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Soft Play Insurance Proposal Form

Get a soft play centre, play cafe or role play insurance quote
AIP Certified Member

    Date cover required from

    Current insurance held with

    Current insurance premium

    How did you hear about us?


    CONTACT DETAILS

    Contact name*

    Telephone number*

    Email address*

    Correspondence address

    Town

    Postcode


    BUSINESS DETAILS

    What is the insured’s trading type?

    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

    Town

    Postcode

    Website

    Type of trade*

    If ‘Other’
    Provide details below

    Date trading since

    Are you a member of the Association of Indoor Play (AIP)?*


    INTERESTED PARTIES

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

    If ‘Yes’
    Provide details below


    YOUR BUSINESS ACTIVITIES

    Select all that apply


    If ‘Other’
    Provide full details

    Do all activities take place at the premises risk address?

    If 'No'
    Provide details of where else business activities are undertaken

    Do you provide any services or undertake any activities which are not noted above or would not typically be associated with your trade, profession or business type?

    If 'Yes'
    Provide full details

    Are the premises used by any 3rd parties such as room hire for baby & toddler groups, networking groups, dance / baby ballet classes and other activities?

    If 'Yes'
    Provide full details

    Do all 3rd party sub-contractors/instructors hold their own liability insurance?

    Is access to the premises by 3rd parties only during normal business operating times and when a member of staff is in attendance at the premises?

    What is the venue's capacity?

    What is the maximum age range of children participating?

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

    Are parents/guardians responsible for supervising children at all times including during children’s parties?

    Is an independent inspection of equipment carried out at least once every twelve months by a body such as RoSPA (The Royal Society For The Prevention Of Accidents) or RPII (Register Of Play Inspectors International Ltd) with specific knowledge and experience of this type of facility?


    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

    Deterioration of stock

    (Frozen or refrigerated stock)

    General contents, trade fixtures and fittings

    All activity & play equipment

    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

    Goods in transit


    MONEY

    Money (during business hours and in transit)

    Money (in locked safe outside business hours)

    Type of safe

    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?

    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

    Your annual turnover for the forthcoming 12 months

    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?

    If ‘Yes’
    Advise the reason for being ERN exempt:

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


    YOUR PREMISES

    Location of premises

    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?

    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?

    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?

    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?

    If ‘Yes’
    Provide full details

    The premises are free from, and in an area which is free from any signs of subsidence, heave and/or landslip?

    If ‘No’
    Provide full details

    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?

    If ‘No’
    Provide full details


    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?

    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?

    If ‘Yes’
    Is the alarm annually maintained under contract by an accredited firm?

    If 'Yes - Other'
    Please detail

    Does the alarm have police response?

    Do the premises have CCTV?

    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?

    If ‘Yes’
    Is the fire alarm annually maintained under contract by an accredited firm?

    If 'Yes - Other'
    Please detail

    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?

    If ‘Yes’
    Provide full details


    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*

    If you do NOT agree
    Advise here why