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🍔 Specialty Quote Form

Fast Food Restaurant Insurance Quote

Complete this questionnaire for your fast food restaurant. A licensed broker will respond with coverage options within one business day.

✓ No obligation
✓ Multiple carriers compared
✓ Response within 1 business day
✓ 18+ years commercial experience
0% complete
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Policy Timing

Coverage start, takeover, or expiration date

Effective / Start Date * Reason for This Date * Select one... New restaurant / opening date Current policy expiration date Restaurant acquisition / takeover date Mid-term switch Other Current Policy Expiration Date (if renewing or switching) Do You Own or Lease This Restaurant? *
If leasing — is your lease Triple Net (NNN)? A Triple Net lease means you are required to carry insurance on the building itself in addition to your business contents. Please clarify below.
Yes — Triple Net, I carry building insurance No — Standard lease, landlord carries building insurance Unsure — broker can advise 🍟 Restaurant IdentityLegal name, DBA, EIN, and experience Corporation / Legal Name * DBA / Restaurant Name (if different) EIN # * Legal Entity Type * Select... Sole Proprietorship Partnership LLC S-Corporation C-Corporation Other Years of Experience in Restaurant Business * Date Business Started at This Location * 📍 Property & Mailing AddressesRestaurant location and mailing address Restaurant / Property Address Street Address * City * State * Select... WashingtonOregonIdaho NevadaArkansasSouth Dakota PennsylvaniaTexasIndiana Other ZIP Code * Mailing Address (if different from above) Mailing Street Address City State ZIP 👤 Owner / Contact Information Owner's Full Name * Owner's Cell Phone * Owner's Fax # Owner's Email Address * Hours of Operation * 🏗️ Building DetailsConstruction, size, and renovation history Year Building Was Built * Building Construction Type *
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Restaurant Identity

Legal name, DBA, EIN, and experience

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Property & Mailing Addresses

Restaurant location and mailing address

Restaurant / Property Address
Mailing Address (if different from above)
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Owner / Contact Information

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Building Details

Construction, size, and renovation history

Roof Material * Select... Asphalt shingles Metal Flat / built-up (BUR) EPDM / rubber membrane TPO / PVC membrane Tile Other Number of Stories * Select... 1 story2 stories 3 stories4+ stories Is There a Basement? *
Total Restaurant Building Sq Ft * Dining Area Sq Ft (open to public) * Seating Capacity * Renovation History — Most Recent Year for Each System Plumbing Updated Wiring Updated Heating Updated Roof Updated ⚙️ Restaurant OperationsEmployees, receipts, delivery, and amenities Full-Time Employees * Part-Time Employees * Total Annual Payroll * Select range... Under $100,000 $100,000 – $250,000 $250,000 – $500,000 $500,000 – $1,000,000 $1,000,000 – $2,500,000 Over $2,500,000 Annual Receipts / Gross Sales * Select range... Under $250,000 $250,000 – $500,000 $500,000 – $1,000,000 $1,000,000 – $2,500,000 $2,500,000 – $5,000,000 $5,000,000 – $10,000,000 Over $10,000,000 What Employee Benefits Do You Provide? Delivery & Third-Party Services Do You Use Third-Party Delivery Services? (Uber Eats, DoorDash, Grubhub, etc.) *
Renovation History — Most Recent Year for Each System
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Restaurant Operations

Employees, receipts, delivery, and amenities

Delivery & Third-Party Services
Amenities & Special Features
Yes No Is There a Dance Floor? *
Yes No Amusement Devices? (pool tables, video games, gambling, lottery, etc.) *
Yes No Is Frying Done with Trans-Fat-Free Oil? *
No Yes — describe Does Building Comply with ADA Requirements? *
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Values & Financial Details

Building, inventory, cash, and spoilage coverage

Estimated Value of Building (includes permanently attached fixtures and equipment) Estimated Value of Inventory (groceries, alcohol, furniture, equipment not permanently attached) * Do You Need Food Spoilage Coverage?
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Fire Suppression & Safety Systems

Sprinklers, UL 300, suppression coverage, and alarm

Why this matters: Fire suppression systems are a primary underwriting factor for restaurants. Incomplete or outdated systems can affect coverage availability and premium significantly.
Yes No Unknown Alarm System Type *
Automatic Extinguishing System — Coverage Checklist

Does the automatic extinguishing system protect all of the following?

Cooking surfaces
Yes No Deep fat fryers Yes No Other cooking appliances Yes No Exhaust ductwork Yes No Vent hoods Yes No Automatic gas / power cut-off Yes No Deep fat fryers have high-limit switches Yes No Baffle plate or ≥ 18 in. clearance between fryer and grill Yes No Extinguishing System Details Brand Name of Extinguishing System Age of System (year installed) Is the System UL 300 Approved? *
Deep fat fryers
Other cooking appliances
Exhaust ductwork
Vent hoods
Automatic gas / power cut-off
Deep fat fryers have high-limit switches
Baffle plate or ≥ 18 in. clearance between fryer and grill
Extinguishing System Details
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Inspection & Cleaning Agreements (Optional)

Fire system inspection, duct cleaning, and hood cleaning records

Fire System Inspection / Maintenance Agreement
Contractor / Company Name Inspection Frequency Select... MonthlyQuarterly Semi-annuallyAnnuallyNo agreement Date of Last Inspection Duct & Hood Cleaning Agreement Contractor / Company Name Cleaning Frequency Select... MonthlyQuarterly Semi-annuallyAnnuallyNo agreement Date of Contract / Last Service Hood & Grease Filter Cleaning Cleaning Method Cleaning Frequency Select... WeeklyBi-weeklyMonthly QuarterlySemi-annuallyAnnually Date of Last Hood Cleaning 🗂️ Current Insurance & Claims History Current Insurance Company Current Policy Number Any Claims in the Last 5 Years? *
Duct & Hood Cleaning Agreement
Hood & Grease Filter Cleaning
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Current Insurance & Claims History

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Lien Holders (Optional)

Banks or lenders with a financial interest in the property

Lien holder: Any bank or lender holding a mortgage or equipment loan secured against this property. They must be listed on the policy.
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Certificate Holders (Optional)

Landlords or other parties requiring proof of insurance

Certificate holder: Any party requiring a certificate of insurance — typically your landlord or a franchisor.
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Upload Documents (Optional)

Attach your current dec pages and/or loss runs to speed up quoting

Why upload? Attaching your current declarations page and loss run history allows us to return a more accurate quote faster — and compare your existing coverage side-by-side with new options. Both documents are optional but helpful.
Current Dec Page(s)
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Declarations Page

Your current policy's first page showing coverage limits, carrier, and policy period

PDF JPG PNG DOC
    Loss Runs
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    Loss Run Report

    Claims history from your current or prior carrier — typically 3–5 years

    PDF XLS JPG DOC

      Max 10 MB per file  ·  Files are transmitted securely  ·  You can also email documents directly to CommercialInsuranceAgency@gmail.com

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