What is covered?
We provide our clients with Broad coverage designed for Restaurant and Entertainment industries and tailored to your standards. The package includes: Comprehensive General Liability with Liquor Liability up to 1,000,000, Business Property with Loss of Income, Equipment Breakdown, and Food Spoilage coverage.  
Optional Coverage
Workers Compensation, Commercial Umbrella, Commercial Auto coverage..

Restaurant/Bar/Night Clubs Questionnaire

Applicant’s Information

First Name: Last Name: Street/PO Box: City: State: Zip: Telephone: Email: Fax: Best way to Reach: --- Select item --- Home Phone Business Phone Email Website:

General Business Information

Business Name: Business Entity: --- Select item --- Individual Partnership Corporation Join Venture Subchapter S-Corp Not for profit org LLC Street: City: State: Zip: Phone: Years in business: New business: Yes No Tax Id: Estimated Gross Revenue: Number of employees: Payroll: Brief Description of Business: How long have you been at this location? Describe all adjoining occupancies on the left and on the right of your business: Any residential occupancies in a building? Yes No Total Annual food sales Total Annual alcohol sales Total annual cover charge sales Is property Coverage Desired? Yes No Total area in square feet: Public access total area: Number of parking spaces: Building Age: Last time when the building was remodeled: Does building have Copper plumbing Galvanized Mixed Number of floors: Construction type: --- Select item --- Frame Other Does Building have a Sprinkler system? Fire alarm --- Select item --- Local Central Station None Describe all entertainment: Number of seats provided: Any liquor violations in the last 3 years Yes No Describe Cooking facilities, if any Business Hours: Days of Operations:

Coverage Information:

Desired limit of Building Coverage. Put 0 if you lease Desired limit of Content Coverage: Desired limit of liquor liability: --- Select item --- 300.000 1.000.000

Previous Insurance History

Current Insurance: Yes No If yes: Insurance Company Premium paid last year: I had claims: Yes No Number of Additional insured: I need coverage: --- Select item --- ASAP Next Week Next Month I am shopping Do you need Workers Compensation Insurance? Yes No Do you need Commercial Auto Coverage? Yes No How did you hear about us?