• SFB Insurance Quotation Form

    Please review and answer each question
  • Is your company currently registered in the US?*
  • What date was you company incorporated*
     / /
    2 digit month, 2 digit day, 4 digit year
  • During the last five years (ten in RI), has any applicant been indicted for or convicted of any degree of the crime of fraud, bribery, arson or any other arson-related crime?*
  • Formation of Business Entity*
  • Do you have a US Phone Number*
  • Format: (000) 000-0000.
  • Is this entity a subsidiary of another entity?*
  • Does the entity applying for insurance have subsidiaries?*
  • Have any operations been sold, acquired or discontinued in the last 5 years?*
  • Has this company operated under any other name?*
  • Do you have an active website now?*
  • Are your labels located on your website to show ingredients and nutrition panel for each product you want covered?*
  • Does your company offer products or services that will not apply to your insurance quote?*
  • Is this kitchen location also a residence?
  • You operate your business from which address?*

  • Insurance Information

  • Is insurance in place now or has it been in place in the last five years?*
  • What coverage is your Primary Concern (select one)*
  • Do you have Loss Runs for the time periods you have been or were insured?*
  • Have you had any insured or uninsured liability losses in the last 5 years?*
  • Has any insurer declined, canceled, or nonrenewed any Insurance on behalf of any person(s) or organization(s) proposed for this insurance?*
  • Has there been 2 or more non-pay cancellations or 2 or more non-compliant audits in the last 3 years?*
  • Have you recalled or are you considering a product recall?*
  • Are you trying to meet specific insurance specifications for a retail or wholesale outlet?*
  • If Yes, what terms do you need, check all that apply*
  • Do you have a date in mind to begin coverage?*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Operation Overview

  • Are your products fully manufactured and ready to sell as of today?
  • Please check all items that describe your company*
  • Has the applicant ever been investigated by a state health department, state licensing board, or other governmental body?*
  • Do you have a written product recall plan in place?*
  • Is your product pasteurized?*
  • Do you have employess?*

  • Quotes

  • Do you have quotes in hand or in process prior to contacting us?*

  • Label Upload

    If your labels are not FULLY visible on your website please upload below. If flavor is the only difference in your products, please upload just one label per product. If your labels are not ready, please note that in Other Information below.
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  • Other Information

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