Secure Restaurant Quote Form:
Restaurant Property & Liability Insurance Questionnaire
PLEASE FILL IN QUOTE FORM WITH AS MUCH INFORMATION AS POSSIBLE






Yes! You can save $1000´s on Restaurant Insurance While You Worry Less and Your Business Runs Smoothly, Efficiently and Profitably!

No doubt your restaurant means your lifeblood and financial future. Doesn´t it make sense to protect it from the countless liabilities you face everyday as a estaurant owner?

Wouldn´t you love having the peace of mind that your restaurant is protected against theft, vandalism, equipment break-down, food spoilage customer law suits, lost income and much, much more?

With just an few minutes of your time, you can complete this form and The Best-ROI can rocket you a quote from
one of 5 top-tier insurers who specialize in restaurant insurance!

Of course your quote is 100% secure and your information will never be shared with any other parties or business.

With Warm Regards,

Timothy
President
The Best Restaurant Owners Insurance

 
  
* = Required Field
CONTACT INFORMATION
*Company Name:
  
*Doing Business As:
  
*Contact name:
  
*Mailing address:
  
*City:
  
*State:
  
*Zip Code:
  
*Phone:
   (Include Area Code)
*Email:
  
Website Address:
  
Best Time To Reach You:
  
     
PROPERTY EXPOSURE
* Age of Building:
  
Renovation Dates:
  
*Construction:
  
*Approximate Sq. Footage of Restaurant:
  
*Sprinklers:
  
Limit of Building Coverage (if any):
  
*Limit of Contents Coverage:
  
*Business Income/Extra
Expense Limit Currently Carried :
  
Computer Coverage Limit:
  
*Fire Suppression - Wet or Dry:
  
*Hoods Serviced - How Often?:
  
Alarm Systems:
  
     
LIABILITY EXPOSURES
*Total Annual Revenue:
  
*Total Annual Liquor Revenue:
  
*Number of Employees:
  
*Total Annual Payroll:
  
Workers Comp:
  
Stop Gap Liability Ohio Only):
  
Employee Benefits Liability:
  
*Valet Parking:
  
Umbrella Required:
  
     
GENERAL QUESTIONS
*Hours of Operation:
  
*Years in Business at this location:
  
*Years Experience in the Restaurant Industry:
  
*Type of Food served:
  
*Entertainment? Dance Floor? :
  
*Percent of Annual Sales for Catering:
  
*Any Delivery Being Done:
  
     
RESTAURANT OWNED AUTOS
Owned Autos:
Year, Make, Model, Cost New
  
Drivers:
Name & Driver's License #'s
  
     
CRIME COVERAGE
*Maximum Cash Held Overnight:
  
*Number of Employees Handling Cash:
  
     
CURRENT INSURANCE INFORMATION
*Name of Current Insurance company:
  
Name of Current Insurance Agency/Broker:
  
*Any Claims in the Last 3 Years?:
  
If Yes, Claims Details &
Approximate Dollar Payouts:
  
*Renewal or Desired Quote Date:
  
*Current Approximate Premium:
  
     
Comments:
 
The Best Restaurant Owners Insurance will not share or sell your personal information.
See the Terms & Conditions page for additional information.

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