LIBRIS - League of Independent Book Retailer Insurance Services

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Bookseller/Christian Retailer Business Insurance Quote Request

Click here for a Workmens' Comp quote

General Information
Your name:
Company name:
Mailing address:
Location address (If different):
City:
State:
ZIP:
Phone:
Fax:
E-mail:
Web Address (URL):
Description of Operations
Type of entity	Proprietorship Partnership Corporation Other
Gross annual sales:
Number of employees:
Years in business:
Do you own the building:	Yes No
Building coverage limit:
Contents coverage: (Your cost to replace everything you own)
Percentage of inventory that is used books:	%
Do you carry rare/valuable books?	Yes No
If yes, what would be the replacement cost in the event of a total loss?
If more than 50% of your inventory is used/rare/valuable books, do you maintain inventory records that include a current valuation?	Yes No
Are you a member of Parable?	Yes No
Are you a member of Munce?	Yes No
Is there a café on premises?	Yes No
If yes, do you have a grill or fryer?	Yes No
Do you offer coffee or other hot drinks?	Yes No
Is any alcohol served? If so, what are your estimated alcohol sales?	Yes No
Building construction (frame, brick, concrete, etc.)
Year built:
Your square footage:
Central burglar alarm:	Yes No
Central fire alarm:	Yes No
Sprinkler system:	Yes No
Any updates to building?	Yes No
If so, when (year)?	Roof Wiring Plumbing Heating/Cooling
Do you have a boiler on premises?	Yes No
Current insurance carrier:
Policy expiration date:
Annual premium:
Claims in past five years:	Yes No
Annual payroll:	$
Workmens' Comp needed: (If yes, please submit this application and then use your browser's "back" button to complete the additional application)	Yes No
How did you hear about LIBRIS?	If other, describe:
ABA member ID number (if applicable):

LIBRIS is owned and operated by the American Booksellers Association. Beecher Carlson is the program administrator.