RESTAURANT SUPPLEMENT
Name
Business Name
Email Address
Mailing Address
Mailing Address
City, State, Zip
Phone Numbers
Home
Work
Fax
How would you prefer to be contacted regarding your quote?
Select One
Phone
Fax
Mail
Email
If you would prefer to be contacted by phone, please let us know the best time to call:
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AM
PM
1.
Number of years In business under current ownership?
At this location?
2.
Has the owner ever been involved in a bankruptcy or business failure?
YES
NO
If yes, explain in Comments section.
3.
lf needed, will financial statements be provided prior to banding?
YES
NO
4.
What are the gross sales for past 3 years:
Year
Food $
Liquor $
Year
Food $
Liquor $
Year
Food $
Liquor $
5.
What are the hours of operation?
6.
Is the business seasonal?
YES
NO Months of operation:
to
7.
Is there a bar or lounge?
YES
NO If yes, describe in Comments section.
Happy Hour?
YES
NO
8.
If liquor ls served, describe the training protocol for liquor servers in the Comments section.
9.
Is there live entertainment?
YES
NO
If yes, describe In Comments section (type, nights per week, hours, etc.).
10.
Is there a dance floors?
YES
NO
If yes, what is its size?
11.
Are there any operations away from the premises, such as catering?
YES
NO
If yes, explain in Comments section.
12.
Any tableside cooking or food preparation?
YES
NO
13.
Was the building originally built as a restaurant?
YES
NO
If no, has wiring, etc., been updated for restaurant occupancy?
YES
NO
When?
14.
Whlch floor ls the restaurant located on?
15.
Maximum seating capacity of restaurant:
Of lounge:
16.
Number of exits:
Are all exits free of obstruction, lighted and marked with exit signs?
YES
NO
17.
Is there emergency lighting?
YES
NO
18.
Has insured ever been cited by Board of Health?
YES
NO
If yes, explain in Comments section.
19.
Housekeeping:
Excellent;  
Good;  
Fair;  
Poor
20.
Valet Parklng?
YES
NO
21.
Is there a coat check room?
YES
NO
22.
Are all areas over ranges grills, fryers, and all other cooking surfaces,
and hoods and ducts protected by a ULB00-compliant automatic fire
extinguishing system?
YES
NO
23.
Is there a maintenance agreement to regularly inspect and service the
system? No Times per year?
YES
NO
24.
Are the employees trained in the use of the automatic extinguishing
system and portable fire extinguishers?
YES
NO
25.
Is there a maintenance agreement with an outside firm to clean
the hood and duct system? Times per year?
If no, explain in the Comments section.
YES
NO
26.
How often are the grease filters cleaned by the employees?
Comments: