Business
Personal
Claims
Resources
Blog
About H&K
- Why Clients Choose Us
- Meet Our Staff
Contact Us

(617) 924-5600
info@hkinsurance.com

Let's get started!

Your Name*
First Last
Phone*
Email*
I'm Interested In*
Which State Are You Located In?*
Tell us a little about your insurance needs
NOTICE

We are only licensed in the northeast; Massachusetts, Maine, New Hampshire, Vermont and Rhode Island, please let me know if you are in that area. If you are not in any of these states you can try www.trustedchoice.com , this is a national organization for independent agents and has a great agent finder.
Comments
This field is for validation purposes and should be left unchanged.

Address Change Form

Use this form to report a change of address for our records. Please provide as much information possible so that we can best assist you. This information will be kept confidential and will be used for internal purposes only.

Insured/Applicant Name*
Property Address*
Street Address Address Line 2 City State ZIP Code
Day Phone*
Evening Phone*
Best time to reach you:*

: Hours

Minutes

AM/PM
Email*
Type of Club*
- Municipal Golf Course
- Privately owned by members
- Privately owned by others
- 18-Hole
- 9-Hole
Annual # of rounds played*
Access to Club*
- Members & guests only
- Daily fee and members
- Daily fee only
Ancillary services available
- Swimming Pool
- Jacuzzi
- Sauna
- Tennis
- Squash/racket ball
- Child care
- Party room rental
- Snack bar
- Aerobics
- Workout room
- Golf lessons
- Other (describe below)
Check any applicable.
If other, please describe:
Employees
List approximate number of employees.*
Are applicants required for new hires?*
- Yes
- No
Are references required and checked?*
- Yes
- No
Do you require criminal background checks?*
- Yes
- No
Do you obtain motor vehicle records for employees who drive vehicles for your business?*
- Yes
- No
Course Maintenance
Who applies herbicides / pesticides?
- Insured/employees
- Independent contractor
If Independent contractor, do you obtain a certificate of insurance?
- Yes
- No
Do you require independent contractors to name you as an additional insured on their policy?
- Yes
- No
If self/employee, are you/employees licensed and/or certified for the application of herbicides/pesticides?
- Yes
- No
Are MSDS sheets easily available for golf course chemicals?
- Yes
- No
Have you ever been cited, fined, or penalized, or received complaints because of the use of herbicides, pesticides, or fungicides?*
- Yes
- No
If yes, please provide details.
How and where are the chemicals stored?
Do you have a lightning warning system in place?*
- Yes
- No
If yes, please describe.
Restaurant/Food
Do you serve food on your premises?*
- Yes
- No
Is the restaurant operated by the insured?
- Yes
- No
If no, do you obtain a certificate of insurance from the operator?
- Yes
- No
Does the automatic extinguishing system meet UL 300 standards?
- Yes
- No
Is there a service contract covering the automatic extinguishing system?
- Yes
- No
How often is a professional maintenance service employed?
- Quarterly
- Semi-annually
Are filters in hoods cleaned at least once a week?
- Yes
- No
Does the restaurant occupy more than 25% of the building?
- Yes
- No
What are your total receipts from the restaurant (including sales, if any)?
Liquor Sales
Are liquor/beer/wine sold on the premises?*
- Yes
- No
NOTE: If liquor liability coverage is not being requested, you may be asked to send us a copy of your most recent policy.
What are the total sales of all liquor, beer, wine?
Has your liquor license over been suspended or revoked?
- Yes
- No
Is there any formal bartender and waiter/waitress training for identification and handling of intoxicated customers?
- Yes
- No
If yes, please describe.

Contact Us
Company Billing Links
Sign up for Paperless Invoicing
Policy Change Form
Billing Inquiry Request Form
Address Change Form

Hours & Location

Monday -Thursday 8:30am – 4:30pm
Friday 8:30am – 4:00pm

182 Main Street
Watertown, MA 02472-4409

Contact & Connect

Office: (617) 924-5600
Toll Free: (800) 890-5606
Fax: (617) 612-6514
Text (SMS): (617) 612-6500

Quick Links

Request a Certificate
Policy Change Request
Online Billing
Paperless Invoicing
Privacy Policy

web design by Gordon Multimedia

Business
Personal
Claims
Resources
Blog
About H&K
- Why Clients Choose Us
- Meet Our Staff
Contact Us