Qualifying Questions:

  1. Is the operation a Kiosk? A Kiosk is a free standing booth, counter or moveable wagon located in an enclosed shopping mall, office building concourse or underground shopping centre/train station.

  2. Is there any alcohol sales? If so, the business does not qualify for this program.

  3. Is there any use of a grill or deep fat frying when preparing food? If so, the business does not qualify for this program.

  4. Any body piercing or tattooing? If so, the business does not qualify for this program.

  5. Any professional liability exposure? If so, the business does not qualify for this program.
   
Business Name:    
Owner's Name:    
Mailing Address - Street:    
City/ Province/ Postal:         
Daytime Phone:    
E-Mail Address:    
Type of Product Sold or Service Offered:    
 
Lienholder or Loss Payee Name:    

(If none.  Please state Insured)  

  
Lienholder or Loss Payee Address:    
City/ Province/ Postal:         
 
Mall or Shopping Centre Name:  
Mall or Shopping Centre Address:  
City/ Province/ Postal:       
Landlord's Name:  
Mall Owner's Name(s):  
 
Additional Insured:  
 
Effective Date of Policy (12:01 am):   Click Here to select a date
Policy Coverage Amount:  
Minimum $5,000 / Max $80,000                                               
Liability Limit:  
Minimum $2,000,000 / Max $5,000,000