Restaurant Quote
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First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Start Date
*
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Day
-
Month
Year
Date
Restaurant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Insured Name
*
This can be a Company, Sole trader, Partnership or Trust
ABN
Trading Name
If you don't have one yet you can provide it later
Have you had any business claims in the last 5 years?
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Yes
No
Unsure
Claim Details (Year, Amount and Claim Details)
Do any of the following apply to you?
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Ever Been Declared Bankrupt or Insolvent
Had Insurance Declined
Have any Criminal History
Any other details that need to be disclosed to the the insurer
None of the above apply
Do you do any cooking on site?
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Yes
No
Security Details of the Property
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Local Alarm
Monitored Alarm
Deadlocks on Doors
CCTV
Fire Sprinklers
Fire Extinguisher
Fire Blankets
Cooking Details
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Wok Cooking
Deep-Frying
Bench Top Deep-Frying only
Charcoal
Chargrill
None
Number of Litres of Oil Each Deepfryer holds
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Canopy's and Exhausts are professionally cleaned?
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Yes
No
Do all Deep Fryers have an automatic chemical suppression unit
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Yes
No
Do all Deep Fryers have exhaust extraction?
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Yes
No
Are deep fryers thermostatically controlled and fitted with an automatic over-temperature cut out device?*
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Yes
No
Are rangehoods and ducts cleaned professionally at least every six months?*
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Yes
No
Are filters cleaned more than twice monthly?*
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Yes
No
Are filters cleaned by contractor or staff?*
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Contractor
Staff
Will you sell liquor?
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Yes
No
Maybe
Is there a Cool Room?
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Yes
No
Fire and Other Damage Cover
Contents Cover Amount
*
This needs to cover the full replacement value of all your contents brand new ie, tables, chairs, kitchen, bar etc A small restaurant would be at least $80-120k
Stock Cover Amount
The maximum amount of stock you would have for one week including food, drinks and liquor most business hold between $5000-$20,000
Business Details
Number of Employees
Full Time
Part/time Casual
Estimated Turnover for 12 months
*
This is an estimation for the next 12 months if you are unsure we just need a rough estimate which can be updated at a later stage
Public Liability Cover
Please Select
$10 million
$20 million
Would you like cover for Business Interruption
Yes
No
Estimated Gross Profit (Turnover less cost of goods) - Not Net Profit
Gross Profit = Turnover - Cost of Goods (This is normally 70% of your turnover)
Business Interruption Indemnity Period
*
12 months
24 months (Recommended)
Cover for Money
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yes
No
Cover amount for Money
Cover for cash kept on premises, after hours, in a safe and at home
Glass Cover
*
Yes
No
Burglary
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Yes
No
Amount Required (contents)
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For theft cover - most businesses take between $5,000-$20,000
Amount Required (Liquor)
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For theft cover - Most businesses take between $1,000-$10,000
Equipment Breakdown
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Yes
No
Equipment Breakdown Amount Required
Please Select
$10,000
$15,000
$20,000
other
Deterioration of Stock
Most business take $2,000-$10,000
Do you require Breakdown for Air conditioners
*
Yes
No
unsure
Tax Audit
*
Yes
No
Number of Directors
Tax Audit Amount Required
Please Select
$10,000
$15,000
$20,000
Other
Cyber
*
Yes
No
Management Liability
*
Please Select
No
$250,000
$500,000
other
Have you had any business claims under the same name in the last 3 years?
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Yes
No
Please list the claims (Date, Incident and amount claimed)
*
Notes
File Upload (old policy or any other relevant docs)
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