| Personal/Company Details |
|
| Proposers Name(s) (incl. all partners names if partnership): | |
| Limited Company Name (if applicable): | |
| Trading Status: | |
| Type Of Property: | |
| Trading Name: | |
| Hotel / Guest House Address:
|
| Address 1 | |
| Address 2 | |
| Town/City | |
| County | |
| Hotel/Guest House Postcode: | |
| Daytime Telephone No. | |
| E-Mail Address: | |
|
| General Information |
|
| General Questions |
Have you, or any other partner or director ever
been convicted of any offences, been declared
bankrupt/insolvent or had any insurance refused or cancelled? | Yes No |
If yes, please provide details:
(e.g. date of offence/bankruptcy, length of custodial
sentence/amount of bankruptcy, discharged, etc.) | |
| Please state the number of years the business has been trading: | years |
If a new venture, please state the number
of years previous experience (if applicable): | years |
| Accommodation Details |
| Number of guest bedrooms: | |
| What is the maximum number of guests that you can accommodate? | |
| Is accommodation ever provided for assylum seekers / D.S.S. referrals? | |
Is the hotel/guest house unoccupied for any period of time?
(i.e. for seasonal closures, etc.) | |
| Construction Details |
| Construction of the Walls (e.g. brick, stone, etc.) | |
| Construction of the Roof (e.g. tile, slate, etc.) | |
| Percentage of Flat Roof (if applicable) | % |
If any flat roofing, please state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'): | |
| Construction of Floors (e.g. wooden, concrete, etc.) | |
| Please state the number of storeys: | |
| Approximately, what year was the property built? | |
| Is the property a listed building? (e.g. grade I, II, etc.) | |
| Does the property have a basement or floors below ground level? | |
Please state the distance from the nearest watercourse
(e.g. coast, river, canal, lake, etc.): | |
| Are the premises near a cliff or other exposed area? | Yes No |
If yes, please state the approximate
distance from the cliff / exposed area: | |
| Has the property ever suffered from subsidence or flood damage? | Yes No |
If yes, please provide details:
(i.e. date of damage, cost of
damage, type of damage, etc.) | |
| Security Information |
Details of any security
(alarms, physical security, etc.): | |
| Do you have a night porter? | |
| Do you or your manager live on the premises? | |
| Fire Protection |
| Do you comply with the current fire regulations | |
| Do the premises have fire extinguishers? | |
| Does the premises have an automatic fire alarm? | |
| If yes, is the alarm central station monitored? | |
| Please state distance to the nearest fire brigade: | |
| Are the premises protected by a sprinkler system? | |
| Catering Details |
| Is cooking carried out at the premises? | |
| If yes, state the type of Deep Fat Frying Equipment used: | |
| Is there a seperate restaurant area? | |
| If yes, please confirm whether Licensed or Unlicensed: | |
| Are any Self Catering facilities provided for guests? | |
| Leisure Facilities |
Please provide details of any
leisure facilities the hotel/guest house offers:
(e.g. swimming pool, sauna, gym, etc.) | |
| Are the leisure facilities limited exclusively to residents (if applicable)? | No Yes |
| Entertainment Details |
Do you hold disco's, live entertainment
or similar functions open to the public?
(other than private functions) | Yes No |
If yes, please state the type of live
entertainment and how frequently it is arranged: | |
| If you hold disco's/live entertainment, do you employ door staff? | |
| If you hold disco's/live entertainment, do you charge an entry fee? | |
| Do you hold a late licence to sell alcohol? | |
| Health & Safety |
| Is there a Health and Safety Policy in force? | |
| Is there a current IEE electrical certificate? | |
| Age of electrical installation? | |
| Date the electrics were last inspected: | |
| Claims History |
Have you or any other partner or director (in this
or any other trading name) suffered any loss or
had any claims made against you in the last 5 years? | Yes No |
If yes, please provide details
(i.e. date of claim, amount claimed,
circumstances of claim, etc.): | |
|
| Cover |
|
| Level of Cover Required? | | |
| Is Terrorism cover required? | | |
| Stock |
| Wines and Spirits Sum Insured: | £ | |
| Tobacco, Cigarettes and Cigars Sum Insured: | £ | |
| General Stock Sum Insured: | £ | |
| Freezer Contents Sum Insured: | £ | |
| Age of refrigeration units (if applicable): | | |
| Contents |
| Electronic Office Equipment Sum Insured: | £ | |
Domestic Household Goods and Personal Effects,
belonging to yourself or your resident manager: | £ | |
Guests Effects Total Sum Insured:
(Max. £750 per person) | £ | |
Other Trade Contents/Fixtures & Fittings
(i.e. general furnishings, etc.): | £ | |
| Money |
| Money sum insured (during opening hours/in transit): | £ | |
| Buildings (if required) |
Buildings Sum Insured including
rebuilding, architects' fees, removal of debris, etc: | £ | |
| Do you wish to include cover for subsidence? | | No Yes |
|
| Business Interruption |
|
| Do you require business interruption cover? | | Yes No |
If yes, please state the Gross Profit of your business:
(i.e. turnover less the cost of consumables) | £ | |
| Please state the period of time you wish the cover to extend? | | 12 months
24 months
36 months
(allow sufficient time for rebuilding/refurbishing
and further time to resume normal trading) |
|
Loss of Liquor Licence Sum Insured (if required):
(£100,000 standard cover) | £ | |
|
| Liability Cover |
|
| Public Liability |
Please choose the limit of indemnity required:
(£1 Million automatically included) | | |
| Turnover of your business: | £ | |
| Employers Liability |
| Employers liability limit of indemnity: | | £10 million |
| Please state the total number of employee's: | | |
| Please state the total wages of your employee's: | £ | |
|
| Additional Covers |
|
If there is any other information or cover that
you wish to include, please provide details: | | |
|
| Details of Current / Previous Policies |
|
| Current annual premium: | £ |
This may help us to get you a better quote |
| Current insurer: | | |
| Renewal date/date cover required: | | e.g. (dd/mm/yyyy) |
