Restaurant, Bar & Tavern Insurance Quote

Insurance for a Restaurant can be complicated, out simple form allows us to rate your coverage request simply and easily to assist you in obtaining insurance for your Restaurant investment.

"*" indicates required fields

Step 1 of 6

16%

Name*

First Last

Your entity is*

Full Legal Business Name*

Does your company use any DBA or Trade Names*

Yes

What DBA or Trade Name(s) do you use?*

Email*

Phone Number*

Fax Number

Alt Phone Number (cell, home)

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Website

Date Business Started*

MM slash DD slash YYYY

General Building Information

Is your business address different from the mailing address you indicated?*

Yes

Property Address*

If the location address differs from your mailing address, enter the location address below.

Street Address Address Line 2 City State ZIP Code

Does your entity own the building that the operation is taking place in?*

Yes

Kind of, we own a different entity that owns the building.

Does your lease require you to insure the building structure?*

Yes

Provide a brief description of the operation*

What kind of food, take out or dine in, fast food, fine dining...

Restaurant Experience*

Include positions and years of experience

Is your operation the only operation in the building?*

Are there no other businesses or residential units?

Yes

Year Built of the Building*

Please enter a number from 1750 to 2050.

# of stories in the building?*

Please enter a number from 1 to 100.

Total square feet of your interior space*

Total Public square feet of interior space*

Area that is accessible to the patrons.

Number of residential units in building*

Enter 0 (zero) if none

Number of other commercial units in building*

Enter 0 (zero) if none

Is there a basement that you occupy?*

Yes

Square footage of basement*

Are there 2 means of basement egress in the basement?*

Yes

What of yours is kept in the basement?

Check all that apply

Nothing

Food

Equipment

Storage

Kitchen

Prep Area

Dining Area

Rest Rooms

Number of elevators*

Enter "0" if none

Approximately what % of the building is occupied?*

Please enter a number from 0 to 100.

Parking / Garage*

Number of parking spots*

Stairwells Inside or Outside Building*

None

Inside - Open

Inside - Closed

Outside

Both - Inside & Outside

Is there a Fire Escape*

Yes

Foundation Type*

Building Construction*

Exterior Covering*

Roof Type*

Heat Source*

Coal

Gas

Oil - Underground Tank

Oil - Aboveground Tank

Oil - Basement Tank

Solar

Wind

Wood Burning

Some other thing that Elon Musk invented

Operational Details

Establishment is*

If other, explain*

Full Time Employees*

Part Time Employees*

Total Gross Annual Payroll*

Total Annual Gross Food Sales*

Do you serve liquor*

Liquor = Beer, Wine, Sppirits

Beer only

Beer & Wine

Beer, Wine & Spirits

Total Annual Gross Liquor Sales*

Total Annual Gross Admissions*

Memberships, Door Fees, Admissions... Enter 0 (zero) if none

Total Annual Gross Receipts

Seating Capacity (Total number of chairs)*

Do you deliver food?*

Select all that apply.

Via Bicycle

Via Employee Car

Via the Business's Car

On Foot

We used a 3rd party (like Uber)

Liquor Information

Do you have a liquor license?*

Yes

That's good news, because you told us before that you were serving liquor.

Liquor License Number

If you don't have it handy don't worry, leave it blank

What liquor training to you require the staff to complete?

Check all that apply.

ATAP

Hopes & Prayers

In-house training

Licensed bartenders only

RBS

ServSafe®

TABC

TIPS

Training, what training?

# of Bars on Premises?*

Enter 0 (zero) if none

Combined length of All Bars, In ft?*

# of Bar Seats?*

Do you have a Happy Hour*

Yes

Do you have Reduced Drink Price Specials*

Yes

Do you use Bouncers or Security?*

Yes, our employees

Yes, outside contractors

Provide details*

Kitchen & Cooking Information

Hoods & Ducts over ALL cooking equipment?*

Yes

Hoods & Filters cleaned weekly by staff?*

Yes

Is there a UL Approved Extinguishing System?*

Yes

Do you have a maintenance contract in place to clean the hood & duct system?*

How often is the hood & duct system cleaned?

Weekly

Monthly

Quarterly

Sheesh, who can remember?

Does extinguishing system cover all cooking areas?*

Yes

Is it a Wet System or Dry System?*

Wet

Dry

What Brand, or make is the Ext System?

Auto Shut-off System for Gas/Elect. supply?*

Yes

Extinguishers Available in Kitchen?*

Yes

Please indicate what cooking equipment you have:

Grill:

None

Gas

Electric

Wood/Coal

Deep Fryer

None

Gas

Electric

Broiler

None

Gas

Electric

Wood/Coal

Range / Oven

None

Gas

Electric

Wood/Coal

Steam Jacket

None

Gas

Electric

Any Wood Burning Stoves*

Yes

Hours of operation*

Mon

Tue

Wed

Thu

Fri

Sat

Sun

What forms of Entertainment do you have

None

Adult Entertainment 😉

Axe Throwing

Basketball

Dance Floor

Dart Board(s)

Foosball

Karaoke

Live Comedy

Live DJ

Live Music/Bands

Mud Wrestling

Piano Bar

Pinball

Pool Table(s)

Video Games

Building Updates

Roofing Updates*

Partial

Complete

None

If updated, what year?*

Electrical System Updates*

Partial

Complete

None

If updated, what year?*

Heating System Updates*

Partial

Complete

None

If updated, what year?*

Plumbing System Updates*

Partial

Complete

None

If updated, what year?*

Circuit protection*

Circuit Breakers

Fuses

Both

Protective Devices, Safety & Security

Distance to Fire Hydrant*

Distance to Fire Station*

Is there Emergency Lighting*

What percent of the building has sprinklers*

Are Exit Signs Illuminated?*

Burglar Alarm*

Fire Alarm*

Security Cameras*

Yes - Local Files

Yes - Cloud Files

Smoke Alarm*

Temperature Alarm*

Pool Information*

Fences apply to the pool, not the yard.

Does the pool have a slide*

Yes

Does the pool have a diving board*

Yes

Loss / Claim Information

Any claims in the last 5 years*

Yes

Claim Details

If you have had any claims in the last 5 years, please provide the date, the cause of the loss, and the amount paid out for each one.

Current Insurance Information

Are you currently insured*

Current/Prior Carrier (if any)*

Current/Prior insurance expiration date

MM slash DD slash YYYY

Current/Prior annual insurance premium

General Liability

Premises Liability Coverage*

This provides coverage for bodily injury and property damage

$100,000

$200,000

$300,000

$500,000

$1,000,000

$2,000,000

Liquor Liability*

Umbrella/Excess Liability Coverage

Do you need Hired & Non-Owned Auto Liability*

Yes

Do you need Assault & Battery Coverage*

Yes

Building, Property & Business Income Coverage

Building Coverage*

Only select this if you own the building or are required to insure it. Enter 0 if none desired.

Please enter a number from 0 to 10000000.

Building Improvements*

This provides coverage for improvements or betterments you have made to the space. (renovations). Enter 0 if none desired.

Please enter a number from 0 to 10000000.

Business Property*

This provides coverage for your possessions your business owns. (hairs, tables, equipment, smallwares, food...) Enter 0 if none desired.

Please enter a number from 0 to 10000000.

Business Income*

This provides monetary coverage in the event your business is closed because of a covered loss (fire, storm, smoke damage). Enter 0 if none desired.

Please enter a number from 0 to 10000000.

Property Deductible*

$250

$500

$1,000

$2,500

$5,000

$10,000

Finance Information

Ever filed Bankruptcy or Reorganization*

Yes

Has coverage been Declined, canceled or non-renewed in last 5 years

Yes

If so, why?

Final Details

How soon do you need this quote*

Date quote needed by*

MM slash DD slash YYYY

What date do you need this coverage by?*

MM slash DD slash YYYY

How did you hear about us?

If you were referred, who can we thank with a nice gift?

What other coverages are you interested in?*

None

Cyber Liability

Directors & Officers

Disability

Group Health

Employment Practices Liability

Workers Comp

Requested Cyber Liabilty Limit*

Approximately what percentage of the total annual revenue is attributed to e-commerce*

Please estimate total number of customer and employee records you store either electronically or in physical files?*

How many female employees do you have*

How many male employees do you have*

What is your total annual gross payroll?*

What is the company's Federal Tax ID #

We need this to provide a Workers Comp quote

Other things I want to tell you that you didn't ask. Additional comments, concerns, circumstances, or coverages you have/want.

Attachments

Please feel free to attach any files that might be useful in rating your coverages... Prior or current policies, loss runs, claims, photos of delicious food, the interior of your restaurant seating area or kitchen, pictures your kids drew in kindergarten...

Drop files here or

Accepted file types: jpg, gif, png, pdf, tif, Max. file size: 12 MB, Max. files: 10.

Name

This field is for validation purposes and should be left unchanged.

Restaurant Insurance Quote

Restaurant, Bar & Tavern Insurance Quote

General Building Information

Operational Details

Liquor Information

Kitchen & Cooking Information

Please indicate what cooking equipment you have:

Building Updates

Protective Devices, Safety & Security

Loss / Claim Information

Current Insurance Information

General Liability

Building, Property & Business Income Coverage

Finance Information

Final Details