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Leisure Club Insurance Quotation

You must fill in all mandatory fields marked with (*)

Client Details

*Full Name
*Company
     
*Address Line 1
   
     
*Address Line 2
   
     
*Postcode
   
     
*Phone
   
     
Fax
   
 
Email
   
 
*Nature Of Business
   
     
*What are your opening hours
   
     

Property Details

Are the premises built in brick, stone concrete and roofed with slate, title , metal
asbestos or concrete?


If no, please state the percentage of flat roof area
 
What is the age of the building?
     
Number of Floors:
   
     
Are the proposed premises in good state of repair?
   
     
Are the floors Timber / Concrete / Other?
   
     
Is there a basement or cellar?
   
     
If yes, Is all stock / contents stored 6' above floor?
   
     

Client History
Have you suffered any losses in the last five years whether claimed for or not?

(This should include other trading names/ Premises and if a Limited Company all Directors loss experiences in the last 5 years . For other companies for which Directorship is/ has been held)

If yes, please provide details of the claim.

YEAR ESTABLISHED
     

OCCUPATION

At the proposed premises are they occupied solely by the Proposer?



If No, please list below all tenants (DSS / Working / Students / Residential) and where they are situated within the Building;

     

COVER REQUIRED

Your policy will cover the following, please add any extra covers required or delete as applicable

Fire / Perils / Theft / Employers / Public / Products Liability / Accidental Damage
     

SECURITY PRECAUTIONS

If the premises are alarmed, what type of system has been installed:
(Please tick the applicable alarm type)

BT REDCARE DIGITAL COMMUNICATOR AUDIBLE ONLY DIRECT LINE

OTHER - Please Specify
     

Is there a CCTV system installed?



Please provide security details of all external doors; i.e. type of locks (5 lever) wood/metal etc

     
Is there a Fire Alarm/Sprinkler system installed ?
Fire Alarm Sprinkler

Are any ground floor windows fitted with Grills/Bars?
Grills Shutters Bars

Are any upper floor windows fitted with Grills/Shutters/Bars?
Grills Shutters Bars

If any skylights, how are they protected

Please provide details of any other security measures that are in place:
     

SUMS INSURED

Main Building (This should represent full rebuilding cost) 
Loss of rent 12 months indemnity period (payable / receivable)
     
Shopfront including security / glass / frame / sign                       
   
     
Interior Decorations / tenants improvements                                     
   
     
Trade contents (fixture & fittings) (machinery, Furniture, alarm, stationary)
   
     
Electronic Business equipment ( Pc, fax, Printer, Till).                  
   
     
General stock                                               
   
 
Beers                                                   
   
     

Wine / Spirits                      
   
     
Tobacco  
   
     
Frozen Food       
   
     
Loss of License      
   
     
Goods In Transit   
   
     
Gross Profit (12 Months)                                               
   
     

For Employers / Products / Public Liability please provide:                    
 
Annual Turnover  
   
     
Annual Wages (excluding doormen)      
   
     
No of Clerical Employees  
   
No of Manual Employees  
   
     
Please provide doormen wages if doormen are employed
   
     
Are the doormen employed through an agency?
     
   
 
 
Number of doormen used
 
Is there any live entertainment?
 
If yes, please provide details.
 
Is there a children's soft play area / bouncy castle etc.
 
If yes, please provide details.
 
 
Money

In business hours
   
     
In transit to bank                                   
   
     
Type of safe                                                                                   
   
 
In safe out of business hours               
   
     
Please state the make and model of the safe
 
* Current Insurer
   
     
* Renewal Date                                     
   
     
Premium Paid                                                                               
   
     
     
   

Direct 2 Networks [Business Solutions] Limited
91 Smallbrook Queensway
Birmingham
B5 4JL

We specialise in all types of commercial insurance and with our combined experience, our staff members are here to help and advise you of our services.
 
 
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