Liquor Liability Quote

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Let Ledbetter Insurance provide your Food and Beverage business the Liquor Liability coverage it needs today. We understand Dram Shop insurance and can cover your business with great service and Low prices.

Type of Business
- Sole Proprietor
- Partnership
- LLC
- Corporation
Assured (Licensee)

Exactly as it appears on your liquor license.
Doing Business As
Name of Insured/Building Owner
Mailing Address
Street Address Address Line 2 City State ZIP Code
Email Address
Phone Number
Location of Risk
Same as mailing address

Street Address Address Line 2 City State ZIP Code
How Long in Business at This Location?
Are Premises Located Inside or Outside City Limits
Indicate One
- Inside
- Outside
Is establishment located in...
- City
- Town
- Village
Estimated Population
Is the City, Town or Village Incorporated?
- Yes
- No
What is your seating capacity?
Hours of Operation
Ex. 8:00AM - 2:00AM
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Estimated Annual Receipts
Bar Package Liquor Food
Is License Restricted to Beer and Wine Only?
- Yes
- No
Is There Live Entertainment?
- Yes
- No
Please describe types of entertainment and how many times per week.
Are there Pool Tables, Poker Games, Shuffle Boards, Darts?
Please enter number for each of these items.
Pool Tables Poker Games Shuffle Boards Darts Other
If you entered a number in Other, please describe
Please Indicate Limit of Liability Desired
- $300,000
- $500,000
- $750,000
- $1,000,000 CSL
Has Any Company Cancelled of Refused to Issue or Renew Liquor Liability Insurance on This Risk During the Last Five (5) Years
- Yes
- No
Have You Ever Had Your License Revoked?
- Yes
- No
Prior Carrier
Policy Number
Premium
Claim Record Last Five Years
Contact Information
Name*
First Last
Email*
Position*
Best Method of Contact*
- Phone
- Email
- Text
- Fax
Phone*
Best Time to Contact*

: Hours

Minutes

AM/PM
Email
This field is for validation purposes and should be left unchanged.

You can be assured your data is secure with us and Honesty is our Gold Standard

Contact Information