Liquor Liability Application | Conifer Insurance

Effective March 20th, 2019, Conifer has suspended cancellation of policies due to non-payment of premium for clients who indicate financial impact by the recent COVID-19 outbreak and are experiencing trouble making a payment. Additionally, late pay fees have been waived at this time.

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Liquor Liability Application | Monoline

Please answer all questions completely. Completion of this application does not constitute coverage.

[ACTIVE] Liquor Liability - Quick Quote

Agency Information

Conifer, White Pine or Sycamore Code
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Applicant Information

Business Address *
Business Address
City
State
Zip/Postal

Underwriting Information

Monoline Liquor Liability is available in Michigan and Illinois only. Terms may be available in other states with the accompanying General Liability
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Entertainment on Premises? *
Which Days per Week
Requested Liquor Liability Limit(s) *
Is your client a member of one of our partner associations?
Members may be eligible for premium discounts
Optional Attachments
Maximum upload size: 8.39MB
Example: Current policy, loss runs or underwriting information