Bar, Tavern & Restaurant Insurance Quote
Applicant Name:
Premises Name:
Premises Address:
Premises Website:
Contact Email Address:
Requested Effective Date:
1. Are the insured's operations currently open or opening in 60 days?
-- Select --
Yes
No
If no, describe plans:
2. 3+ years of restaurant/bar ownership in past 5 years?
-- Select --
Yes
No
If no, describe experience:
3. Business closing time:
4. Square footage:
5. Number of employees:
6. Fine dining?
-- Select --
Yes
No
7. Counter service?
-- Select --
Yes
No
8. Alcohol manufactured on premises?
-- Select --
Yes
No
If yes, is >25% consumed on premises?
-- Select --
Yes
No
9. Annual Receipts:
10. Level of cooking (Full - Deep fryers, Grills, Flatops. Limited - Ovens, Microwaves, Airfryers. None - Chips, Nuts, etc.):
-- Select --
Full cooking
Limited cooking
No cooking
11. Cannabis infusion?
-- Select --
Yes
No
12. Solid fuel cooking structures within 10 feet of the building?
-- Select --
Yes
No
13. Any cooking surfaces not protected by UL300 fire suppression?
-- Select --
Yes
No
14. Any other entertainment besides: Karaoke or Trivia?
-- Select --
Yes
No
If yes, describe:
15. Other activities besides, darts, bag toss, pool tables (5 or less), horseshoes, volleyball?
-- Select --
Yes
No
If yes, describe:
16. Security or bouncers?
-- Select --
Yes
No
17. Offer delivery?
-- Select --
Yes
No
18. Shuttle services?
-- Select --
Yes
No
Additional auto policies?
-- Select --
Yes
No
19. Liquor law violations?
-- Select --
Yes
No
If yes, describe:
How many total claims in the last 3 years?
-- Select --
Zero
2 or less
3 or more
List any Additional Insureds – Name, Address & Contact Info:
Payment Plan:
Monthly
Annual
Submit
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