POOL RENTAL NEAR ME SERVICES

MANDATORY REQUIREMENT: All hosts must maintain adequate liability insurance coverage and provide verification before listing activation. This form must be completed annually and updated whenever policy changes occur.

HOST INFORMATION

Host Name: _______________________________________________

Property Address: _________________________________________

Host Contact Number: ______________________________________

Host Email: ______________________________________________

Date of Verification: _____________________________________

PRNM Host ID: ____________________________________________

PRIMARY LIABILITY INSURANCE COVERAGE

HOMEOWNER’S/PROPERTY INSURANCE

Insurance Company Name: ____________________________________

Policy Number: ____________________________________________

Policy Effective Date: ____________________________________

Policy Expiration Date: ___________________________________

Agent Name: _______________________________________________

Agent Phone Number: _______________________________________