Proposer and Property
Details
Proposer's
full name:
Proposer's date of birth:
Joint Proposer's full name (If Applicable):
Joint proposer's date of birth:
Trading name:
Company Status:
Please Select >>
Sole Proprietor
Partnership
LTD - Limited Company
LLP - Limited Liability Partnership
PLC - Public Limited company
Is
the business:
Please Select >>
Bed & Breakfast - Max 6 Paying Guests
Guest House - Over 6 Paying Guests
Hotel
What is your estimated turnover (gross profit) for the
next 12 months?:
Is the business licensed (i.e. sells/serves alcohol):
Yes
No
Date business established:
When did you start trading from this
address?:
Do you have a frying range:
Please Select >>
None
Tabletop Basket Fryers Only
Fixed Frying Range(Basket Fryers)
Fixed Frying Range(Fish/Chip Shop Style)
Risk address to be insured:
(N.B. We are unable to insure property's in Northern Ireland):
Risk address postcode:
Total number of bedrooms, including own:
Total number of these bedrooms which are, let out:
Total number of guests you can take at one time:
Are any rooms let on a self catering basis?:
Yes
No
If YES, please advise how many are let for self
catering?:
Do you have a restaurant area with tables for
guests?:
Yes
No
I f YES , state seating capacity:
If YES , is the restaurant open to the public, or
residents only?:
Do the premises have a bar open to the public?:
Yes
No
Do the premises have any leisure facilities
e.g. swimming pool, jacuzzi/hot tub, sauna or gymnasium?:
Yes
No
Do the premises have an ATM or any gaming
machines?
Yes
No
I f YES , which amenities
do you have and are they available to guests:
Do the premises have a passenger lift?:
Yes
No
I f YES , is it regularly inspected and maintained?:
Yes
No
Have you entered into any specific contracts to provide accommodation for DSS, Students or Asylum Seekers, (e.g. with the local authority or DSS)?:
Yes
No
Do you provide any entertainment or host
private functions, weddings or partys (e.g. discos, dancing, live music)?:
Yes
No
Do you organise any sporting or other special events either at or away
from the premises?:
Yes
No
Do you provide outside catering away from the
premises?:
Yes
No
I f YES ,
specify type of entertainment provided, functions or sporting/special
events hosted, how often they occur
and what percentage of the business comes from these activities:
Are the premises partially or fully closed during any part of the year?
Yes
No
I f YES, state usual periods of closure:
And I f YES , is there any adult in accommodation during these periods?:
Yes
No
Do you have any employees, whether full or
part time?
Yes
No
If Yes,
how many employees do you
have?:
And If Yes,
what wages are paid out per annum?:
Are the premises located on a working farm?:
Yes
No
Do the premises have a bouncy castle?:
Yes
No
Are you a Member of 'Cumbria Tourism'?:
Yes
No
General Questions
Has the Insured or any director
or partner been declared bankrupt, insolvent, gone in to administration or
liquidation, been convicted of or has any
prosecution pending for arson, criminal offence or any offence involving dishonesty of any
kind in this or any other business or company or subject of a County Court
Judgement (CCJ)?:
Yes
No
Has any previous insurer
declined a proposal, refused to renew a policy or imposed any special
terms or conditions?:
Yes
No
Has the Insured, director or partner made
any type of claim on any property or business policy (e.g. storm damage,
theft, escape of water, public liability) within the last 5 years?:
Yes
No
Are the premises in an area
which is exposed to damage by storm, flood, subsidence, heave or landslip,
or near a river, sea, watercourse, cliff or quarry?:
Yes
No
Is there a children's play
area at the premises or does the premises have any children's play
equipment?:
Yes
No
Is there a safe at the
premises?:
Yes
No
Is the property situated within 400 metres
of a river, stream, watercourse, lake, canal, sea, cliff or quarry, or in a flood
or subsidence risk area?:
Yes
No
Is any accommodation at the property let to
DSS, students or asylum seekers?:
Yes
No
If the answer is 'Yes' to any
of the above, please provide full details here incl dates, costs,
circumstances, distances etc:
About The Property
What is the construction of the property -
Walls ?:
What is the construction of the property -
Roof ?:
What percentage of the roof is flat ?:
Please Select >>
No Flat Roof
1 - 10% Flat Roof
11 - 20% Flat Roof
21 - 30% Flat Roof
31 - 40% Flat Roof
41 - 50% Flat Roof
51 - 60% Flat Roof
61 - 70% Flat Roof
71 - 80% Flat Roof
81 - 90% Flat Roof
91 - 100% Flat Roof
Is the property occupied by yourselves or
manager overnight?:
Yes
No
Heated by low pressure hot water apparatus, fixed gas
appliances or fixed electrical appliances with no portable heating?:
Yes
No
If you have answered 'No' to
any
of the above, Please give full details here:
How far is the property from the nearest
fire station?:
miles
Year property was originally built?:
Is the property a listed building?:
Please Select >>
No. Not Listed
Yes. Grade 2 Listed
Yes. Grade 2* Listed
Yes. Grade 1 Listed
Yes. Grade A Listed (Scotland)
Yes. Grade B Listed (Scotland)
Yes. Grade B* Listed (Scotland)
Yes. Grade C Listed (Scotland)
Does the property have a basement?:
Yes
No
Number of storeys (i.e ground floor being 1
storey)?:
What are the floors constructed of (inc the
upstairs)?:
Please Select >>
Concrete & Wood
Concrete Only
Wood Only
Cover
Click Here For Advice On ' What To Cover '
Is buildings cover required?:
Yes
No
I f YES, sum insured/rebuilding
cost of your property (including your outbuildings):
Is business contents cover required?:
Yes
No
Total business contents (excluding items below):
Stock in trade:
Refrigerated stock:
Cigarettes, cigars and tobacco:
Wines and spirits:
Do you require business legal expenses
cover?:
Yes
No
Is your own private contents required at the
premises?:
Yes
No
I f YES :
your private contents sums insured:
Do you require cover for private portable
contents whilst taken away from the home (e.g. jewellery,
cameras, video cameras, sports equipment etc). If Yes state maximum
value taken away at any one time?:
If you have any private contents taken outside the home
individually valued over £1,000, please list items here and their
current value?:
General Details
Your Renewal or Start date:
Your current insurers:
Your Renewal or Target premium:
Contact name:
Email address:
Telephone number:
Correspondence address (if different from risk address):
Do you have a
website for your guest house:
Where did you hear about our company:
Please Select >>
Search Engine - Google Etc
Quality Edge Magazine
Other Magazine or Newspaper Advert
Recommendation
Existing Customer of Hodgson Insurance Services
A Received Email or Flyer
Other
Please now submit the
guest house or hotel insurance quotation form through to our
office so we can arrange your
quote. We will come back to you as soon as possible.