Internal - RBT Renewal Questions in Beaverton

Internal form to update info for renewal shopping

Business Name

DBA Name

Have you made any claims recently?

What is this years sales estimate?

How Much of this years sales estimate is Alcohol? Percentage OK

Do you have Video Poker Machines?

Annual Video Poker Revenue?

Did you include Video Poker Revenue in the above annual sales estimate?

How Many Employees do you have?

What is your estimated annual payroll?

Do you own or rent the building?

If own, is there a requested Building coverage amount?

What year did you open the business?

is the building sprinklered?

Do you have a burglar alarm? If so, what Type? Who Monitors?

Year of most recent Roof Update? (If they own the building)

Year of most recent plumbing update? (if they own the building)

Year of most recent heating update? (if they own the building)

Year of most recent electrical update? (if they own the building)

How much Business Personal Property?

Do you sell Liquor, or just Beer and Wine?

Current Hours of Operation

Do You typically pay in full?

Can we apply for insurance score discount? (DOB, Home Addy)

Can you confirm Landlord info, or any additional insured that needs to be listed?

Any other important info to mention here

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