Helpful Tip:
If you are running out of time, simply finish the current page & click next. We will email you a link to complete the application where you left off!
Company Info
Premises
Operations
Rentals
Abuse
Liquor
Auto
Property
Confirmation
Section 9: Liquor
If you do not serve any type of alcohol at your facility, you may skip these questions and move on to the next page.
Annual Receipts: $
Is liquor license in applicant's name?
Yes
No
What is the name on the license?
Liquor license number:
Class of license:
Is the liquor service sub-contracted to a third party?
Yes
No
If yes, provide limits of liability maintained by the sub-contractor:
$
Is the applicant listed as an additional insured under sub-contractor's liquor liability coverage?
Yes
No
Is contingent liquor liability coverage requested by insured?
Yes
No
Has the applicant's liquor license ever been revoked or suspended?
Yes
No
If yes, please explain why it has been revoked or suspended:
Has the applicant incurred claims for liquor liability during the last three(3) years?
Yes
No
If yes, please explain why the applicant incurred claims:
Has any insurer canceled or non-renewed coverage during the last three(3) years?
Yes
No
If yes, please explain why insurer canceled or non-renewed coverage:
Has the applicant ever been fined by Alcoholic Beverage Control or other gov. regulator?
Yes
No
Please explain why the applicant was fined:
Does the applicant exercise the right to search and seizure contraband items?
Yes
No
If yes, how does the applicant notify the public of this:
Are patrons allowed to carry alcoholic beverages onto the premises?
Yes
No
If yes, what type?
Liquor
Wine
Beer
Does the applicant maintain security personnel at entry check points?
Yes
No
If yes, what type:
Are any alcoholic beverages sold?
Yes
No
Please click on types of beverages sold:
Liquor
Wine
Beer
Are alcohol sales and consumption:
contained within one fixed site
booths/stands located throughout the site
Number of servers used:
Are these servers used professional?
Yes
No
Please explain your answer:
Are they volunteer servers?
Yes
No
Please explain your answer:
Do the servers receive any type of alcohol awareness training?
Yes
No
If yes, please describe the type of training:
Median age of liquor customers:
21 - 25
25 - 30
30 - 40
40 +
Are minors allowed to enter the location where alcohol is being served?
Yes
No
Please explain your answer:
Explain how ID's are checked:
Are uniformed police officers present at the site of alcohol sales?
Yes
No
Are undercover police officers present at the site of alcohol sales?
Yes
No
Are private police officers present at the site of alcohol sales?
Yes
No
Average number of officers present at site:
Are rules and regulations clearly displayed for patrons viewing?
Yes
No
Please Explain:
Is there a limit placed on the quantity of alcoholic beverages purchased at one time?
Yes
No
Please Explain:
Is the parking area patrolled to prevent intoxicated drivers from leaving the premises?
Yes
No
Please Explain:
Is there any type of designated driver program?
Yes
No
Please Explain:
Do you stop serving at least one hour prior to closing?
Yes
No
Please make sure that you have completed everything to the best of your knowledge before going to the next page.