Craft Brewers Quote Get 10% off your business insurance premiums with our program designed specifically for you 1 Basic Information2 Insurance History3 Location 4 Operation Name of Brewery*Legal Name of BreweryName of Principal* First Last Phone*Email* Enter Email Confirm Email Website Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Is your mailing address the same as your operating address?*YESNOOperating Address Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code do you currently have insurance?*YESNOPlease explain why you do not currently have insurancei.e - First time insuredName of current insurance companyCurrent Policy NumberCurrent PremiumPolicy Renewal Date Attach a copy of your current policy so we can compare coverage for a more accurate quoteAccepted file types: jpg, gif, png, pdf.Have you ever had insurance declined or cancelled by an insurance company?*YESNOPlease explain why your insurance was declined or cancelledHave you had any insurance claims in the past 5 years?*YESNOPlease list and explain all claims in the past 5 years Wall Construction*Concrete panels on steel structureFire resistiveFrame and all otherFloor Construction*Brick or stoneConcrete panels on steel structureFrame and all otherRoof Construction*Frame on steel joistsFrame on wood joistsHeavy beam or "mill"Poured concreteType of Heat*Central gas furnaceBoilerElectricOtherType of Electrical*BreakersFusesBreakers & fusesOtherIs there a sprinkler system?*YES - Full coverageYES - Partial coverageNONumber of stories (total for building)*Square Footage*Distance to Fire Hydrant*Within 150 metersWithin 300 metersOver 300 metersDistance to Fire Hall*Within 5kmWithin 8kmOver 8kmHow many years old is the building?*Please enter a number from 0 to 200.When was the last year the following were updated?HeatWiringRoofPlumbingFire Alarm*YES - MonitoredYES - LocalNOBurglar Alarm*YES - MonitoredYES - LocalNO How many years have you been in business?*Gross Revenue (per year)*Any U.S or Foreign sales?*YESNOWhat % of total revenue is from U.S sales?Please enter a number from 0 to 100.What % of total revenue is from Foreign sales?Please enter a number from 0 to 100.