Quote Request

Restaurants & Bars

Sales, seating, the building, and what coverage you want — about 5 minutes. Switch to the Full Application to answer the kitchen, liquor, and entertainment questions carriers require for firm terms.

Restaurant Information

Restaurant Name (DBA) *

Legal Entity Name *

Type of Restaurant *

Entity Type

Federal EIN

Contact Name *

Title

Phone *

Email *

Restaurant Location Address *

City *

State *

Zip *

Is the mailing address the same as the location?

YesNo

Years in Business

Years at This Location

Management Experience (yrs)

Total Seating *

Hours (Mon–Thu)

Hours (Fri–Sun)

Full-Time Employees

Part-Time Employees

Do you sell or serve alcohol, or allow BYOB? *

YesNo

Annual Sales (past 12 months)

Food *

Liquor

Catering

Other

Requested Effective Date *

Website

Is the restaurant currently insured?

YesNo