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Contact Pub, Restaurant & Cafe
mobi
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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
*
Please select an option
Please advise
Burger Bar
Cafe
Fast Food Retailing
Fish and Chip Shop
Guest House - Licensed
Guest House - Unlicensed
Holiday Accommodation
Holiday Centre
Inn
Internet Cafe
Night Club
Public House - Independent
Public House - Managed
Public House - Tenanted
Restaurant - Licensed
Restaurant - Unlicensed
Sandwich Bar
Snack Bar
Wine Bar
Other
Number of years trading
*
Please select an option
Please advise
Not purchased started
Less than a year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
Over 10 years
Please provide the number of flats
Please confirm the Tenancy of the flats
Lease Holder
Working Professional
Asylum Seekers
Care and Support
Holiday Home
Local Authority
Retired
Second Home
Student
Unemployed
Unemployed with Benefits
Working with Benefits
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
Yes
No
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 fryer
Yes
No
Your fryer is a table top or basket model with no more than a 5 litre capacity.
Yes
No
Number of Employees
Employee Wage Roll
What is your estimated turnover for this year
*
What is your estimated gross profit
*
Indemnity Period (Months)
12
18
24
36
48
Property Owners Limit of Indemnity
£2,000,000
£5,000,000
Is following information is correct?
Yes
No
1) Are the premises listed
Not Listed
Grade 1 Listed Building
Grade 2 Listed Building
Grade A Listed Building
Grade B Listed Building
Grade B2 Listed Building
Grade C(s) Listed Building
Preservation Order
1) The premises are not a Listed Building
2) Your premises will not be left unoccupied or unused for more than 45 consecutive days(excluding Covid-19 enforced closures)
Yes
No
3) The heating is fixed heating
3) Please confirm the type of heating at the premises
None
Fire - Open
Fixed Heater
Hot Air
Oil Heater
Portable Heaters
Pressure Jet Heaters
Radiant Panel Heater
Radiators Panel Heater
Radiators - Oil Filled
Stove
Waste Oil Heater
Extracted Sawdust fuelled heating
other
Please confirm the type of fixed heating - fuel type
Bottled Gas
Electricity
Gas
Heating Oil
LPG
Natural Gas
Paraffin
Solid Fuel
Waste Oil
Wood
other
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
Yes
No
5) There has been no losses or incidents giving rise to a claim in the last 5 years
Yes
No
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
Yes
No
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
Yes
No
Wall
Asbestos
Brick
Brick / Timber Frame
Concrete
Flint
Glass
Metal
Slate
Stone
Tile
Timber
Other
Roof construction
Asbestos
Concrete
corrugated Iron
Felt on Timber
Glass
Metal
Shingle
Slate
Tile
Timber
Woodwork
Thatch - Fibre
Thatch Reed
Other
% of the roof which is felt on timber
0%
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%
8) The property and adjacent property have not suffered or shown any visible signs of damage from subsidence, landslip or ground heave
Yes
No
9) You do not charge an admission fee for entry to your premises
Yes
No
10) There is either no public entertainment, or public entertainment is limited to: Live folk, classical or jazz music Pub quizzes Karaoke
Yes
No
11) There is never a bouncy castle on your premises.
Yes
No
12) Other than over the Christmas period, you don't have more than two late licences per year.
Yes
No
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.
Yes
No
14) You do not let any rooms
Yes
No
Any additional information you would like to provide
Please check here to acknowledge you have read and understood our Privacy Policy
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