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Craft Beer/Beverage Application


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

First Name
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Last Name
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Phone Number
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E-Mail Address
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Full Applicant Name
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DBA Name
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Premises Address
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City
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State
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ZIP / Postal Code
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FEIN (Required if Workers Compensation is desired)
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Type of Business
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***If other - Please describe
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BRIEF DESCRIPTION OF BUSINESS OPERATIONS
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Years in business at this location
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If less than 3 years, please describe previous industry ownership or management experience
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General Liability Limit
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Food Receipts
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Liquor Receipts - On Premises Consumption
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Liquor Receipts - Off Premises Consumption
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Other Receipts (Video Gaming/Cover Charge/Etc)
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Describe Other receipts
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Total building square footage
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Area occupied by your business (sq ft)
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Is there a basement present
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If Yes - Is the basement finished?
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Other area (Describe - lessors risk, other tenants, square footage, etc)
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Number of full time employees
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Number of part time employees
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Off premises parkiing?
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If yes, provide address and square footage
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On premises banquets?
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If yes, provide the # of events annually and % of gross sales
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Off premsies catering or delivery exposure?
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If yes, provide the % of gross receipts
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Any food delivery?
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Any other unique or unusual exposures?
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If yes, please describe:
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Business is located:
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Hours of operation
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Any commercial cooking exposure (***if yes, answer the following 4 questions)
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Is there a UL300 approved automatic fire extinguishing system present?
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Is there a K-Type extinguisher in the kitchen?
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Do the hood & ducts cover all cooking equipment?
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Have the fire protection systems been serviced by a qualified technician within the last 6 months?
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Have there been any claims in the last 3 years? If so please provide date of loss, type of loss and amount paid:
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What is the seating capacity?
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Is there any entertainment (bands, DJ, karaoke, dancers, etc)? If yes, please describe:
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Is there a dance floor?
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Is there security or bouncers?
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Number of pool tables
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Other amusements devices? Please describe:
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Amount Requested on Building Coverage
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Building
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Amount Requested on Contents
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Contents
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Amount requested on Tenants Imrpovements & Betterments
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Tenants Imprvoements & Betterments
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Year Built
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Construction Type
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Number of Stories
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Year of last electrical system update
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Year of last plumbing system update
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Year of last HVAC system update
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Year of last roofing update
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Is there a central station alarm system present?
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Any other property coverage desired (Outdoor fences, decks, signs, awnings, etc)?
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Workers Compensation desired?
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WC limits desired
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Officers to be included or excluded
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Number of barrels produced by you for your label
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Annual revenue for the above
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Number of barrels produced by you for others (contract brewing)
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Annual revenue for the above
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What % of sales is off premises (wholesale + carry out)
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% of off premises sales that are wholesale
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% of off premises sales that are retail (growlers, carry out, to go, etc)
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Do you operate as a
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Are on-premises tours offered
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How many customers are allowed for each tour
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Approximately how long do the tours last
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Does the business participate in off-premises tasting events
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If yes, approximately how many events per year
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Does the business provide storage for beverages owned by others
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If yes, please describe
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List high-valued or critical beer/cider/spirits production equipment or machinery. Include description/replacement cost/estimated time to replace
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What is the maximum capacity of your largest product tank or vessel (bbl)
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Are pressure relief values on all tanks
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If yes, how often are the valves cleaned
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Is there a power outage contingency plan in place
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If yes, please describe
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Are carbon monoxide (CO) detectors utilized
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What is the cleaning process for equipment used in production
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What is the highest value of beer/cider/spirits in inventory at any one time
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Does the applicant provide any processing for others
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If yes, please describe
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Has the business had any products recalled in the last five years
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If yes, please provide details on the recall, including dates, value and type of product recalled
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How is quality controlled throughout the production process
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Does the applicant batch test beer at every stage in the process
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If yes, how long are the batch test records retained
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% of your product package in bulk
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% of your product package in kegs
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% of your product package in cans
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% of your product package in bottles
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Other Comments or Details
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Submission Validation
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Important Notice
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