Nightclub Insurance
Proposal Form

Get a nightclub, late-night bar or
entertainment venue insurance quote

Please complete the form below
to receive your quote

Don’t want to fill in the form?

Call us on 01254 355 158

Back to Nightclub Insurance page Request a Call Back

"*" indicates required fields

X/Twitter

This field is for validation purposes and should be left unchanged.

Date cover required from?

Current insurance held with?

Current insurance premium?

How did you hear about us?

CONTACT DETAILS

Contact name*

First Last

Contact number*

Email*

Correspondence address*

Street Address City / town County Postcode Country

BUSINESS DETAILS

Business risk address

Street Address City / town County Postcode Country

Do you have a website?

Please provide the website address

Type of trade

What is the insured’s trading type?

Please provide details

Date trading since

Number of years trading at this address?

Number of years trading at a previous address?

INTERESTED PARTIES

Do you need to note the interest of an interested party?

Please provide details

YOUR PREMISES

Are the premises all of standard non-combustible construction (walls built of brick, stone or concrete)?

Provide full construction details

Do the premises have a roof constructed of slate, tile, metal or concrete, excluding any flat roof area?

Provide full roof construction details

Is any part of the roof flat?

What percentage?

Does the premises construction have any pre-fabricated insulation panels, composite panels or wall linings?

Provide a full description of the type of panels including the insulation material / core type

Are the insulation panels, composite panels or wall linings Loss Prevention Certification Board (LPCB) or FM approved and non-combustible?

Do the premises / buildings have a listed status?

What grade?

What year were the premises built?

How many storeys do your premises have?

Are the premises in a mill complex?

Provide full details of type of building, which floor(s) you operate from and neighbouring trade types

Location of premises

Please provide details

Do you trade all year round?

Provide full details of the periods when the business is closed including the duration of closure and any security arrangements put in place when the business is closed during these periods

Please provide details

Are the premises solely occupied by the business?

Provide full details of the nature of the other business(es) which share occupancy

Is there residential accommodation at the premises other than that which acts as the private dwelling of the proposer or their employees?

Are the premises occupied by the proposer, or their employees overnight?

The premises have not had any history of flooding and are in an area free from flooding

Please provide details

The premises are free from, and in an area (within 400m of the premises) which is free from any signs of subsidence, heave and / or landslip

Please provide details

The premises have had the electrical installation tested by a certified approved contractor within the last 5 years and all reported defects remedied

Please provide details

The premises are what distance from the nearest police station?

The premises are what distance from the nearest fire station?

Do the premises have an open fire, woodburning or multifuel stove?

SUMS INSURED (reinstatement values)

Buildings

Subsidence cover required?

Signs

Tenants improvements

Loss of rent payable per annum

Loss of rent payable indemnity period

General contents, trade fixtures and fittings

Computers and electronic business equipment (including EPOS systems)

Sound, lighting and entertainment equipment

Property in the open

Wines and spirits

Tobacco, vapes, E-cigarettes and ancillary equipment

Money (during business hours and in transit)

Money (in locked safe outside business hours)

Type of safe

Goods in transit

Business interruption indemnity period

Loss of licence

LIABILITY

Public liability limit of indemnity

Your annual turnover for the forthcoming 12 months

Is cover required for employers' liability?

Number of employees

Your total annual staff wageroll for the forthcoming 12 months

Wageroll breakdown

Managerial and clerical wages

Manual including cooking (kitchen staff, chefs, etc)

Manual excluding cooking (bar staff, cleaners, serving staff, porters, etc)

Own doormen and security staff

Agency doormen and security staff

Are you or your company exempt from having an ERN?

Advise the reason for being ERN exempt

What is your Employer Reference Number (ERN)/Employer PAYE reference?

VENUE RISK INFORMATION

Is frying undertaken at the premises, other than shallow frying?

Is there a full frying range (fish & chip shop style) located and used at the premises?

Is the range maintained and cleaned periodically at least once a year by an independent contractor?

Are the kitchen and/or canopy hood, range extraction systems and ducting annually maintained and cleaned by a professional contractor?

Is a pressure cooker used at the premises?

What is the venue’s seating capacity?

What is the venue's food hygiene rating?

Do kitchen areas have a working fire suppression system?

Provide full details of make and model

How are the premises heated?

Provide full details of the heating system

Do you use portable heaters?

Provide full details of the type of portable heaters and where used

How many fire exits do the premises have?

Are fire exits maintained, clear, inside and out, at all times?

Is any part of the business situated in the basement of the premises?

Provide full details of what trading functions take place in the basement

What is the venue's authorised capacity?

What are the opening hours for each day of the week?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Is there a membership system in place?

What is the target age of customers?

Do you operate a dress code?

Is a charge made for entry?

Please provide details

Does the proposer hold a current and valid licence(s) to sell alcohol at any of the premises and are not aware of any matters pending that are likely to affect those licences?

Does the venue offer live music such as DJ's, solo artists, bands, karaoke, etc?

Please provide details

Does the venue have a dance floor or an area set aside for customers to dance?

Does the venue provide bouncy castles, foam nights, rodeo rides or other such entertainment that involves customer participation?

Please provide details

Does the venue offer event hire? (weddings, parties, etc)

Please provide details

Does the venue use door staff?

Provide details including how often door staff are used and how many

Is there an ATM on the premises?

Is the management of the ATM your responsibility?

Is the ATM bolted down?

Is the ATM emptied every night?

Is there CCTV covering the ATM?

Does the proposer have a health and safety policy in place with all appropriate and necessary risk assessments carried out?

You or any director or partner in any business, any partner in any partnership, any director of any company, or the company;
either in any personal capacity, in the name of the business proposed or in respect of any other business in which any of you have ever had an interest have:

- Never had a proposal for insurance declined, cancelled or refused;

- Never had insurance cancelled mid-term, a renewal refused, increased or special terms or conditions imposed by an insurer;

- Never been given an official police caution, convicted of, charged (but not yet tried) or have any prosecution pending for any offence (excluding any motoring convictions and any offences which are spent under the Rehabilitation of Offenders Act 1974);

- Never been the subject of or issued with a County Court Judgement (CCJ), money judgement or court decree and/or ever been cited in any unsatisfied court judgements (or the Scottish equivalent) or any other judgements or decrees in relation to debt;

- Never been declared bankrupt or insolvent, the subject of an individual voluntary arrangement (IVA) or company voluntary arrangement (CVA) with creditors, voluntary liquidation, a winding up or administration order, or administrative receivership proceedings, bankruptcy or insolvency proceedings;

- Never been disqualified from being a company director;

- Never been censured by any regulatory or trade body or any action been taken against the company by the office of fair trading, consumer groups or the alike;

- Never been served under any Health & Safety, Welfare, Environmental, Consumer Protection or Food Safety legislation or any other legislation, with any warnings, enforcement measures, prohibition notice, improvement orders, proceedings or criminal proceedings by any Health and Safety Executive, Environmental Health Office, Environment Agency, local or government authority or any other enforcement agency or authority;

- Never been convicted of, charged (but not yet tried) with, officially cautioned or have any prosecution pending for a breach of any Health & Safety, Welfare, Environmental, Consumer Protection, Food Safety legislation or any other legislation;

- Never been the subject of a recovery action by Customs and Excise or the Inland Revenue.

Does the proposer employ a Health and Safety firm to ensure compliance with HSE requirements?

What facilities are provided for smoking?

SECURITY RISK PROTECTIONS

Do the proposed premises comply with the minimum security requirements described below?

1) The Final Exit Door of the premises is fitted with either a mortice deadlock / hook lock, which has 5 or more levers with matching boxed striking plate and conforms to BS3621 standard, or a cylinder operated deadlock or a deadlocking multi-point locking system. Timber doors frames to be at least 45mm thick. All aluminium framed doors are to be fitted with a swing bolt type mortice deadlock.

2) All other external doors and all internal doors giving access to any part of the building not occupied by the insured for the purposes of the business, are fitted with either, the security detailed in 1), or two key operated security bolts of doors, fitted approximately 30cm from both the top and bottom of the door.

3) All Cellar Flaps are fitted with the security as detailed in 1), or 5 lever close-shackle padlocks, together with substantial locking bars.

4) All ground floor and basement opening windows and skylights and all other opening windows and skylights, accessible from roofs, balconies, decks, canopies, down pipes or canopies must be fitted with key operated window locks or permanently fixed shut.

Any door or window officially designated to be a Fire Exit by the Fire Authority is excluded from these requirements. These are to be secured internally by panic bolts or fire exit bolts. Any additional devices are to be approved by the local Fire Prevention Officer.

Do the premises have solid steel shutters, bars or grills to accessible windows?

Do the premises have solid steel shutters to external doors?

Do the premises have an intruder alarm under the sole control of the insured?

Is the alarm annually maintained under contract by an accredited firm?

Please provide details

Does the alarm have police response?

Do the premises have an integrated mains wired fire alarm, under the sole control of the insured?

Is the fire alarm annually maintained under contract by an accredited firm?

Please provide details

Do the premises have CCTV?

How many days are the CCTV recordings stored for?

Are CCTV recordings kept offsite?

Do the premises have 24-hour onsite security?

Do the premises have fire extinguishers installed, maintained & serviced under contract?

CLAIMS

Have you, the Proposer(s), Partner(s) or Directors(s) suffered a loss, claim or incident (which may give rise to a claim) at these premises, or any other premises, whether insured or not within the last 5 years?

Provide further details including dates, type of claim, details of the incidents and amounts paid or reserves held and any preventative measures taken to prevent repeat incidents

ADDITIONAL INFORMATION

Do you want to bring any further information or material facts to the underwriters attention?

Please povide details

DISCLOSURE

Disclosure: Please ensure that the information provided by the Proposer and the statement on these pages are correct and that you disclose material circumstances to make a fair presentation of the risk. Should the Proposer decide to proceed with the quotation, these details will form the basis of the insurance contract. Incorrect information could invalidate all or part of the Policy. Please confirm that the Proposer agrees to the following statements:

When answering all questions, you are confirming on behalf of the Proposer that the statements are true and if this quote is converted to an insurance policy, it will form the basis of any contract of insurance affected thereon.

Neither the Proposer, nor any directors or partners in the business either personally or in connection with the business or in any other business capacity has ever:

- had an insurance contract cancelled by an insurer

- had an insurance contract declared void by an insurer

- had different terms applied to an insurance contract by an insurer due to misrepresentation by:

a) providing misleading or incorrect information
b) deliberately or recklessly withholding information
c) providing false documents

- had insurance cover restricted or cancelled due to non-compliance with risk improvement requirements

Please provide details

HEALTH AND SAFETY

Neither the Proposer, nor any directors or partners in the business either personally or in connection with the business or in any other business capacity has ever been:

- convicted of (or charged but not yet tried with) a breach of any UK health and safety legislation by any official body regulatory authority or enforcing authority

- served with a prohibition notice or improvement notice in connection with any UK health and safety legislation by any official body regulatory authority or enforcing authority

- served with a clean-up notice in connection with any UK health and safety legislation by any official body regulatory authority or enforcing authority

- All lifting plant and pressure vessels/boilers which are subject to Statutory Regulations are regularly inspected by qualified engineers as required by the legislation

- To the best of their knowledge the proposer complies with their legal obligations under UK health and safety legislation

Please provide details

FINANCIAL

Neither the Proposer, nor any directors or partners in the business or in the name of any other business which any of us had an interest have:

- been declared bankrupt or insolvent either as private individuals or in connection with any business

- been disqualified from holding a directorship

- been the subject of a County Court Judgement (or the Scottish equivalents) in respect of debt as private individuals or in connection with any business

- been a director or partner in a business that has been the subject of a County Court Judgement (or the Scottish equivalents) in respect of debt

- been officers of a company that has been declared insolvent, or had a receiver or liquidator appointed, or entered into arrangements with creditors in accordance with the Insolvency Act 1986

Please provide details

Nightclub Insurance Proposal Form

Nightclub Insurance
Proposal Form