Request a quote

Liquor Liability

Coverage requests for hospitality businesses.

Request a quote

Let’s start with the basics.

Tell us a little about your needs so our Peoria team can follow up.

"*" indicates required fields

Email

This field is for validation purposes and should be left unchanged.

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*

:

Prefer a conversation?

Our Peoria office can help you find the right quote path.

Explore insurance

Call 309-673-5544

Liquor Liability

Let’s start with the basics.

Contact Information

Speak with a local agent.

Prefer a conversation?