Federal Identification Number
Additional Locations if applicable
What are your hours of operation?
How did you hear about LIBRIS?
Current Insurance Information
Current Insurance Carrier
Policy Expiration Date
not needed but helpful if you're willing to share
Claims in the past 5 years?
Please Describe the Claim(s)
To place coverage we will need a hard copy of loss runs from current insured. Fax number: 888-221-0051.
Description of Operations
Are you a...
Gross Annual Sales
Breakdown of Sales
(EX: 80% New books 10% used Books 5% toys & games 5% journals/ other sidelines.)
Number of Employees
Years in Business
Please provide a few sentences about your previous work experience
Percentage of inventory that is used books
If more than 50% of your inventory is used books you will have to submit pictures before we can quote. (You can snap a few with a smart phone and email them to us, or whatever method of obtaining them that is easiest for you.)
Do you maintain inventory records that include a current valuation?
Do you carry rare/valuable books?
If yes we might need to put them on a fine arts schedule. We will need the title of each book and estimated price for all valuable books that will be going on fine arts schedule.
Percentage of rare/valuable books?
Do you have any books valued over 10k?
What percentages of your annual sales are from website sales?
Are you an ABA member?
Please enter number if applicable
Are you a CBA member?
Do you own the building?
What building coverage limits are you requesting?
Contents Coverage/Business Personal Property Limit
Year building was built
When roof was updated?
When wiring was updated?
When plumbing was updated?
What year was heating/cooling updated?
Number of Stories
(frame, brick, concrete, etc.)
Does you building have?
Central Burglar Alarm
Central Fire Alarm
Boiler on Premise
(Check all that apply)
How often is the boiler(s) inspected?
Is the store a converted house?
Please describe what is on the left and right of your space
Do you have apartments above or below?
Cooking or Café Exposures
Will you be doing any deep fat frying or will items be pre-packaged and brought into the store?
Deep fat frying
Items be pre-packaged and brought into the store
Do you have commercial coffee equipment?
Is equipment checked as part of a regular maintenance program for water leaks?
Are there guidelines in place to protect against injury for scalding liquids?
Any sales of Liquor?
Does the store have any publishing operations?
Is coverage required on an Espresso Book Machine (or similar)?
Does the store have any manufacturing occupancies?
We do not cover manufacturing of products.
Does the store host any events on premises that are not related to bookselling?
How many non-book related events do you have a year?
Can you please describe the events?
How many author signing and book related events do you have a year?
Do you charge for events?
Is liquor served at events?
Does the store allow animals/pets on premises?
Please name type of animal
Are they kept caged or do they roam?
Is animal up to date on shots?
Does the store sell property on consignment?
Please provide details
(Percentage of inventory and amount if factors into the sales break down.)
Do you sell toys or games?
Please name the brand or let us know if there is a United States manufacturing presence
Do you need a Workers Compensation quote?
When does your policy expire?
When would you like your policy to start?
Number of total employees
How many are retail?
How many are retail part-time?
How many are retail full-time?
How many are clerical?
How many are clerical part-time?
How many are clerical full-time?
How many are café or restaurant?
How many are café or restaurant part-time?
How many are café or restaurant full-time?
Any other employees?
What is the total annual payroll projected for retail?
What is the total annual payroll projected for clerical?
What is the total annual payroll projected for café?
What is the total annual payroll projected for other?
Please list the owners and percentage of ownership, that want to be excluded from the policy
Percentage of Ownership
Please choose the limits you want or currently have
If you do not know we will quote the standard limits for your state.
Have you had any claims in the past 5 years?
Please describe claims