Liability?

Liquor Liability?

Umbrella Liability?

Workers’ Compensation?

Directors & Officers?

Volunteer Accident?

Have you had any Property insurance claims in the last 4 years?

Have you had any Liability (i.e. General, Liquor, etc) insurance claims within last 4 years?

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