Contact Pub, Restaurant & Cafe

Name of Policyholder *

Risk Address including postcode *

Contact Number *

Your Email Address *

Please confirm Renewal / Inception date

What describes your property type *

Number of years trading *

Please provide the number of flats

Please confirm the Commercial tenancy of the premises

Building or Tenants Improvement sum insured *

Contents sum insured *

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 vendor

The type of alarm that protects your business is:

Do you use a deep fat fryer

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

Number of Employees

Employee Wage Roll

What is your estimated turnover for this year *

What is your estimated gross profit *

Indemnity Period (Months)

Property Owners Limit of Indemnity

Is following information is correct?

YesNo

1) The premises are not a Listed Building

1) Are the premises listed

2) Your premises will not be left unoccupied or unused for more than 45 consecutive days(excluding Covid-19 enforced closures)

YesNo

3) The heating is fixed heating

3) Please confirm the type of heating at the premises

Please confirm the type of fixed heating - fuel type

4) 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

5) 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

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

YesNo

7) 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

Wall

Roof construction

% of the roof which is felt on timber

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

YesNo

9) You do not charge an admission fee for entry to your premises

YesNo

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

YesNo

11) There is never a bouncy castle on your premises.

YesNo

12) Other than over the Christmas period, you don't have more than two late licences per year.

YesNo

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

13) You don't have an ATM at the premises.

YesNo

14) You do not let any rooms

YesNo

Any additional information you would like to provide

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