1 1 Policy Options
2 2 Application Form
3 3 Additional Insureds
4 4 Payment, Review & Submit

Liquor/General Liability

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This policy will go into force on the start date and stay in force for 12 months.

Payments for this policy will stay in effect until cancelled.

General Liability

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

 

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Liquor Liability

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.
Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Assault & Battery Coverage

 

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.
Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Physical Address

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Name can be between 2 and 70 characters long and can contain letters, hyphens, commas, dots, apostrophes and spaces
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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Name can be between 2 and 70 characters long and can contain letters, hyphens, commas, dots, apostrophes and spaces
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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WE CANNOT ACCEPT A PO BOX AS A PHYSICAL ADDRESS. KINDLY ENTER A PHYSICAL ADDRESS FOR YOUR BUSINESS.
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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Please click here to be directed to an application that is specifically for those whose business is in .
Quote only for this state.

Due to the natural disaster in your area, We are unable to provide a policy to purchase for your selected effective date, please go back to this option and select a date that is available to you. We will begin selling same day policies again in your state when the memorandum has been lifted.

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Invalid physical ZIP code
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
Your state and zip code are invalid. Please edit your address. Suggested state:

Mailing address

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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
This field is required
Please click here to be directed to an application that is specifically for those whose business is in .
Quote only for this state.

Due to the natural disaster in your area, We are unable to provide a policy to purchase for your selected effective date, please go back to this option and select a date that is available to you. We will begin selling same day policies again in your state when the memorandum has been lifted.

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Invalid ZIP code
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Business information

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Business name - Only letters(A-Z), numbers(0-9), &(ampersand), -(hyphen), '(apostrophe), .(dot), comma, ()brackets, spaces, ‘ ’(curly apostrophes), /(slash), :(colon), ;(semicolon) are allowed.
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
Please provide your full name under mailing address.
A business you own and operate, not a business that employs you.
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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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Invalid phone
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.

Primary Business Activity

Secondary Business Activities

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Liquor Liability Questions

Select an option
If applicable, your retroactive date can be found on the declarations page of your previous liquor liability policy. The retroactive date is not valid if your previous policy has a lapse in coverage.
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Select an option
Select an option
If your state requires a valid liquor license, you must have a valid liquor license to proceed with this application
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This field is required
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Select an option
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Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
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Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
  • Happy Hour
  • Multiple Drink Incentives
  • All You Can Drink Specials
  • Drinking Games
  • Complimentary Drinks
  • BYOB
  • Bottle Service
  • Self-Service
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.

General Liability Questions

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We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
Please note that imported seafood, meat, poultry, and perishables (produce or dairy making up more than 20% of total sales) are excluded from product liability coverage, which means the policy cannot be purchased.
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This field is required

CLAIMS HISTORY

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We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
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We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.
Select an option
We're sorry, based on your response, you no longer qualify for our Liquor Liability policy.

TERMS & CONDITIONS

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Excluded products and operations
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Read Terms & Conditions
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Read Warranties
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Read company email, phone and electronic delivery statement
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Claims Made

When you add a person†, event, or organization to your policy as an additional insured, they receive protection if they are named in a suit due to a covered business-related loss/claim because of your actions or operations.

† Additional insured status cannot be granted to a friend or co-worker as an extension of your policy. Each individual must purchase their own policy to obtain liability coverage.

† A written contract, such as a venue, studio rental, or employment contract is required to add another party as additional insured.

Payment information

Initial payment:

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Credit card information

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Invalid credit card number
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
This field requires 13 to 16 digits. Use only numbers. No spaces or dashes.
Please enter your credit card and bank information. Your credit card will be used for the down payment and your bank information will be used for the Capital Premium finance agreement monthly draft. If you have questions about alternative payment methods for the capital monthly draft please contact Capital Premium.
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Use the up and down arrow keys to select your card's expiration month. Each option is labeled with the full month name.
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Use the up and down arrow keys to select your card's expiration year.
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Invalid cvv
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
This is a 3-digit number on the back of Visa, MasterCard, and Discover cards, or a 4-digit number on the front of American Express cards.
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Invalid ZIP code
You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
Enter your 5-digit ZIP code. Only numeric input is accepted.

This feature will create a customer payment profile for your billing information to allow easy checkout during future policy coverage extensions or updates. Credit card information is not stored within our system. All billing information is processed through authorize.net

Your credit card expires before auto renew date ({[{ policyEndDate.format(dateViewFormat) }]}). In order to proceed, please use other credit card.

Your policy is set up to automatically renew on {[{ policyEndDate.format(dateViewFormat) }]}.

More Details


Order summary

Policy Holder Edit

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Email:
Email:
Mobile number:

Mailing Address is the Same as the Physical Address
Mailing Address:
, ,

Payment Information Edit

Payment Method:

Enrolled in EZ-Renew You are not enrolled in EZ-Renew
Edit Enroll
Your policy is set up to automatically renew on . With the EZ-Renew feature your insurance coverage will be continuous without you worrying about having a lapse in your insurance policy coverage.

Liquor/General Liability Cloned

Payment Breakdown

Policy start date: - Policy end date: Edit

If changes are needed, please reach out to your agent.
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Policy Holder Business Information

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Business Type
name
DBA
Mobile number
Website
Business Activities
Business Activities Description
Product Description

Liquor Liability Questions

Edit
Do you currently have liquor liability coverage?
Retroactive date (if any):
If applicable, your retroactive date can be found on the declarations page of your previous liquor liability policy. The retroactive date is not valid if your previous policy has a lapse in coverage.
Current liquor liability expiration date?
Does your state require a valid liquor license?
Do you have a valid liquor license?
Name of License:
License Type:
Number of years in business?
Are you or your company controlled by, owned by, or commonly owned, affiliated, or associated with any other organization or business?
Please provide details:
Are you a bar and/or tavern?
Do you hire independent contractors to sell or serve alcohol?
Do you require that all independent contractors that serve and sell alcohol carry liquor liability coverage equal to or greater than your limits of insurance and name you as an additional insured?
Have all servers been through proper alcohol server training?
Is any person who sells or serves alcohol allowed to consume alcohol during their hours of employment and/or service?
Are procedures in place regulating the sales of alcohol to minors or those under the influence?
Please describe:
Does the staff monitor all alcohol consumption and request valid ID from all patrons?
Do your operations go past 2am?
Have you or any principal with a controlling interest in the insured filed for bankruptcy (either liquidation or reorganization) within the last 12 months?
Do you ever offer the following?
  • Happy Hour
  • Multiple Drink Incentives
  • All You Can Drink Specials
  • Drinking Games
  • Complimentary Drinks
  • BYOB
  • Bottle Service
  • Self-Service
Will you ever do business in any of the following states: Alabama, Alaska, District of Columbia, Hawaii, Iowa, Kentucky, New Hampshire, Pennsylvania, Vermont, West Virginia?
Are you responsible for, or do you offer any kind of entertainment with your services?

General Liability Questions

Edit
Are you in compliance with all County, State, and Federal Food and Safety Regulations?
Do you provide any products or services other than food or alcohol?
Do you add, or does your product contain, any vitamins, supplements, nutraceuticals, drugs, or medicines?
Does your product promote, advertise, or claim to assist in cleansing, detoxing, weight loss, muscle building, meal replacement, or sexual enhancement?
Do you import any of your products?
What % of your products are imported?
Please note that imported seafood, meat, poultry, and perishables (produce or dairy making up more than 20% of total sales) are excluded from product liability coverage, which means the policy cannot be purchased.
What countries do you import from?

CLAIMS HISTORY

Edit
Have you had any liability or business property claims resulting in losses in excess of $5,000 within the last five years?
Are you aware of any incident(s) that may result in a claim?
Have you or your company ever been involved in any legal dispute relating to the operations of your company?
Have you or your company ever been subject to local, state, or federal investigation relating to the type of business you are applying for?
Within the past five years, has the applicant’s liquor liability coverage been cancelled or non-renewed for reasons other than the prior carrier no longer writing any liquor liability coverage?
Have you had more than one liquor liability and/or assault and battery claim in the past 5 years?
Have you had more than two fines, violations or citations for sales or service of alcohol in the past 5 years?

TERMS & CONDITIONS

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By checking this box, you certify that you accept the excluded products and operations of this policy
Excluded products and operations
By checking this box I accept the Terms & Conditions
Read Terms & Conditions
By checking this box, you certify that you accept the Warranties of this policy
Read Warranties
I agree to the following email, phone and electronic delivery statement
Read company email, phone and electronic delivery statement
By checking this box, I acknowledge that this is a claims made policy
Claims Made

Additional Insureds

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Unlimited Additional Insureds
Additional Insureds
{[{ ai.name }]}

Employees

Edit
{[{ employee.firstName }]} {[{ employee.lastName }]}

Independent Contractors

Edit
{[{ contractor.firstName }]} {[{ contractor.lastName }]}

Your policy will be issued and your documents available immediately after clicking the "Purchase Policy" button below. Your policy application may be subject to review by our underwriting team to verify that the business operation, product, and/or service meet the eligibility guidelines established for the program. In the event we need further clarification to determine eligibility, we will contact you via email at the email address used to establish your account. If an account is found to be ineligible during the underwriting period, the policy will be subject to immediate cancellation and a full refund will be issued. After the underwriting period, the premium is 100% earned and no refunds will be given.

Your agent will be contacting you soon. There is a pending document to be submitted.
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You must own the business to purchase the insurance policy. We identify that this business name is disallowed from purchase.
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You need a policy that's as unique as your business. After your quote is submitted, one of our sales agents will contact you within 48 hours to complete your quote.

We noted you have made changes to the application you previously submitted. After clicking SUBMIT FOR QUOTE, your application will be sent again for our team to review.

Please click here to be directed to an application that is specifically for those whose business is in .
Quote only for this state.
Liquor/General Liability Cloned

Policy Endorsements

Additional insureds

Coverage for Employees

Coverage for Independent Contractors

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