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Restaurant Insurance Quote
Get a customized insurance quote for your restaurant or food service business
Quote Request Form
Please provide details about your restaurant to receive an accurate quote.
Business Information
Entity Name *
DBA (If any)
EIN# *
Policy Effective Date *
Location Information
Location Address *
Mailing Address (if different)
Restaurant Details
Restaurant Type *
Select restaurant type
Seating Capacity *
Years in Restaurant Business *
Years at this Location *
Operating Hours *
Inspection Contact
Contact Name *
Phone Number *
Email *
Financial Information
Annual Revenue *
# of Employees (FT/PT) *
Annual Payroll *
Owner Name, % Ownership & Owner Payroll (if any)
Liquor Information
Does the restaurant serve alcohol? *
Yes
No
Kitchen & Equipment
Deep Fryers? *
Yes
No
Hood Suppression System? *
Yes
No
Last Hood Cleaning Date
Building Information
Year Built *
Building Sqft *
Own or Lease? *
Own
Lease
Sprinkler System *
Yes
No
Building Update Years
Roof
Plumbing
Wiring
HVAC
Safety & Security
Fire Alarm System *
Yes
No
Security System *
Yes
No
Monitoring Company
Delivery & Catering
Offers Delivery? *
Yes
No
Offers Catering? *
Yes
No
Claims History
Any claims in the past 5 years? *
Yes
No
If yes, please describe
Landlord Information
Landlord Name & Address
Additional Information
Additional Notes (Optional)
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