James H. Fox Insurance
Phone 661-322-2023        Email    
James H. Fox Insurance
 

 

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James H. Fox Insurance

Online Insurance Quote

Restaurant Owners

We would like to provide you with a free, no-obligation restaurant insurance quote. Please provide as much information possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

General Information
Name of Business:
Contact Name:
Mailing Address:
City:   State:   Zip:
Business Phone:   Fax:
Best Time To Call:   AM   PM
Contact Email Address:

About Your Business
Location Address (if different):
City:   State:   Zip:
Type of Risk: Restaurant   Tavern   Fast Food   Bar
Other:
Applicant is: Individual   Corporation   Partnership   Joint Venture
Other:
Mortgagee:    Mortgagee Interest:
Additional Insured:   Additional Insured Interest:
Effective Date Requested:    Expiration Date:

Coverages
Property
Building (90%) AC   Broad Form   $
Contents (90%) Replacement Value   Special Form   $
Business Income   %   $
Per Claim Deductible    
Liability
General Aggregate   $
Products/Completed Operations Aggregate   $
Per Occurrence   $
Medical Payments   $
Fire Damage   $
Liquor Liability   $
Optional Coverages
Sign   $   Limits In/Out
Glass   $   Square Footage
Money/Secs   $   Limits In/Out
Food Spoilage   $   Limits In/Out
Other  

Rating Information
Construction Type:
Fire/Protection: Sprinkler       Smoke Detector       Fire Extinguisher
Square Footage: Total       Customer
Food Receipts: $         Liquor Receipts $

Underwriting Information
PROPERTY
Building Information
Age
When Rewired
Electrical in Conduit
Circuit Breakers
Fuse Box
Plumbing up to Code
N
N
N
N
Building Condition
Housekeeping
# of Stories
Building Code Violations
N
What is Right Exposure
What is Left Exposure
What is Rear Exposure
Free Standing
Other Occupancies
Distance to Nearest Fire Hydrant
N
If adjacent business is a restaurant, does it have automatic extinguishing devices?
Is any portion of the building vacant, unoccupied, or seasonal? (If yes, explain)
N
N    
Kitchen Information
Grease Cooking
Are ducts, hoods, grease filters and surface cooking areas (including deep fat fryers) protected by a U.S. listed automatic fire extinguishing system?
Is such a system professionally inspected and serviced every 6 months?
N
N
N
Exhaust filters are cleaned
Is there a professional flue cleaning service used on quarterly contract?
N         By:     Phone Number:
Deep Fat Fryers
Automatic Shut Off
High Limit Switch
Non-Slip Floors
Other Kitchen Safety Precautions
N
N
N

Underwriting Information
LIABILITY
Entertainment
Live Entertainment
# of Players
Kind of Music
How Many Nights
N
Dancing
Disco
# of Pool Tables
# of Game Machines
N
N

Underwriting Information
CRIME
Safe Class
Type of Locks
Maximum Cash in Register
Check Cashing
N
Alarm
# of Alarms
Motion Detectors
N     How often checked:
Name of Alarm Company
Any weapons on premises
  Ph#:
N     If yes, explain:

Underwriting Information
GENERAL
How long at this location
How long in this type business
Operated by Owner
Table Service
Self Service
Any Delivery
N
N
N
N
Hours Open
Days Closed
# of Employees
Estimated Annual Payroll
Neighborhood
From  to
Ever suffered earthquake damage
Type of food served on premises
Flaming Drinks
Happy Hours
Written policy for
serving minors/
intoxicated patrons
N
N
N
N
Exits properly marked
Alternate Access
Security Guards
Parking areas adequately lit/maintained
Separate cigarette butt containers
Designated Smoking Areas
N
N
N
N
N
N
Dart Boards
Mechanical Devices
Prior problems requiring police
Any Liquor Violations
N
N
N
If yes:
N
If yes:

Loss History
Current / Previous Insurance Company:
Policy Number:   Expires:
Has any carrier cancelled or refused insurance to this applicant: N
If yes:
Please describe any losses during the past three (3) years
Date of Loss:
Amount:
Description of Loss:
$
$
$
$
$

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have
additional information where there was not enough space, please enter them here.

Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

   

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James H. Fox Insurance
CA License: #0629506
 
          42 Bernard Street
Bakersfield, CA 93305
Map to Our Office
          Phone: 
Fax: 
Email: 
661-322-2023
661-322-0556
fox@jhfinsurance.com
          James H. Fox Insurance is a BBB Accredited Insurance Company in Bakersfield, CA
James H. Fox Insurance
Important Note: This website provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states.
For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements.
James H. Fox Insurance
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