PUBLIC HOUSE QUOTES

1. Name of Proposer and Trading Title:
2. Address of the premises:
Post Code:
        Tel. Number:  
e-mail (if you have any):
3. Description of Business:
4. Date Established:
5. Type of premises:       If other, please state:
6. Does your premises have own lockable entrance: Yes No
7. THE CONSTRUCTION OF PREMISES (ie: Brick walls, Mild steel roof)
7.1 Is there a full / partial flat roof Yes No
If "Yes" describe in detail:
7.2 Type of heating at premises:
8. THE LOCATION OF PREMISES:
8.1 If other, please state:
8.2 Approx distance from Police Station (Miles):   Approx distance from Fire Station (Miles):
9. YOUR BUSINESS :  
9.1 Please provide a full description of your business, it's licenced hours and whether you have live entertainment:
9.2 Do you have a deep fat fryer? Yes No
If "Yes" describe in detail:
9.3 Total Estimated Turnover:
9.4 Does pub have a restaurant, if so number of seats:
9.5 Do you have a children’s play area? Yes No
If "Yes" please describe in detail:
10. SECURITY AND FIRE PRECAUTIONS  
FIRE  
10.1 Are the premises fitted with a: Fire alarm : Yes No
  Sprinklers: Yes No
  Fire Extinguishers: Yes No
10.2 Are there any rivers or watercourses near the premises Yes No
If "Yes" please give full details
10.3 Physical Security:
11. BURGLAR ALARM  
11.1. Is there a burglar alarm under your sole control Yes No
If "Yes" please state:
12. INSURANCE HISTORY  
12.1 Have you had any previous insurers: Yes No
12.2 Have you ever been declined, cancelled, refused or special terms: Yes No
If "Yes" please give full details
12.3 Have you had any claims: Yes No
If "Yes" please state here:  
Date of claim:
What happened:
Total Payment:
1.
2.
3.
4.
13. SUMS INSURED  
        SUM INSURED
Buildings (including outbuildings): £
Stock in trade (exc wines/spirits): £
Wines & Spirits stock: £
Cigarettes & Tobacco £
Frozen food £     Age of the freezer:
Fixtures & Fittings: £
All other contents: £
Computer Systems: £
Do you require Accidental Damage to apply on contents? Yes No
Do you require Accidental Damage to apply on buildings? Yes No
INCLUDED AUTOMATICALLY IN QUOTE  
14. LOSS OF PROFITS  
15. EMPLOYERS LIABILITY  
16. PUBLIC AND PRODUCTS LIABILITY  
17. GLASS BREAKAGE  
18. MONEY  
19. GOODS IN TRANSIT  
   
If you live on the PREMISES & would like a Quote for Personal Contents, please advise Yes No
Do you want a Quote in: 24 hrs working 3 Days working 5 Days working

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