Emergency Response Survey Please complete the following survey to help the Beaumont Economic Development Foundation (BEDF) assess the effect of Hurricane Harvey in our area’s businesses and find ways to help rebuild our community. Company Name * Do you have business insurance? Yes No Facility If yes, what type? Property Flood Insurance Business Interruption Insurance Has there been damage to the facility? * None Minor Significant Major Total Facility damage comments Are there obstructions blocking access to the facility? * Yes No Site damage comments What is the estimated physical damage to the facility? Have you contacted local Emergency Operations Center (EOC) offices? * Yes No Workforce Are workers able to get to your facility? * Yes No If no, why? Number of total employees: * What is the estimated payroll affected due to non-operations? What is the estimated number of jobs impacted due to non-operation? Transportation/Markets Are you able to get supplies to the facility? * Yes No How long do you anticipate not being able to receive supplies? Are there any needed supplies? Name major suppliers affected? Name major customers affected? Which of the following can you now support with your current cash reserves? Payroll Damage Repair Inventory Taxes
