New Liquor Policy Annual

1 1 Policy options

2 2 Additional insureds

3 3 Payment information

Sorry, we don't have availability to purchase it online, but we are working on it! In the meantime, please submit quote for underwriting and we’ll reach out with any remaining questions!

Policy effective dates

Policy start date

This field is required

Policy end date

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

Account setup

Email - Field cannot be empty

Please enter valid email address

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

Confirm Email

Email confirm - Field cannot be empty

Please enter valid email address

Email address should match

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

An email with a confirmation code has been sent to

Code expires in:

Resend

Password

An account with this email address already exists. Click here to go to login page.

How did you hear about us

How did you hear about us - Please select an option

Please specify

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

Policy holder information

Physical Address

First name

First name - Field cannot be empty

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.

Last name

Last name - Field cannot be empty

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.

Street address

Physical street address - Field cannot be empty

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.

Address line 2

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

City

Physical city - Field cannot be empty

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

State

Physical state - Please select an option

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 current natural disaster in your area, we are unable to provide all Inland Marine options associated with this program at this time. All Inland Marine options will be available soon.

Note: If you are trying to add a policy from your customer dashboard and your current policy is expired, please change your State selection above, and then change it back to your correct state. This will allow you to continue to step two. We apologize for any inconvenience this has caused. (i.e., North Carolina > Texas > North Carolina)

Zip code

Physical ZIP code - Field cannot be empty

Invalid physical ZIP code

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

Mailing Address is the Same as the Physical Address

Business information

Business type

Business type - please select an option

Business name

Business name - Field cannot be empty

Business name - Only letters (A-Z), numbers (0-9), & (ampersand), - (hyphen) and ' (apostrophe) are allowed.

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

A business you own and operate, not a business that employs you.

DBA

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

Mobile number

Phone - Field cannot be empty

Invalid phone

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

Website

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

Business activities

Bartender

Caterer

Chef

Concessionaire

Other

Business activities - At least one activity must be selected

Your form contains error(s). Please correct and try again.

Policy start date field is required

How did you hear about us - Please select an option

First name - Field cannot be empty

Last name - Field cannot be empty

Physical street address - Field cannot be empty

Physical city - Field cannot be empty

Physical state - Please select an option

Physical ZIP code - Field cannot be empty

Business type - please select an option

Business name - Field cannot be empty

Phone - Field cannot be empty

Business activities - At least one activity must be selected

Agree to our Terms & Conditions

Agree to our terms & conditions

Agree to our email, phone and electronic delivery statement

Business State - Select an option

Email - Field cannot be empty

Email confirm - Field cannot be empty

Please select an option

Number of years in business? - field cannot be empty

Please select an option

Select an option

Please select an option

An account with this email address already exists. Please login or change email address.

Please click here to be directed to an application that is specifically for those whose business is in .

Quote only for this state.

Monthly Annual

You have selected a annual payment plan. This is how much you will pay annually.

Order total

Liquor Policy Annual

$0.00

Assault & Battery

No, I decline endorsement

$0.00

Business Class

Bartending Services

$0.00

Gross Sales

$0 - $5,000

$150.00

Liquor Liability Limits

$100,000 Occurrence / $300,000 Aggregate

$0.00

Cyber Coverage Options (Data Breach/Privacy Insurance)

I decline protecting my business with the Cyber Coverage Option

$0.00

^$ 300.00

monthly

^{DUE TODAY:} ^{(downpayment)}

Aggregate Claims-Made Liability Coverages Limit of Insurance	$100,000
Privacy and Network Security	$100,000
Regulatory Fines and Penalties	$100,000
Ransom Payment	$10,000
Cyber Deception	$10,000
Deductible	$1,000

Policy effective dates

Policy options

Account setup

Didn't receive the login code?

Policy holder information

Physical Address

Business information

Additional Questions

TERMS & CONDITIONS

Order total

Policy effective dates

Policy options

Account setup

Didn't receive the login code?

Policy holder information

Physical Address

Business information

Additional Questions

TERMS & CONDITIONS

Order total

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