LIQUOR LIABILITY
COVERAGE FORMS EXPOSURE ANALYSIS CHECKLIST
(November 2025)
This checklist is designed to
help apply the Insurance Services Office (ISO) Liquor Liability Coverage to a
specific operation. It serves as a starting point, and additional risk-related
questions may arise as the exposures are identified. This analysis should be
used alongside the exposure analysis checklists for other coverages to develop
a comprehensive understanding of the insured’s operations.
This checklist is designed to
supplement the ACORD application.
Related Article: Liquor Liability
Coverage Forms ACORD Forms Considerations
A list of endorsements may be
helpful when discussing exposures with your client.
Related
Articles:
Liquor Liability
Coverage Forms Available Endorsements and Their Uses
Liquor Liability
Coverage Forms Endorsements Checklist
Legal business name(s)
____________________________________________________________________________________
____________________________________________________________________________________
Mailing address:
____________________________________________________________________________________
____________________________________________________________________________________
Email:
______________________________________________________________________________
Website:
____________________________________________________________________________
Type of entity:
|
___ Individual |
___ Corporation |
___ Sub-S Corp. |
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___ Partnership |
___ Joint Venture |
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___ Not-for-profit |
___ Limited Liability Company |
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SIC Code(s):
_________________________________________________________________________
NAICS
Code(s):_______________________________________________________________________
Federal ID Number: ____________________________
When did the applicant start business operations?
___________________________________________
When did the present management assume control?
_________________________________________
How many years of experience does the owner have in
this type of business? _______________________
How many years of experience does the manager have in
this type of business? _____________________
Has the applicant ever been involved in a bankruptcy
procedure? ___ Yes ___ No
If yes, explain, including the type of bankruptcy,
the filing date, and the resolution.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Names of subsidiary companies or joint ventures that
are not part of this application:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
|
Important People |
Name |
Phone Number |
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Owner/Principal |
____________________________ |
______________ |
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Other Decision Makers |
____________________________ |
______________ |
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Plant and Grounds |
____________________________ |
______________ |
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Financial |
____________________________ |
______________ |
|
Legal |
____________________________ |
______________ |
|
Claims |
____________________________ |
______________ |
The applicant’s primary operations are:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
The applicant’s secondary and/or incidental
operations are:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
The applicant used to be involved in the following
operations, but they have been discontinued:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
The hours of operations are:
_________________________________________________________
How many days per week is the applicant open? ___
Is this a seasonal operation? ___ Yes ___ No
If yes, what is the season? From: _____________ to:
_____________
Does the applicant have a safety program? ___ Yes ___ No
If yes, answer the following:
Name of safety director:
_________________________________________________________
Safety director phone number:
___________________________________________________
Safety director email address:
____________________________________________________
Attach a copy of the safety program.
Does the applicant have a disaster plan? ___ Yes ___ No
If yes, answer the following:
Name of disaster coordinator:
____________________________________________________
Disaster coordinator phone number:
______________________________________________
Disaster coordinator email address:
______________________________________________
Attach a copy of the disaster plan.
Describe the applicant’s liquor license.
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Type of license |
License No. |
Date issued |
Next renewal date, if any |
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Has the applicant’s liquor license ever been revoked? ___
Yes ___ No
If yes, explain all circumstances and include the
dates it was revoked and reinstated.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Describe the applicant’s liquor-related business
operations.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What is the breakdown of the applicant’s annual
receipts?
|
|
Estimate Next 12 mos. |
Actual Past 12 mos. |
|
On-premises consumption - liquor |
$___________________ |
$_________________ |
|
Off-premises consumption - liquor |
$___________________ |
$_________________ |
|
Food |
$___________________ |
$_________________ |
|
Cover charge |
$___________________ |
$_________________ |
|
Other sales |
$___________________ |
$_________________ |
|
Total sales |
$___________________ |
$_________________ |
Describe other
________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What are the applicant’s standard hours of operation?
(show a.m. or p.m. after time)
|
|
Sun. |
Mon. |
Tue. |
Wed. |
Thu. |
Fri. |
Sat. |
|
Open: |
_____ |
_____ |
_____ |
_____ |
_____ |
_____ |
_____ |
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Close: |
_____ |
_____ |
_____ |
_____ |
_____ |
_____ |
_____ |
What is the establishment’s capacity?
_______ Dining room seating _______ Bar seating _______ Maximum legal occupancy
How many employees can serve alcoholic beverages
during peak periods? __________
How many employees who serve are in each of the
following categories?
______ Bartenders _______ Owners _______ Waiters/waitresses
How many security personnel are on site during peak
periods (including bouncers)? __________
Does the applicant provide servers with training or
guidance in how to handle minors or intoxicated customers? ___ Yes ___ No
If yes, describe.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Does a professional training organization certify this
training? ___ Yes ___ No
If yes, attach a copy of the certificate.
Are all employees who serve alcoholic beverages required to
take such training? ___ Yes ___ No
If no, what percentage of servers have received such
training? ______%
Describe the applicant’s policy on serving
intoxicated customers.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Are customers ever served alcoholic beverages before they
produce age-documenting identification? ___ Yes ___ No
If yes, explain.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What amusement devices and how many are located on
the applicant’s premises?
|
___ Gambling machines # _____ |
___ Video games # _____ |
|
___ Pool tables # _____ |
___ Dart boards # _____ |
|
___ Pinball machines # _____ |
___ Other # _____ |
Describe other
________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What entertainment does the applicant provide?
|
___ Juke box
|
___ Individual musician |
___ Live band |
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___ Piano/organ
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___ Comedian/comedienne |
___ Dancers |
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___ Other |
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Describe other______________________________________________________________________
Does the applicant permit dancing? ___ Yes ___ No
If yes, answer the following:
How many days per week? ______
What is the size of the dance floor? ______ sq. ft.
Does the applicant offer special alcoholic consumption
promotions? ___ Yes ___ No
If yes, describe the promotion(s).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Does the applicant dispense or provide alcoholic
beverages for off-premises events? ___ Yes ___ No
If yes, provide the following information for each
event.
|
Event name |
Event location |
Start date |
Number of days |
Expected attendance |
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Has the applicant or its owners ever been fined or cited
for violation(s) of a law or ordinance related to selling alcoholic beverages?
___ Yes ___ No
If yes, explain.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Has the applicant or its owners incurred any claim for
liquor liability in the past five years? ___ Yes ___ No
If yes, explain and include the dates of the incident
and the claim, the description, its current status, and the amount paid, if
any.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Does the applicant know about any incident not described
above that may become a liquor liability claim? ___ Yes ___ No
If yes, describe the incident(s).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Have fights between patrons occurred within the applicant’s
establishment or in its parking area in the last five years? ___ Yes ___ No
If yes, describe the fight(s).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Does a contract or agreement require that the applicant
provide insurance protection for its landlord?
___ Yes ___ No
If yes, provide the landlord’s name and address.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Does the applicant sell alcohol online?
___ Yes ___ No
If yes, describe the procedures in place to
prevent sales to underage consumers.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________