Sports Property & Equipment Quotation

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Submission URL

1. Team/Club Details:

Club/Client name(Required)

Trading name

Company registration number

Activities undertaken(Required)

2. Contact Details:

Contact name(Required)

Email address(Required)

Website

Mobile phone(Required)

Business phone

3. Address Details:

Insured address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Postal address(Required)

Same as above

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

1. Background Information:

Insurance refusal(Required)

Has any insurer ever declined, refused to renew or has imposed special terms and conditions to any insurance policy/renewal or application for insurance held or made by the club?

Yes

Please provide details(Required)

Risk management(Required)

Has any member of your Club completed a Risk Management course?

Yes

Please provide details(Required)

1. Written policies:

Do you have a written policy for risk management:(Required)

Yes

Do you have a written policy for alcohol service:(Required)

Yes

Do you have a written policy for blood spillage:(Required)

Yes

Do you have a written policy for discrimination:(Required)

Yes

1. Current arrangements:

Are you currently insured?(Required)

Yes

Please provide details of insurer(Required)

2. Your/directors status:

a) I/we have not had an insurance proposal declined, cancelled or refused;
b) I/we have not had any renewal refused;
c) I/we have not had any special terms or conditions imposed;
d) I/we have not been convicted or charged (but not tried) or been given an Office Policy Caution, in respect of any criminal offence;
e) I/we have not been the subject of any County Court Judgement or Sheriff Court Decrees;
f) I/we have not been declared bankrupt or insolvent or been disqualified from being a company director or been involved as owner Director or partner with any company which went into receivership, administration or liquidation;
g) I/we have been a UK resident for the past 12 months.

Please confirm that the above statements are all true(Required)

I/we confirm the above statements are true

1. Period of insurance:

Start Date(Required)

The start date must either be today or a date in the future (within 30 days). All policies run for 12 calendar months.

DD slash MM slash YYYY

2. Select the sports/activities that your client undertakes:

Do you require single or multi-sport cover?(Required)

Single Sport

Multi-Sport

Select your sport(Required)

Please provide details of sports your want to insure(Required)

1. Sums/items to be insured:

1. Building and contents section(Required)

Include this coverage

Not required

Does your building have more than 25% non-standard construction?(Required)

Yes

Please provide details(Required)

Do you have any single items worth over £5,000?(Required)

Yes

Please provide details(Required)

Buildings reinstatement cost

Stock of food and other general items

Stock of wines, spirits and beers

Floodlights

Computers

Playing surfaces

2. Portable items section (to include coverage throughout the U.K.)(Required)

Include this coverage

Not required

Team kits

Trophies, cups or shields

3. Money section(Required)

Include this coverage

Not required

In transit

On business premises during working hours

On business premises outside of working hours

In safes

Personal custody

4. Glass section(Required)

Include this coverage

Not required

External

Internal

2. Building structure:

Year built (approx.)(Required)

Alarm system(Required)

Building occupancy(Required)

CCTV(Required)

Please provide details(Required)

Maximum period of time the property is left vacant(Required)

Please provide details(Required)

Proximity to full-time fire brigade(Required)

Please provide details(Required)

3. Coverage extras:

Do you require property owners liability?(Required)

Yes

We will seek an additional quote from insurers to cover this particular benefit.

1. History:

1. Have any claims been made by you or associated directors in the past five (5) years?(Required)

Yes

Please provide details(Required)

2. Have there been any incidents in the past five (5) years that may result in claims against you or associated directors?(Required)

Yes

Please provide details(Required)

1. Submit to underwriting:

I/we declare that all the submitted information with this online proposal form is true and accurate at the time of submission.

I/we also accept that underwriters may seek further information based on the information I/we have submitted and will assist to allow the underwriters to accurately assess the risk.

Please confirm that you have read and understood the above statements(Required)

I/we understand

Sports Property & Equipment Quotation

PROPOSAL FORM

1. Team/Club Details:

2. Contact Details:

3. Address Details:

1. Background Information:

1. Written policies:

1. Current arrangements:

2. Your/directors status:

1. Period of insurance:

2. Select the sports/activities that your client undertakes:

1. Sums/items to be insured:

2. Building structure:

3. Coverage extras:

1. History:

1. Submit to underwriting:

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