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Club Insurance Quotes
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Club Insurance Quotes

For UK Customers Only

Please insert your details here and one of our club insurance advisers will contact you shortly.

This form is designed for quotes for club insurance only. club insurance is a package policy designed to cover club contents/fixtures and fittings, buildings (optional), stock, public/product and employers liability, business interruption, money, loss of licence, etc.

If you have any problems with completing this form, please phone us on 01623 641 386 for assistance.

Proposers Details

Proposers Full Name(s):
(enter sole trader's name or all partner's names if a partnership)
Limited Company Name (if applicable):
Trading Name:
Trading Status:
Club Address:
Club Postcode:  Help?
Correspondence Address:
(if different from above)
Daytime Telephone No.
E-Mail Address:

General Information

Have you, or any other partner or director ever
been convicted of or charged with any criminal offence?
Yes     No
If yes, please provide details:
(i.e. date of conviction, type of
conviction, length of custodial sentence, etc.)
Have you, or any other partner or director ever been
declared bankrupt, insolvent or been the subject
of a County Court Judgement (or Scottish equivalent)?
Yes     No
If yes, please provide details:
(i.e. date of bankruptcy/insolvency, amount of
bankruptcy/insolvency, whether discharged, etc.)
Has any insurer ever refused, declined,
cancelled or imposed special terms
in respect of your club insurance?
Yes     No
If yes, please provide details:
(i.e. name of insurer, reason
for refusal/special terms, etc.)
Have you, or any other partner or director ever
been prosecuted or received notice of intended
prosecution under the Consumer Protection Act, Food
Safety Act, Health & Safety Act or similar legislation?
Yes     No
If yes, please provide details:
(i.e. date of prosecution, reason for prosecution, etc.)
Business Description / Years Trading
Full description of the clubs activities:
Please state the number of years
trading under current management:
What is the maximum permitted attendance at the club?
Is a membership system in place?Yes     No
What are the opening hours of the club?
How many days a week is the club open?
Do you directly employ door supervisors?Yes     No Help?
Is there any live entertainment at the premises?
(e.g. Karaoke, disco's, bands, etc.)
Yes     No Help?
If yes, state the type of entertainment
(e.g. disco, bands, etc.), how many times
per week the entertainment is held and
whether an entry fee is charged at the door:
Is there a dance floor?Yes     No Help?
If yes, please state the maximum
capacity of people on the dance floor area:
Do you carry out any private functions at the premises?Yes     No
Do you carry out any floor shows/cabaret/striptease?Yes     No
Do you arrange activities for
children aged below 16 years old?
Yes     No Help?
If yes, please confirm the type of
activities and how frequently they are carried out:
Is any cooking carried out at the premises?Yes     No Help?
If yes, please confirm whether or not you provide
bar meals only or have a seperate restaurant:
Do you carry out Deep Fat Frying?Yes     No
If yes, please state type of frying equipment:
Club Construction Details
Is the property in a good state of repair?Yes     No
Construction of Walls (e.g. brick, stone, etc.):
Construction of Roof (e.g. tile, slate, felt, etc.):
If there any flat roofing?Yes     No
Please confirm percentage Flat Roofing:%
Please confirm the type of flat roofing:
(e.g. 'felt/bitumen on wood' or 'concrete flat roof')
Construction of Floors (e.g. concrete, wood, etc.):
Are there any outbuildings?Yes     No
If yes, please provide details:
Approximately, what year was the club built?
Is the property a grade listed building (i.e. grade I, II, etc.)
In what type of area are the premises situated?
(please tick all those that apply)
Residential Area
Industrial Area
Commercial Area
Rural Area
Number of storeys:
If there a cellar or a basement?Yes     No
Do you occupy the whole of the premises?Yes     No
If no, what parts do you occupy?
If no, what is the occupancy of the other parts?
Please indicate the distance to the nearest water
(e.g. river, canal, lake, coast, etc.):
Has the property ever previously
suffered from subsidence or flood damage?
Yes     No
If yes, please provide details:
(i.e. date of damage, amount of
damage, type of damage, etc.)
How far are the premises from a full-time Police Station?
How far are the premises from a full time Fire Station?
How are the premises heated?
(e.g. fixed gas central heating, portable heaters, etc.)
Is the club occupied by a manager or employee overnight?Yes     No Help?
Are all your external doors fitted with a minimum
of 5 lever mortise deadlocks (BS3621) or equivalent?
Yes     No Help?
Are all opening windows fitted
with key operated window locks?
Yes     No Help?
Is the club protected by an intruder alarm?Yes     No Help?
If yes, is the alarm NACOSS / NSI approved?
Method of intruder alarm signalling:
Is the alarm maintained annually?Yes     No
Name of installation company of alarm (if known):
What level of CCTV coverage protects the premises? Help?
Please provide details of any other
security arrangements (e.g. window grilles, etc.):
Is there an A.T.M. (cash machine) on the premises?Yes     No Help?
Fire Precautions
Is a fire alarm fitted at the premises?Yes     No
Does the fire alarm include 'break glass' boxes in all parts of the premises?Yes     No
Does the fire alarm include automatic fire detection (i.e.smoke detectors)?Yes     No
Is the fire alarm connected to a central station for monitoring?Yes     No
Is there a sprinkler system in the club?Yes     No
If yes, please provide details:
When was the wiring
last checked by a qualified electrician?
Management of Club
How many years management
experience in running a club?
How many incidents have occurred during the last three
years resulting in a police visit or warning to the premises?
Do you actively promote
employees to become qualified 'First Aiders'?
Yes      No
What measures are undertaken in the event of injury?
Do you have dedicated glass clearers?Yes     No
Who is the licensee of the club?
Has the Licence been transferred
during the current period of insurance?
Yes     No
To your knowledge, has there been any formal
objections to the Licence during the last five years?
Yes     No
If yes, please provide details:
Has the present owner(s)
or manager(s) been refused a Licence at any time?
Yes     No
If yes, please provide details:
Are there any circumstances known to the proposer
which might prejudice the continued holding of the licence?
Yes     No
If yes, please provide details:
Can you confirm that all keys to final exit
door(s), safes and alarms are removed
from the premises when closed for business?
Yes     No
Claims History
Have you, or any other director or partner (in this
or any other trading name) suffered any loss or
had any claims made against you in the last 5 years?
Yes     No Help?
If yes, please provide details:
(i.e. date of claim, description
of claim, amount claimed, etc.)


Level of Cover Required? Help?
Is terrorism cover required?Yes     No Help?
Buildings / Tenants Improvements
Buildings Sum Insured (including outbuildings,
rebuilding architects' fees, removal of debris, etc.)
Do you require cover for subsidence, heave or landslip?Yes     No Help?
If you are a tenant, do you require cover for
any improvements you have made to the property?
Yes     No     N/A Help?
If yes, please state the sum insured:
Club Contents / Fixtures & Fittings
Electronic / Computer Equipment (e.g. tills, TV's, etc.): Help?
Gaming machines / entertainment equipment: Help?
All Other Club Fixtures & Fittings / Contents Sum Insured: Help?
Wines and Spirits (excluding beer): Help?
Tobacco, Cigarettes & Cigars: Help?
All Other Stock Sum Insured (including food / beer): Help?
Deterioration of Frozen Food
Deterioration of Frozen Food (if required): Help?
Fixed External Glass & Signs Sum Insured: Help?
Money Sum Insured (during working hours / in transit): Help?
Money Sum Insured (out of working hours and in a safe): Help?
Money in Gaming Machines: Help?
Please confirm your estimated
annual carryings of money to the bank (£s):
Is there a safe or safes?Yes     No
If yes, make and model of safe (if available):
Is the safe bolted to the floor?Yes     No
Good In Transit
Goods In Transit Sum Insured (if required): Help?

Business Interruption

Do you require business interruption cover?
(i.e. loss of profit following an insured event)
Yes     No Help?
Please confirm the Annual Gross Profit of the club (£'s): Help?
Please advise the period of
time you wish the cover to extend?
(allow sufficient time for rebuilding/refurbishing
and further time to resume normal trading)
12 months
24 months
36 months Help?
Do you require cover for loss of liquor licence
(i.e. depreciation of the value of the premises)?
Yes     No Help?
If yes, please confirm the sum insured required (£'s): Help?
Do you require cover for loss of Book Debts?Yes     No Help?
If yes, please indicate the maximum amount of Debit
Balances outstanding at any one time (£'s):

Public / Employers Liability Cover

Public / Product Liability limit of indemnity: Help?
Please confirm the annual Turnover of your business (£'s): Help?
Do you require Employers' Liability cover?
(£10 Million limit of indemnity)
Yes     No Help?
If yes, please confirm total number of employees:
If yes, please confirm total annual wages of the employees (£'s):
Per Annum
Employers' Reference Number (if available): Help?

Legal Cover

Is legal expenses cover required?Yes     No Help?
Has the business and/or its directors been
involved in any legal dispute, tax investigation
or any other court or tribunal action in the last 5 years?
Yes     No
Please provide details of the dispute including dates:

Additional Information / Covers

If there is any additional information that
you wish to disclose or cover that you
wish to include, please provide details:
You are required to make a fair presentation of the risk to insurers which means that you are required to disclose every material circumstance which you know or ought to know relating to the risk to be insured. Materially important information is any information that could influence an insurer's decision to accept your risk including the cost of your insurance. Failure to comply with the duty of fair presentation could mean that your policy is void or that insurers are not liable to pay all or part of your claim(s). By submitting this quotation you are confirming that there are no other material facts to disclose other than those shown above.

Details Of Current / Previous Policies

Current annual premium:
This may help us to get you a better quote
Current/previous insurer:
Renewal date/date cover required:

Request Quotation

Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Club Insurance Quote button to send your quotation details to us.