• Application Form

    Only one policy per franchisee. Please complete the application at the parent company level for your Sonic business.
    • Organization Contact 
    • Business Details 
    • Format: (000) 000-0000.
    • Do you share a computer network or server with any other legal entities that you have less than 50% ownership in?*
    • Security Info 
    • Does the Organization assign a person responsible for information security?*
    • Does your organization hold mandatory cybersecurity training with all employees annually?*
    • Does your organization encrypt all external communication containing sensitive information?*
    • Does your organization encrypt all sensitive information stored on the cloud?*
    • Does your organization perform backups of business critical data?*
    • Please select all responses that apply to your organization's backups:*
    • Please select all areas where your organization applies multi-factor authentication for all employees, contractors and parters:*
    • Does your organization have an Incident Response Plan that is tested?*
    • How often does your organization apply updates to critical IT systems and applications (security patching)?*
    • Does your organization prevent unauthorized employees from initiating wire transfers?*
    • Does your organization authenticate funds transfer requests (e.g.by calling a customer or vendor to verify the request at a predetermined phone number)?*
    • Does your organization verify vendor/supplier bank accounts before adding to their accounts payable systems?*
    • Have you filed any cyber insurance claim(s) in the last five years?*
    • Application Terms and Conditions 

    • Cowbell Insurance Agency, LLC
      Terms and Conditions

      For the purpose of this Application, the undersigned authorized officer of the organization named in Section I. Organization Contact of this Application declares that, to the best of the organization’s knowledge, the statements herein are true, accurate and complete. The insurer is authorized to make any inquiry in connection with this Application. Signing this Application does not bind the insurer to issue, or the applicant to purchase, any insurance policy issued in connection with this Application. The information contained in and submitted with this Application is on file with the insurer. The insurer will have relied upon this Application and its attachments in issuing the Policy. If the information in this Application materially changes prior to the effective date of the Policy, the applicant will promptly notify the insurer, who may modify or withdraw the quotation. The undersigned declares that the individuals and entities proposed for this insurance have been notified that the limit of liability is reduced by amounts incurred as “Defense Expenses” (as defined in the Policy), and such expenses will be subject to the deductible amount. Misrepresentation of any material fact in
      this Application may be grounds for the rescission of this Policy.

       

      NOTICE: This application is for claims-made and reported coverage. With respect to Insuring Agreement C. This policy provides coverage on a claims made and reported basis and apply only to claims first made against the Insured during the policy period or the optimal extension period (if applicable) and reported to the Insurer in accordance with the terms of this policy. Amounts incurred as First Party Expense and First Party Loss under this policy with reduce and may exhaust the limit of liability and are subject to deductibles.

      If a policy is issued, this application will attach to and become part of the policy. therefore, it is important that all questions are answered truthfully and accurately.

    • Privacy   |   Terms

    • What coverage limit(s) are you interested in?*
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