Today's restaurant environment is more complex than ever and you want to know you're covered for the unexpected occurrence. We offer Insurance Packages which includes Business Liability, Property and Crime coverage's designed to meet your needs. Whether your restaurant is elegant, trendy, traditional, ethnic or homestyle we have the package for you.

Coe Insurance specializes in providing insurance for the following types of restaurants:
• Restaurants
• Delis / Sandwich shops
• Cafes
• Diners
• Cafeterias
• Drive-ins
• Carry-out restaurants
• Fast food
• Coffee shops
• Food bars
• Fine dining restaurants
• Family-style
• Luncheonettes

Complete the Restaurant/Tavern insurance form below to receive free quote(s).
Get a great quote from Coe Insurance today!

To help us supply you with the most accurate quote possible, please answer as many questions as you can with the most accurate information available to you.

Information submitted will be held confidential and will be used for quote purposes only. Submission of application information in no way obligates you to purchase any product or insurance, nor does it represent any agreement to provide coverage under any insurance policy.

Owners Information Owner Name(s): E-Mail: Phone Numbers: Daytime: Evening: Fax: Contact Preference: Daytime Evening Fax E-mail When is the best time to reach you?: Address: City: State: Zip Code: Date of Birth: Height: Weight: Sex: Select One Male Female Occupation: Social Security Number: (optional) Restaurant/Tavern Location and Policy Information Location Address : City: State: Zip Code: Website: Business Phone: Mailing Address (if different): Effective/Renewal Date: Current/Target Premium: Current Carrier: Has Current Policy Been Canceled?: Select One Yes No Restaurant/Tavern Type Application is a: Select One Corporation Partnership Individual Other Application Type is a: Select One Restaurant Diner Tavern Night Club Banquet Hall Social Club Other Located in: Select One City Small Town Rural Area Other Number of years at this location: Number of years in Restaurant/Tavern Business: If less than 3 years at this location, list previous experence: Federal EIN#: Liquor License Number: Legal Building Occupancy: Franchise, Chain & Operations Information Franchise: Select One Yes No Chain: Select One Yes No Is Operations open now?: Select One Yes No If "No", Explain: Hours of Operation (From-To & Number of Days open per week): Is Operations Seasonal?: Select One Yes No If "Yes", Explain: Distance to Ocean or Nearest Body of Water: Financial Information Is Owner or Corporation now or ever involved in Bankruptcies?: Select One Yes No Is Owner or Corporation now or ever involved in Foreclosures?: Select One Yes No Is Owner or Corporation now or ever involved in Tax Liens?: Select One Yes No Is Owner or Corporation now or ever involved in Business Failures?: Select One Yes No Is Owner or Corporation now or ever involved in Any Litigations?: Select One Yes No If "Yes", to any of the above please explain: Physical Location Section Age of: Building Construction Protection Class # of stories Age of: Wiring Plumbing Heating Roofing Other Occupants: Select One Yes No If "Yes", Explain: Smoke Detectors: Select One Yes No If "Yes", Type: Select One Electric Battery Power Fire Alarm: Select One Yes No If "Yes", Type: Select One Central Station Local Burglar Alarm: Select One Yes No If "Yes", Type: Select One Central Station Local Video Cameras : Select One Yes No Volunteer Fire Dept: Select One Yes No Distance to: Hydrant: Fire Dept: Kitchen Fire Protection: Select One Yes No U.L. Approved Automatic Extinguishing System under Semi-Annual Contract: Select One Yes No Above System Covering all cooking surfaces: Select One Yes No If "Yes", System Name: Automatic Gas or Electric Shut off for cooking: Select One Yes No Hood and Filters cleaned Weekly by Staff: Select One Yes No Hoods and Ducts over all cooking equipment: Select One Yes No Hoods and Ducts Maintenance Contract Schedule: Select One Yes No If "Yes", # per Month: Fire Extinguishers Tag Dates: Is Kitchen Sub-Leased: Select One Yes No If "Yes", Name: Table Cooking or Tableside Cooking: Select One Yes No If "Yes", Name: Entertainment Section Entertainment: Select One Yes No If "YES", entire section must be completed. List Nights w/Entertainment: (example: Thu & Friday only) Type of Entertainment: Select One Rock Group DJ Band (any kind) Go-Go Karaoke If "Other", Explain: Coverage Charge: Select One Yes No If "Yes", describe when/why: Dance Floor/Stage : Select One Yes No If "Yes", Square Ft & Dancing Permitted?: Amusement Devises (Pool Tables, Video Games, etc): Select One Yes No If "Yes", Describe Devises: Liquor Legal Liability Section Does Applicatant Serve Alcohol?: Select One Yes No If "YES", entire section must be completed. Liquor License Number/Type: # of Bar Steats: Max # of staff per shift: Bartenders: Wait Staff: Avg Employment Exp (yrs): Alcohol Server Training: Select One Yes No If "Yes", Explain Training: Liquor Policies Does Applicant have written Policy on Serving Alcohol to Customers?: Select One Yes No Is Management Notified Prior to Shutting Off Patrons?: Select One Yes No Is Documentation kept on each Incident?: Select One Yes No Is there a steady bar clientele?: Select One Yes No # of Bars on Premises: Is there a happy hour?: Select One Yes No Reduced Price Drinks?: Select One Yes No Is last call given?: Select One Yes No If "Yes", what time?: Have there been any ABC Violations, if so please list ALL violations: Note: Additional Information will be required, such as Insurance Limits and Deductibles, Liability Selection and an Additional Interests, Your Coe Insurance Representive will contact you shortly. Questions, Comments or Additional Restaurant/Tavern Information?