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Restaurants


Name of the restaurant*
Contact Name*
Daytime Phone Number *	- -
Fax Number	- -
E-mail*
Franchise:	Yes No
Years of operation under your ownership:
Currently insured?	Yes No
	If yes, with whom:
Workers compensation:	Yes No
	If yes, carrier:
Annual gross food sales:
Annual liquor sales:
Total public area (including hallways, restrooms, patios, as well as dining rooms):	m2
Total banquet room area:	m2
Hours of operation:	Weekdays:
	Weekends:
Table service?	Yes No
Self service?	Yes No
Is there any hood and duct cleaning service under contract?	Yes No
How often is the hood and duct system cleaned:
Is there a parking lot?	Yes No
	If yes, is it shared with a shopping center? Yes No
Please describe the type of burgler alarm (Central Station, local, etc.):
Is the building Fully, Partially, or Not Sprinkled?

A red star (*) indicates missing information we need in order to process your quote. Please fill in all fields marked as incomplete.