Restaurant Insurance Quote Request
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Number of years in business under current ownership*
Has the owner ever been involved in a bankruptcy or business failure Yes No (if yes describe in comments section)
If needed will financial statements be provided prior to binding Yes No
What are the gross sales for past three years
Year Food Liquor
Year Food Liquor
Year Food Liquor
What are the hours of operation
Is the business Seasonal Yes No
Months of operation          to         
Is there a bar or lounge Yes No (if yes describe in comment section)
Happy hour Yes No
If liquor is served,describe the training protocol for liquor servers in the comments section
Is there live entertainment Yes No (if yes describe in comments section type,nights per week,hours etc)
Is there a dance floor Yes No
Are there any operations away from the premises,such as catering? Yes No (if yes describe in comments section)
Any table side cooking or food preparation Yes No
Was the building originally built as a restaurant Yes No
Which floor is the restaurant located on
Maximum seating capacity of restaurant of lounge
Number of Exits
Are all exits free of obstruction,lighted and marked with exit signs Yes No
Is there emergency lighting Yes No
Has insured ever been cited by board of health Yes No
House keeping
Valet Parking Yes No
Is there a coat checkroom Yes No
Are all areas over ranges,grills,fryers and all other cooking surfaces and hoods and ducts protected by a UL-300-complaint automatic fire extinguishing systems Yes No(For additional guidance on how to identify UL-300 extinguishing systems,refer to the risk control section of
Is there a maintenance agreement to regularly inspect and service the system Yes No
Times per year
Are the employees trained in the use of the automatic extinguishing system and portable fire extinguishers. Yes No
Is there a maintenance agreement with an outside firm to clean the hood and duct system Yes No(if no explain in comments section)
Times per year
How often are the grease filters cleaned by the employees
Please type the code shown*
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