Contact Info
Name *
Name
Phone *
Phone
Address
Address
Business Type
Liability
Liability limit
Liquor liability (if needed)
if needed, is Beer and Wine sold only?
Additional insured
Worker's Compensation
Other risks (for restaurant only)
Does the insured have open flame cooking area
Fire protection over cooking surfaces & frying vats?
Is there an ANSUL system installed in the hood in the cooking area?
Ducts cleaned professionally?
Grease traps cleaned regularly?