Contact form for Guesthouse and B&B

Name of Policyholder *

Risk Address including postcode *

Contact Number *

Your Email Address *

Please confirm Renewal / Inception date

What describes your property type *Please select an optionPlease adviseBed & Breakfast - LicensedBed & Breakfast - UnlicensedGuest House - LicensedGuest House - UnlicensedHoliday AccommodationHoliday CentreOther

Number of years trading *Please select an optionPlease adviseNot purchased startedLess than a year1 year2 years3 years4 years5 years6 years7 years8 years9 years10 yearsOver 10 years

Where are your premises situated *Please select an optionPlease adviseHigh StreetResidential AreaRural AreaCliff top / Sea FrontOther

When was your property built *Please select an optionPlease advise1980 - Present1951 - 19801901 - 19501801 - 19001701 - 1800Pre 1700

How many bedrooms does your premises have *Please select an optionPlease advise123456789101112131415 or above

How many bedrooms are used for guests *Please select an optionPlease advise123456789101112131415 or above

Building or Tenants Improvement sum insured *

Contents sum insured including all Electrical / Electronic items *

How much of the contents is Electrical / Electronic equipment *

Stock sum insured

Alcohol sum insured *

When your premises is closed or left unattended, it is protected by an intruder alarm, installed and maintained by an industry-approved vendorYesNo

The type of alarm that protects your business is:Bells Only (Audible) - sounds an external bell immediately on activation.Digital Communicator (Digicom) - remote signalling connected to an alarm company central station via a telephone line.Digital Dialler - remote signalling that can send a pre-recorded message to a specified location on activation.Dual Com - remote signalling that combines the use of telephone line and radio signalling.Dual Com Plus - as per Dual Com, however, this may also encompass wireless signalling technologies.PAKNET - remote signalling connected to an alarm company central station via radio signalling.Redcare (Classic) - remote signalling connected to an alarm company central station via a telephone line, constantly monitored by the exchange.Redcare GSM - as per REDCARE, however it uses a dual monitored signal path using the GSM wireless network.Other

Do you use a deep fat fryerYesNo

Your fryer is a table top or basket model with no more than a 5 litre capacity.YesNo

Number of Employees

Employee Wage Roll

What is your estimated turnover for this year *

What is your estimated gross profit *

Indemnity Period (Months)1218243648

Property Owners Limit of Indemnity£2,000,000£5,000,000

Is following information is correct?

YesNo

1) The premises are not a Listed Building

1) Are the premises listedNot ListedGrade 1 Listed BuildingGrade 2 Listed BuildingGrade A Listed BuildingGrade B Listed BuildingGrade B2 Listed BuildingGrade C(s) Listed BuildingPreservation Order

2) Your premises are occupied by the proposer, or their employees overnight

YesNo

3) Your premises trade all year round

YesNo

4) The heating is fixed heating

4) Please confirm the type of heating at the premisesNoneFire - OpenFixed HeaterHot AirOil HeaterPortable HeatersPressure Jet HeatersRadiant Panel HeaterRadiators Panel HeaterRadiators - Oil FilledStoveWaste Oil HeaterExtracted Sawdust fuelled heatingother

Please confirm the type of fixed heating - fuel typeBottled GasElectricityGasHeating OilLPGNatural GasParaffinSolid FuelWaste OilWoodother

5) The proposer, director or partner of the Trade or Business or its Subsidiary Companies has never personally or in any business capacity:

- been convictions of a criminal offences which are not spent under the Rehabilitation of Offenders Act or has any prosecutions pending

- been declared bankrupt or insolvent or been the subject of bankruptcy proceedings or insolvency proceedings

- had a proposal refused or declined - had an insurance cancelled - had a renewal refused - had special terms imposed

YesNo

6) There has been no losses or incidents giving rise to a claim in the last 5 years

YesNo

Please provide details of the claims including loss date, type of loss and amount paid and outstanding

7) The premises are not in an area with a history of flooding

YesNo

8) The property is of standard construction, the walls are built of brick, stone or concrete and the roof is slate, tile or concrete with 0% of flat roof

YesNo

WallAsbestosBrickBrick / Timber FrameConcreteFlintGlassMetalSlateStoneTileTimberOther

Roof constructionAsbestosConcretecorrugated IronFelt on TimberGlassMetalShingleSlateTileTimberWoodworkThatch - FibreThatch ReedOther

% of the roof which is felt on timber0%0% - 5%5% - 10%10% - 15%15% - 20%20% - 25%25% - 30%30% - 35%35% - 40%40% - 50%50% - 60%60% - 70%70% - 80%80% - 90%90% - 100%

9) The property and adjacent property have not suffered or shown any visible signs of damage from subsidence, landslip or ground heave

YesNo

10) You do not have an open fire at the premises

YesNo

11) There is either no public entertainment, or public entertainment is limited to: Live folk, classical or jazz music Pub quizzes Karaoke

YesNo

12) There is not a children's play area either inside or outside of the premises

YesNo

13) There is no late alcohol licence at the premises

YesNo

Please confirm how many times a month do you have a late licence and until what time are you open

14) There is no separate function rooms at the premises

YesNo

Any additional information you would like to provide

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