Personal Chef Insurance By American Personal & Private Chef Association

Contact Info
Ms. Tracy Harris-Williams
Marketing Coordinator
harriswilliams.t@tie-inc.com
301-545-1589
Please fill the form to apply.  The Items in "RED" are mandatory
Chef's Legal Name:
Business Name:
APCA Membership #:
Type of Business:
Business Mailing Address (not a P.O. Box)
Telephone Number:
Fax Number:
E-mail Address:
Note:  Your quote will be returned to you via email in a word document.
Describe your operations
Length of time in business:
Do you have any employees:
Website URL, if any:
Estimated Annual Gross Receipts:
Policy Effective Date:
Business Personal Property Amount:
Business Personal Property includes equipment you use for your business-pots, pans, utensils, stoves, desks and office equipment.  It does not include your car or your home.
Do you have business owned autos
Tell us about your home
This information is used as a rating basis by the insurance carrier, we understand that you do not work out of your home but the information is needed to determine a rate for your business.
Year Built:
Any Updates, if older than 25 years ?
County:
Number of Stories:
Construction type:
Alarm System:
Home Address if different than business address:
Would you like us to quote a business umbrella policy?
The umbrella policy is an optional coverage that gives you an additional $1 million of liability protection.  It would apply in the case of a catastrophic type of loss where your business owners policy limit of  $1 million per occurrence is exceeded
In the past 3 years, have you had any losses or claims brought against your business? If yes, please provide details of claim including date and amount paid.
Any Other Comments ?