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Restaurant Insurance

DEL DIOS INSURANCE SERVICES

This is not an instant quote website; our prices are too low to list online. Please fill out the quote form to obtain a Restaurant insurance quote, and an insurance specialist will contact you shortly. Please understand this is not an application for insurance. An application will be sent to you if coverage is desired.

Proper Protection Fact Finding Questions

Of the following, what is the primary reason for a quote request?	Requesting More Information Landlord Required Replace Investment Liability Protection

In the order of importance, what is most important to you?	Price Service Proper Coverage

Approximately when was the last time you did a review with your agent?	Within the year Over 2 years ago Over 5 years ago Never

Would you be interested in going to higher deductibles to reduce your premium?	Yes No

In the event of a lawsuit, accident, or judgment would you want to:	Maximize Protection Assume Some Risk

In the event of an untimely death, is it important to you that you're surviving spouse and/or children maintain the quality of life you currently have together without debt?	Yes No

Would you be interested in combining your commercial insurance for additional savings?	Yes No

If health insurance is provided for employees, would you like to save money?	Yes No Requesting More Information

Has your current company/agent failed to meet your expectations in any way?	Yes No

What else must I do to earn your business?

* Required Information

Contact Information

First Name

Business Name

Gender

Male Female

Date of Birth

Occupation

Business Address

Zip Code

The Best Time to Call?

Best Phone Number to Reach You

Fax

* Email Address

Business Information

Business License Number

License Type

Years in Business

Policy Information

Current Policy Expiry
Current Insurance Company

Annual Premium

Losses and Claims for the Last 5 years

If yes, what is the date, amount paid and description of each loss or claim?

What is the Building Coverage Requested?

Contents Property Coverage Requested?

Premise Liability

Policy Deductible

Building Information

Total Square Footage of Business Building

Total Square Footage of Business Only

Square Footage of Customer Area

How many stories?

Construction Type

What Type Roof Covering?

Has the Roof Been Updated?	Yes No

If Yes, what year?

Fire & Burglary Alarm	Yes No

Distance of the Property to the Closest Fire Department

Is the Business in the Brush Area?	Yes No

Do you Have a Storage Area More than 1500 Sq. Ft.?	Yes No

Is there a Smoke Alarm?	Yes No

Is there a Fire Extinguisher?	Yes No

Are there Deadbolts?	Yes No

Is the Electrical Updated?	Yes No

Are there Circuit Breakers?	Yes No

Is the Heating / Air Conditioning Thermostatically Controlled?	Yes No

Has the Plumbing Been Updated?	Yes No

Is the Plumbing Copper?	Yes No

Is there a Theft Alarm?	Yes No

Are There any Restaurants in the Building Next to Your Business?	Yes No

Underwriting Information

Number of Stories

Number of Employees

Payroll of Owners

Payroll of Employees

Annual Gross Receipts

Hard Liquor Receipts

Beer and Wine Receipts

Food Receipts

Open 24 Hours	Yes No

Propane Tank Filling	Yes No

Describe the Nature of Your Business and Any Unusual Exposures.

Entertainment Information

Is There Entertainment?	Yes No

If yes, Please Describe

Is There Live Music?	Yes No

If yes, what size is the dance floor and how many nights per week is there dancing

Are there any Coin Operated Amusement Devices?	Yes No

If yes, how many and are they coin operated

Are there any Pool Tables?	Yes No

If yes, Please Describe

Are there any Bouncers, Doormen, ID checkers, Armed or Security Guards?	Yes No

If yes, how many of each? (list their job duties and employer)

Are there any Contests or Exhibition?	Yes No

If yes, Describe Events

Are there any Audience Participation Events?	Yes No

If yes, Describe Events

Do you have any other type of entertainment?	Yes No

If yes, Describe Events

Cooking Information

Describe the Cooking Devices at Your Business

Is there Tableside Cooking?	Yes No

Is there an Automatic Suppression System?	Yes No

If yes, do they Protect all Hoods, Ducts and Griddles?	Yes No

Is there any Deep Frying?	Yes No

If yes, is there a High Limit Shutoff?	Yes No

Do you have an Outside Cleaning Service for the Hoods and Duct System?	Yes No

How Often are Hood and Duct Cleaned?

Is there any Manufacturing, Mixing, Re-Labeling or Repackaging of Products?	Yes No

Is there any Delivery Service?	Yes No

Is there any Catering Service?	Yes No

Additional Information