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1800.894.6003 Policyholders

Policyholders 1.800.894.6003

Grocery Store Insurance

Grocery Store Insurance and Supermarket Insurance will provide coverage from unexpected losses, equipment breakdown and replacement, food spoilage, employee claims and unforeseen customer injuries.

Business name:

Type:

Select
Corporation
Individual
LLC
Other

Contact name:

Telephone:

Email

Preferred method of contact:

Select
Email
Phone

Number of locations:

Location 1

Address:

City:

State:

Zip:

Sq. Ft.:

List additional locations under comments section

Prior insurance:YesNo

Claims in the past 5 years?:YesNo

Years in business:

Description of Operations:

Liquor Sales:YesNo

Seafood Sales:YesNo

Kitchen/Food Prepared/Dinning:YesNo

Delivery Method Used:

Fire Sprinkler System:YesNo

Central fire & burglar alarm:YesNo

Hours of Operation:

Estimated 12 month Payroll:

Number of employees:Full timeFull time

Estimated Annual Gross Sales:

Building Occupancy:

Select
Own
Tenant

Building Coverage Limit:

Business Personal Property Limit:

Property Deductible:

Tenant Improvements Limit:

General Liability:

Select
$300,000
$500,000
$1,000,000 / $2,000,000
$2,000,000 / $4,000,000
Other

Excess Liability:1M2M3M4M5M

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Corporate Office

12910 Victory Blvd.
North Hollywood, CA 91606

Toll free: 800-894-6003
Tel: 818.754.0007 Fax: 818.754.0774

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