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Quote Information Sheet
Restaurant Insurance for California Only

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Current Insurance Company
Current Premium
Next Renewal Date
Description of Operations
Business Name
Business Entity
Limit of Liability Requested
Annual Gross Receipts
Amount of Receipts for Food
Amount of Receipts for Alcohol
Number of Employees
Annual Payroll
# Claims/Losses in Last 3 Yrs
Years of Experience
Do you own your property
If so, when was it purchased
Year the Building was Built
Square Footage of the Building
Contents Limit Requested
Deductible Requested
Building Limit Requested
Building Construction
Email:
Name:
Address:
City:
State:
Zip:
County:
Phone:
Fax:
How did you find our website
Additional Information:

If something is not listed here, or you have any questions about
your coverages, or need to know how to answer a question,

mail@hanninsurance.com
Or call our direct telephone line at (760) 365-9744.

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Disclaimer: All quotes are subject to change. Quotes are based on the information
you provide. Please be as accurate as possible so we can be as accurate as we can.


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