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Alabama Restaurant Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

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Company name
First Name *
Last Name *
Mailing Address - Street *
City *
State *
ZIP / Postal Code *
Business Phone: *
Primary Phone Number *
E-Mail Address *
Business Property Address - Street *
Business Property Address - City *
Business Address - City *
Business Property Address - State *
Business Property Address - Zipcode *
What type of business entity are you? *



Is the building? *

Number of years in business? *
Years of experience in this industry *
Hours of Operation *
Seating Capacity *
Estimated Annual Gross Receipts/Sales *
Total number of employees *
Percentage of Receipts that are Alcohol Sales? *
Description of Operations (table service, take out, etc) *
Construction of Building *



Year building built (approximate) *
Square footage of building - approximate *
Number of stories in building *



Is building inside or outside the city limits? *

Year Wiring Updated or Installed
Year Heating system updated or installed
Year Plumbing system Updated/installed
Year Roofing system updated/installed
Is there a Sprinkler System throughout the entire structure? *

Burglar alarm type *



Fire alarm type *



Do all cooking surfaces have functioning Automatic Extinguishing System? *


Is live entertainment provided? *

If live entertainment provided, please explain:
Does the business have a sign? *

Do you want coverage on the sign? *

If you want coverage on the sign, how much coverage?
Do you want to insure against Employee Dishonesty? *

How much money (cash) is on the premises at any one time? *
Do you want coverage for Spoilage? *

Do you want coverage for Equipment Breakdown? *

What limits of Liability would you like quoted? *




Do you need Liquor Liability Coverage? *

If you need Liquor Liability, what limits to quote?




Is an Umbrella policy needed? *

If Umbrella policy is needed, what limits do you want quoted? *


Is there a Mortgagee? *

Are there any Additional Insureds to be named? *

Who is your current insurance company? (If none, write "None") *
Have their been any losses (claims) in the last 3 years? *

If there have been any losses (claims) please give dates, details and amounts paid
Do you need Hired/Non-Owned Commercial Auto Liability Coverage? *

Annual cost (to you) of hire:
Number of drivers who drive for you:
Is Delivery Service Provided? *

Does the business own any autos? *

If the business owns any autos, do you need Liability Coverage? *


If the business owns any autos, do you need Full Coverage on Vehicles? *


What are the Years, Makes, Models and VINS of any vehicle:
List all Drivers by Name, DOB, Drivers License number and State
Submission Validation
Required

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Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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