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 restaurant 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,

Michael Carroll
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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