Restaurants – Full Questionnaire

Business Name

Phone

Legal Entity

Year Business Started

Describe operations

Any claims/losses in the last 5 years

Current Insurance carrier

Is there a UL 300 Fixed Extinguishing system with an automatic fuel cutoff protecting all cooking surfaces

Any hoods, ductwork, and flues cleaned by an outside service at least quarterly

Any alcohol served, and are all employees properly trained

Any entertainment or dancefloors

Is business open after 11:00pm

Any mobile food operations, food trucks

Any table-side cooking

Any citations from a regulatory agency in the last 5 years?

Do you have a written policy regarding non-service to minors or intoxicated persons?

Property Address

Own or Rent?

Square footage

Construction Type

Year Built

Building Value

Contents Value

Plumbing type and year updated

Sprinkler system

Alarm system

Annual food revenue

Annual liquor revenue

Annual payroll

Number of full-time employees

Number of part-time employees