RESTAURANT QUOTE REQUEST
1
 Name:
2
 Business Name:
3
 E-Mail Address:
4
 Mailing Address:
5
 Mailing Address:
6
 City - St - Zip:
7
 Phone Numbers: Home Work Fax
8
 Number of years In business under current ownership?
At this location?
9
 Has the owner ever been involved in a bankruptcy or business failure? YES NO
10
 lf needed, will financial statements be provided prior to banding? YES NO
11
 What are the gross sales for past 3 years:  
Year Food  $ Liquor  $
Year
Food  $
Liquor  $
Year
Food  $
Liquor  $
12
 What are the hours of operation? 
13
 Is the business seasonal? YES NO     Months of operation: to  
14
 Is there a bar or lounge? YES NO   
If yes, describe
Happy Hour? YES NO   
15
 If liquor is served, describe the training protocol for liquor servers

16 Is there live entertainment? YES NO
If yes, describe In Comments section (type, nights per week, hours, etc.).
17 Is there a dance floor(s)? YES NO
If yes, what is its size?
18
Are there any operations away from the premises, such as catering? YES NO
If yes, explain in Comments section
19
Any tableside cooking or food preparation? YES NO
20 Was the building originally built as a restaurant? YES NO
If no, has wiring, etc., been updated for restaurant occupancy? YES NO
When?
21 Whlch floor ls the restaurant located on? 
22
 Maximum seating capacity of restaurant:Of lounge Of lounge
23
 Number of exits:
Are all exits free of obstruction, lighted and marked with exit signs? YES NO
24
 Is there emergency lighting? YES NO
25
 Has insured ever been cited by Board of Health? YES NO
If yes, explain
26
 Housekeeping:
Excellent
Good
 Fair
Poor
27
 Valet Parking? YES NO
28
 Is there a coat check room? YES NO
29
 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  
30
 Is there a maintenance agreement to regularly inspect and service the system?  
  YES NO   No Times per year
31 Are the employees trained in the use of the automatic extinguishing system and portable fire extinguishers?
    YES NO
32 Is there a maintenance agreement with an outside firm to clean the hood and duct system?
  YES NO Times per year
If no, explain
33
 How often are the grease filters cleaned by the employees?
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