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Date cover required from
Current insurance held with
Current insurance premium
How did you hear about us?
—Please choose an option—AI OverviewChatGPTClaudeGeminiCoPilotMetaGoogle Web SearchGoogle Sponsored ResultGoogle AdYahoo Web SearchBing Web SearchOther Web SearchFacebookXLinked InPlay Industry ForumAssociation of Indoor Play (AIP)RecommendationExisting clientWord Of mouthAdvertisementOther
CONTACT DETAILS
Contact name*
Telephone number*
Email address*
Correspondence address
Town
Postcode
BUSINESS DETAILS
What is the insured’s trading type?
—Please choose an option—IndividualSole TraderPartnershipLimited Liability Partnership (LLP)Limited CompanyNon-Limited CompanyPublic Limited Company (PLC)Charity OrganisationCommunity Interest Company – CICOther
If ‘Other’ Provide details below
Company name
(Please enter the full name(s) and any trading names as they should appear on policy documents)
Business risk address
Website
Type of trade*
—Please choose an option—Licensed restaurantUnlicensed restaurantOther
Date trading since
INTERESTED PARTIES
Do you need to note the interest of an interested party?
—Please choose an option—YesNo
If ‘Yes’ Provide details below
YOUR BUSINESS ACTIVITIES
Do you provide any outside catering away from the premises?
If ‘Yes’ Estimated wageroll for this type of work
Estimated turnover for this aspect of the business
Total number of persons who undertake catering work away from the premises
Are there any bedrooms available for paying guests?
If ‘Yes’ How many?
What are the opening hours for each day of the week?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Is there any:
Music nights / Live band / Entertainment
Karaoke
Exotic dancers / Strippers
Disco
If ‘Yes’ How often do these events occur?
Children’s play area
Soft play area
Bouncy castle
Is there a DJ booth at the premises?
Is there a dance floor at the premises?
Do you make charges to use the premises for any day of the week? E.g., pay on the door or pre-paid ticketed events held on the premises?
Do you hold a civil wedding licence?
Do you own or hire in a marquee for use in the business?
Does the venue use door staff?
—Please choose an option—NoYes – SIA licensed 3rd party agencyYes – SIA licensed own employees
If 'Yes' Provide details including how often door staff are used and how many
SUMS INSURED (Reinstatement Values)
Buildings
Subsidence cover required?
Glass
Signs & canopies
Tenants improvements
General stock
This includes all dry stock, frozen foods, soft drinks and beers
Wines & spirits
Cigarettes, cigars and tobacco
Personal possessions in any residential portion of the premises
Deterioration of stock
(Frozen or refrigerated stock)
General contents, trade fixtures and fittings
Computers & electronic business equipment (including EPOS systems)
Business equipment away from the premises
Property in the open
Rent payable per annum
Rent payable indemnity period
—Please choose an option—12 months18 months24 months36 monthsNot required
Goods in transit
MONEY
Money (during business hours and in transit)
Money (in locked safe outside business hours)
Money in any gaming, vending, amusement, automated teller, or cash dispensing machine
Type of safe
—Please choose an option—No safe on premisesSafe installed in line with the manufacturer’s instructions
Is there an ATM on the premises?
If ‘Yes’ Is the management of the ATM your responsibility?
What is the maximum the ATM holds at any one time?
This amount needs to be included within the money limits if cover is required
Is the ATM bolted down?
Is the ATM emptied every night?
Is there CCTV covering the ATM?
BUSINESS INTERRUPTION
Business interruption cover required
Business interruption indemnity period
Loss of rental income
Is cover required for loss of alcohol licence?
If ‘Yes’ What is the sum insured?
—Please choose an option—£100,000£150,000£200,000£250,000
Has there been any opposition to the granting, renewal or transfer of the license within the last 5 years?
Is there any intention to apply for a transfer of the license within the next 12 months?
Has the license holder ever had an application for the renewal or transfer of the license refused?
LIABILITY
Public and products liability limit of indemnity
—Please choose an option—£1,000,000£2,000,000£5,000,000£10,000,000Over £10,000,000
Your annual turnover for the forthcoming 12 months
Annual turnover breakdown
Percentage of revenue for:
Meal
Take away meals
Drinks
Entertainment
Accommodation
Number of covers
Is cover required for employers' liability?
If 'Yes' Number of employees
Your total annual staff wageroll for the forthcoming 12 months
Wageroll breakdown
Administrative & clerical wages
Manual wages (including kitchen, serving & cleaning staff)
Are you or your company exempt from having an ERN?
—Please choose an option—YesNoAwaiting certification from HMRC
If ‘Yes’ Advise the reason for being ERN exempt:
—Please choose an option—All employees earn less than the PAYE thresholdBusiness does not have any employeesBusiness is registered in Guernsey, Jersey or the Isle of Man
What is your Employer Reference Number (ERN)/Employer PAYE reference?
YOUR PREMISES
Location of premises
—Please choose an option—Business park unitRetail parkIndustrial unitUnit within indoor shopping centreSelf-contained premises within multi tenure mill complexStreetsideHigh streetIndoor leisure complexResidentialMulti-tenant buildingOffice blockOther
If 'Other' Provide full details
Are the premises in a mill complex?
If ‘Yes’ Provide full details of type of building, which floor(s) you operate from and neighbouring trade types
What year were the premises built?
—Please choose an option—Pre 18501850 – 19201921 – 19391940 – 19791980 – 19891990 – 19992000 & later
Are the premises all of standard non-combustible construction (walls built of brick, stone or concrete)?
If 'No' Provide full construction details
Do the premises have a roof constructed of slate, tile, metal or concrete, excluding any flat roof area?
If 'No' Provide full roof construction details
Is any part of the roof flat?
If 'Yes' What percentage?
Provide flat roof construction details (e.g., felt on timber)
Does the premises construction have any pre-fabricated insulation panels, composite panels or wall linings?
If ‘Yes’ 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?
If 'Yes' What grade?
—Please choose an option—Category A (Scotland)Category B (Scotland)Category C (Scotland)Grade 1 (England & Wales)Grade 2 (England & Wales)Grade 2* (England & Wales)Grade A (Northern Ireland)Grade B1 (Northern Ireland)Grade B2 (Northern Ireland)Grade B+ (Northern Ireland)
Is there a basement or cellar at the premises?
If ‘Yes’ Provide full details of what trading functions take place in the basement or cellar
How are the premises heated?
—Please choose an option—Fixed gasFixed electricFixed oilFixed space heatersHVAC systemHeat pumpSolid fuel burnerCoal or biomass heatingUnderfloor heatingSolar heatingFixed thermal storageFixed infrared heatingFixed LPGNo heatingOther
If ‘Other’ Provide full details of the heating system
Do the premises have an open fire, woodburning or multifuel stove?
Do you use portable heaters?
If ‘Yes’ Provide full details of the type of portable heaters and where used
Are the premises solely occupied by the business?
If ‘No’ Provide full details of the nature of the other business(es) which share occupancy
Are the premises you occupy self-contained?
(i.e. with a separate lockable entrance and exit)
If ‘No’ Provide full details
Are the premises permanently occupied and in regular use all year?
If ‘No’ Provide full details of the periods when the premises are unoccupied including the duration of unoccupancy and any security arrangements put in place when the premises are unoccupied during these periods
Are the premises due to undergo any major refurbishment during the period of insurance?
If ‘Yes’ Provide full details
Have the premises ever experienced flooding, or are they located in an area prone to flooding?
The premises are free from, and in an area which is free from any signs of subsidence, heave and/or landslip?
Do the premises have a current, satisfactory Electrical Installation Condition Report (EICR) that complies with current standards, and have all identified remedial works and requirements been completed?
FOOD & DRINK
Is any food or drink supplied on the premises made or prepared by you?
Is frying undertaken at the premises?
Is there a full frying range used at the premises?
Are the kitchen and/or canopy hood, extraction systems and ducting maintained and cleaned periodically by a professional contractor?
Do kitchen areas have a working fire suppression system?
If ‘Yes’ Provide full details of make and model
What is the venue's food hygiene rating?
—Please choose an option—Exempt12345Pass & Eat Safe (Scotland)Pass (Scotland)Improvement Required (Scotland)Not yet assessed
Are you licensed to sell or do you permit the consumption of alcohol on site?
SECURITY
Do the premises have an intruder alarm under the sole control of the insured?
—Please choose an option—NoYes - bells audible onlyYes - digital communicator to keyholderYes - digital communicator to monitoring stationYes - central station monitored dual pathYes - central station monitored single path
If ‘Yes’ Is the alarm annually maintained under contract by an accredited firm?
—Please choose an option—NoYes – NACOSS NSIYes – SSAIBYes - Other
If 'Yes - Other' Please detail
Does the alarm have police response?
Do the premises have CCTV?
—Please choose an option—NoYes - Internal onlyYes - External onlyYes - Internal & external
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 24-hour onsite security?
Are the premises occupied by the proposer, or their employees overnight?
Do the premises have an integrated mains wired fire alarm, under the sole control of the insured?
—Please choose an option—NoYes - bells audible onlyYes - central station monitored
If ‘Yes’ Is the fire alarm annually maintained under contract by an accredited firm?
Do the premises have an automatic sprinkler system installed?
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?
If ‘Yes’ 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?
DECLARATION
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.
Please confirm if you agree with the declaration*
—Please choose an option—Yes - I agree with the declarationNo - I do NOT agree with the declaration
If you do NOT agree Advise here why
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