restaurant insurance

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Fields marked * are required.    
     
Title: *
Name: *
Trading Name:  
Address: *
   
Post Code: *
Home Phone: *
Business Phone:

*
Mobile Phone:  
Email Address:  
Type Of Business: * Restaurant Pub Both
Number of seats:
Type of food (If applicable):
New Venture: * Yes No
  If NO, Years Trading:
 
Number of manual workers:
(Include Proprietors/Directors in either manual or clerical)		  
Number of clerical workers:  
Total annual wages:  
Annual Turnover: *
Any take away: * Yes No
  If YES, Licenced Take Away:
  Yes No
Any Deep fat frying * Yes No
 

Is contract in force for cleaning
and maintenance:

  Yes No
  By Professional contractors:
  Yes No
Age of property:  
Building Construction: *
Brick Stone Concrete Other:
Roof Construction: *
Tile Thatch Other:
Is any portion of the roof flat? * Yes No
  Estimated % of flat roof
 
  Construction of flat roof
  Timber / Asphalt Concrete Other
Are you the sole occupier: * Yes No
  If NO, Give Other Occupier:
 
Buildings sum to be Insured: *
Does the building have separate access: * Yes No
Stock - Sum to be Insured:  
Fixtures and Fittings - Sum to be insured:  
Wines / Spirits - Sum to be insured:  
Cigarettes - Sum to be insured:  
Do you require Business Interruption cover: * Yes No
  Limit of cover:
 
Do you require cover for:
(Standard limits apply)		   Money Loss of Licence Legal Liabilities

Goods in transit Frozen Food
General Questions    
  Open for extended hours:
 
Yes No If YES, Closing time:
  Is there any entertainment:
 
Yes No If YES, Type of entertainment:
(e.g live, disco, etc)
  Number of people:
  Frequency:
   
  Function Rooms:
 
Yes No Number of rooms:
  Purpose Used:
  Number of people:
  Bedrooms to let:
 
Yes No If YES, Number (if in excess of 5):
  Landlords' Contents:
 
Yes No Sum Insured:
  Tenants Improvements:
 
Security:    
  Is an Alarm Fitted:
* Yes No
  Type Of Alarm:
 
  Specify any additional security:
 
Are smoke alarms fitted: * Yes No
Are fire extinguishers fitted: * Yes No
     
Any Previous Claims: * Yes No
Please give a description of the claims:  
Any previous convictions:

*

 Yes No
Please give details of previous convictions:  
Current Insurer:  
Current Premium:  
     
   

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