Nightclubs | Proposal Forms

Nightclubs and Entertainments Proposal Form

Introduction

The information you provide on this proposal form is vital to Underwriters' consideration of the relative risks associated with your business. The premium quoted will be based on a number of factors including the responses you give to the questions below.

This proposal must be signed and dated by a partner, principal or director of the business. It is your duty to disclose all material facts to the Underwriters. A material fact is one that is likely to influence underwriters' judgement and acceptance of your proposal.

Should we underwrite your policy, any change or alteration to the information you give below, which occurs during the period of the policy, requires immediate notification to us. Failure to do so may result in cover being available from the date at which the change or alteration occurred.

1. The Insured

1. Name and Registered Address of the Insured

Post Code
Telephone
Fax
Email Address

2. Trading Name of the Insured
3. Full Business Description

4. How long have you been operating:

a) at this premises
b) elsewhere

5. For all new businesses, The 'Financial Questionnaire' at the end of this form must be completed and should be accompanied by a brief CV for each Director, Partner or Principal.

6. Venue web-site address

Registered in England: Number 608819
Authorised and Regulated by the Financial Services Authority

Registered Office:
Lygon House, 50 London Road, Bromley, Kent. BR1 3RA