Mobile Bartending and Liquor Liability Insurance Quote

Legal business name/DBA*

Business Type*

Other Business Type*

Address*

Street Address City State ZIP Code

Contact Name*

Contact Phone Number*

Contact Email*

Website

Description of business operations*

What year did business operations start?*

Gross annual sales*

Number of events per year*

Latest hour of operation*

Desired effective date*

Average event attendance*

0-150 attendees

150-300 attendees

300-500 attendees

>500 attendees

Do you offer any services other than mobile bartending?*

Yes

Describe other services provided*

Do you have operations in any of the following states: AK, AL, DC, IL, LA, MN, MS, NM, RI, SC or WV?*

Yes

Are all alcohol-serving employees/contractors certified in a Formal Alcohol Training Course?*

Yes

Please confirm you do not permit open bars past 12:00 am or self-service of alcohol*

I Confirm

I Do Not Confirm

Any general liability/liquor liability claims, cancellations, or incidents that could result in a claim within the past 5 years?*

Yes

Comments

DECLARATION FOR SUBMITTING

To the best of my knowledge and belief the information provided in this application, whether in my own hand or not, is true and I have not withheld any material facts. I understand that Non-disclosure or misrepresentation of a material fact will entitle the company to void the Insurance. I understand that submitting this Application does not bind me to complete the insurance but agree that should an insurance policy be issued, this Application and the statements made therein shall form basis of the insurance policy.

(By clicking “submit” below you are agreeing to the following statement)

Phone

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Request a Quote for Mobile Bartending General Liability and Liquor Liability Insurance

DECLARATION FOR SUBMITTING