Please complete this application if you own a commercial kitchen space and rent it out to others.
If you are renting a space at a commercial kitchen, we have an option for you under our FLIP program.
For those that own the commercial kitchen spaces, we need to know a little bit about you and your business in order to provide the best policy option for you.
Applicant Information:
Business Name:
Location Address:
City:
State: - select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP:
Mailing Address:
City:
State: - select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP:
Website:
Years in Business:
Contact Name:
Years' Experience in Field:
Email:
Phone:
Entity: - select - Sole Proprietor Corporation LLC Partnership Other
How did you hear about us? - select - Food Corridor FLIP Google Other
How did you hear about us - Other:
Now, tell us a little bit about the specifics of how you operate your business.
Operations
2.) Square footage of Your Operations?
What are your hours of operation?
13.) How often is the kitchen equipment inspected?
14.) Who is responsible for cleaning in-between each usage?
Do you provide additional services? Tell us about it below.
Additional Operations:
Please provide sales for this operation:
Please provide sales for this operation:
Please provide sales for this operation:
Please provide sales for this operation:
Next, we will ask you a little about your prior coverage.
Prior Coverage
Current Insurance Carrier:
If no, Why not?
Number of Years Insured:
Expiring Premium:
Next, we will confirm if you have any loss history or claims.
Prior Claims
Here is your chance to review our coverage details and see if you need additional liability coverage.
Limits of Insurance
Liability Coverage General Aggregate Limit $2,000,000 Each Occurrence Limit $1,000,000 Products & Completed Operations Aggregate Limit $2,000,000 Personal & Advertising Injury Limit $1,000,000 Damage to Rented Premises Limit $300,000 Medical Payments $5,000
What Limit? - select - $1 Million $2 Million $3 Million $4 Million $5 Million
Property Coverage
If you are looking for property coverage, share the details of your property with us so we can see how we can best serve you. If you are renting a space in a building shared by others, please fill in this information for the entire building. Property coverage could be the building you own or the property you use to conduct business such as equipment, furniture and inventory.
Construction Type: - select - Frame Joisted Masonry Non-Combustible Masonry Non-Combustible Modified Fire Resistive Fire Resistive
Year Built:
Total Square Footage of Building:
Total Square Footage Occupied By You:
Year of Update for Heating:
Year of Update for Electrical:
Year of update for Roof:
Year of update for plumbing:
If no, How many miles?
How close are you to a fire hydrant? - select - Less than 1,000 ft More than 1,000 ft Unknown
What percentage?
What type of alarm? - select - Local Gong Central Station Fire
Owning your own building is a little different than renting a space. If you need coverage for your own building please let us know below.
Coverage Information:
Limit of Insurance
Deductible - select - $1,000 $2,500 $5,000 Other
Business Personal Property:
Limit of Insurance
Deductible - select - $1,000 $2,500 $5,000 Other
Limit of Insurance
Deductible - select - $1,000 $2,500 $5,000 Other
