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NY Restaurant and Bar

Complete the following information to obtain a quote on restaurant insurance.
* - Denotes Required Field

*Name of Business
DBA
 
MAILING ADDRESS
*Street:
*City:
*State:*Zip:
 
RESTAURANT/BAR/TAVERN ADDRESS (if different from above)
Street:
City:
State:Zip:

*TYPE OF ESTABLISHMENT
RestaurantDiner
Tavern/Bar24 Hr. Diner
Night ClubHotel/Motel
Pizza ParlorDinner House
Country ClubBanquet Hall
OTHER >>

OPERATION INFORMATION
Entertainment
Liquor

*Number of years in Restaurant Business
*Number of years at present location
*Number of years as Owner
*Is Owner/Mng on premises at all times
*Total Number of Employees (Full-time/Pt-Time)
*Seating Capacity

BUILDING INFORMATION
FrameFire Resistive
Brick 
SprinklerCentral Station Alarm
Building Owner 
*Building Value
*Personal Property (contents):
 
FINANCIAL INFORMATION
*Annual Food Sales
*Annual Liquor Sales
 
CURRENT INSURANCE INFORMATION
*Current Insurer
*Business Income Limit
*Policy Expiration Date
*Current Premium
*Losses within last 5 years - Please Describe
 
CONTACT INFORMATION
*First Name
*Last Name
*Email
*PhoneFax
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