GravityOvernightTest

Name*

Prefix First Name Last Name

Trading Name*

If Limited company full company name and trading name

Renewal Date*

DD slash MM slash YYYY

Address of the premises to be insured*

Street Address City County Postal Code

Email*

[email protected]

Phone Number*

Area Code Phone Number

What type of establishment do you run?*

Number of years trading at this address*

How many years experience do you have in the industry?*

Experience as an owner or business manager

When was premises built?*

If built pre 1850, please confirm the exact year of build*

Is the building occupied in full throughout the year and does the business trade all year round?*

Yes

Is the building in a good state of repair, kept in a like manner and free from any visable signs of cracking?*

Yes

Does the building have walls built of brick, stone or concrete?*

Yes

If No, what construction box?*

Does the building have a roof of slate, tile, metal or concrete excluding any flat roof area?*

Yes

Does the building have any area of flat roof?

Yes

What percentage of the roof is flat?*

What is the flat roof area made from?*

Is any part of the building listed?*

Yes

What Grade is it listed?*

Is the buiding free from storm exposure and/or are in an area which is free from flooding and at least 400 metres away from the nearest river, canal, lake or tidal waterway?*

Yes

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

Yes

Is the building solely occupied by the business?*

Yes

Is the building occupied by the proposer, or their employees, overnight?*

Yes

Is accommodation let to Students, Asylum Seekers, Refugees or persons who receive Housing Benefits directly or indirectly?*

Yes

Type of tenants?

Please confirm type of tenants?*

How many guest letting rooms do you have?

Is the building entirely self contained with its own lockable entrance and exit doors?*

Yes

Has all sections of the building had the Electrical Installation tested by a certified NICEIC, ELECSA or ECA Contractor within the last 5 years and all reported defects remedied?*

Yes

Do any sections of the building have any open fires, woodburning or multifuel stoves?*

Yes

Does the business charge an entrance fee?*

Yes

Does the business offer event hire for private functions? This includes Weddings, Birthdays, Christenings, Wakes etc.*

Yes

Is there any indoor or outdoor children play or soft play facility?*

Yes

Is frying undertaken at the premises?

Yes

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

Yes

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

Yes

Is a pressure cooker used at the premises?*

Yes

What is the seating capacity at any one time?*

To include all indoor and outdoor seating

What is your food hygiene rating?*

How is your premises heated?*

Do you have a Gymnasium?*

Yes

Do you have a Swimming Pool?*

Yes

Are there any spa or beauty treatments carried out on the premises?*

Yes

Is the business located in a shopping centre, arcade or mill complex?*

Yes

Do you offer any outdoor catering?*

Yes

What percentage of your business turnover is outdoor catering?*

Is there a designated dance floor?*

Yes

Is a nightclub operated from the premises?*

Yes

Is there any live entertainment?*

Yes

What type of live entertainment?*

How many times a week is there live entertainment?*

Are doorstaff used?*

Yes

Are door staff employed via an agency?*

Yes

How often are doorstaff used?*

Do you require buildings cover?*

Yes

Building sums insured in £*

Day one reinstatement value

Do you require tenants improvement cover?*

Yes

Tenants improvements insured in £*

Including external signs, canopies, awnings, etc. for which the Insured is held legally responsible for

Do you require trade contents cover?*

Yes

Trade Fixtures & Fittings, Machinery, Plant and all Other Contents (Ex. Stock) Including Property Held in Trust in £*

Do you require Stock cover?*

Yes

Wines and Spirits sums insured in £*

Beers, food and general stock sums insured in £*

Cigarettes and Tobacco stock in £*

Do you require cover for electronic business equipment?

Yes

Electronic Equipment & Computers in £*

Do you require cover for money during business hours and In transit?*

Yes

Money During Business Hours and In Transit*

Do you require cover for Public Liability?

Yes

Public Liability levels of cover

Do you require cover for Employers Liability?*

Yes

How many employees does the business have?

What is the business' estimated annual wageroll for the next financial year in £*

What is the business' estimated annual turnover for the next financial year in £*

Do you require cover for business interruption?*

Yes

Do you require cover for loss of licence?*

Yes

Do you require cover for legal expenses?*

Yes

Do you require cover for terrorism?*

Yes

Security

Does 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.

Does the premises comply with the minimum level of security above?*

Yes

Are the premises protected by an automatic fire detection and warning system that runs from the mains electricity (with battery back-up)?*

Yes

Have you carried out a Fire Risk Assessment?*

Yes

Are the premises thoroughly protected by an intruder alarm system, under the sole control of the insured?*

Is the alarm maintained by NACOSS, NSI or SSAIB approved contractors on an annual basis?*

Yes

Is there CCTV on the premises?*

Are recordings kept*

How long are recordings kept for in days?*

Has 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?*

Yes

Details of Claims*

Date of Incident

Month

Year

Description of incident

Claim Status

Security

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 or declared void by an insurer.
had different terms applied to an insurance contract by an insurer due to misrepresentation
had insurance cover restricted or cancelled due to non-compliance with risk improvement requirements.
been convicted of or charged with but not yet tried for a criminal offence other than motoring offences.
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.
been 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.
been 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.
complies with their legal obligations under UK health and safety legislation.
been declared bankrupt or insolvent either as private individuals or in connection with any business within the last ten years.
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 within the last six years.
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 within the last six years.
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 within the last ten years.

Can you agree with the above statement of fact questions?*

Yes

GravityOvernightTest

Overnight Accommodation Quotation

Security

Security