Our Mission Statement

Dating back from 1872 our mission is clear:

To serve our clients with the utmost respect, integrity and professionalism while providing a comprehensive risk management program at competitive pricing

Protection, Integrity, and Service
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General Information

Name of Business

DBA


Street

City

State       Zip
  

RESTAURANT / BAR / TAVERN ADDRESS (if different from above)
Street

City

State     Zip
  
TYPE OF ESTABLISHEMENT
Restaurant Diner
Tavern / Bar 24 Hr. Diner
Night Club Hotel/Motel
Pizza Parlor Dinner House
Country Club Banquet Hall
OTHER > > >
OPERATION INFORMATION

Entertainment
Liquor

Number of years in Restaurant Business
Number of years at Present Location
Number of years as Owner
Is Owner/Mgr. on premises at all times?
Total Number of Employees (Full-time/Pt-Time)
Seating Capacity

BUILDING INFORMATION:

Frame        Fire Resistive
Brick
Sprinkler   Central Station Alarm
Building Owner

Building Value

Personal Property (contents)

FINANCIAL INFORMATION:
Annual Food Sales

Annual Liquor Sales

CURRENT INSURANCE INFORMATION:

Current Insurer

Business Income Limit

Policy Expiration Date

Current Premium

Losses within last 5 years - Please Describe

 CONTACT INFORMATION
First Name

Last Name

Email

Phone                        Fax
  
Questions / Comments / Notes
Send my quotation via E-Mail Fax
Regular Mail
Call me by Phone!

All quotes are based on the information that the applicant  provides, and are subject to change based on final underwriting by the  individual carriers.

 

 


Privacy Policy-We routinely collect personal and/or business information that is needed as part of the quoting and underwriting process.  We also collect the same information as part of service and update activities.  The Haines & Haines/T.C. Irons Agency will not share that information, or use it in any other way, with outside parties, vendors, etc.

Policy Coverage and Disclaimer

Haines & Haines/ T.C. Irons
230 High Street PO Box 158- Burlington, NJ 08016
Phone: 609.387.0606
Fax:
609.387.5337
708 Stokes Road,
Suite A
Medford, NJ 08055
Phone: 609.953.2282 
Fax: 
609.953.7719
W.C. Hughes Agency of  Florence Inc
200 Delaware Avenue, Roebling,  NJ 08554
Phone: 609.499.0237 
Fax: 
609.499.4077
Wesley Insurance Service Agency
200 Delaware Avenue, Roebling,  NJ 08554
Phone: 609.499.0517
Fax:
609.538.4077