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Restaurants

Applications

To secure the best possible terms for your client and in the most timely manner – please provide the following information:

  1. Completed ACORD Application
  2. Workers’ Compensation Supplemental Application
  3. Five (5) years currently valued loss runs
  4. Details on any current safety, loss control or claims management program
  5. Experience Mod Worksheet (if available)
  6. Payroll history (five (5) years preferred) 


Application Name Format Download
Gourmet WC Supplemental App

Please see below for the application name & the PDF name it should link to; the PDF is attached. 

Email, Fax or Mail your submission to the following address for a quality proposal. 

Venture’s Gourmet Program
Attn: Underwriting
1301 Wright’s Lane East
West Chester, PA  19380
Phone: 800-282-6247
Fax: 610-692-5977
Email: Marketing@VenturePrograms.com

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