pro-indemnity.co.uk Public House Quotes 1. Your Name:  Company Trading Title:  Type of Company: Sole TraderPartnershipLimited Company- 2. Address of your premises:  Post Code:            Telephone Number:  E-mail address:  Website address: 3. Description of Business: 4. Date Established: 5. Type of Premises: FactoryWarehouseUnitOther-  If other, please give details:  Do your premises have lockable gates?:  Yes No 6. THE CONSTRUCTION OF PREMISES (eg: Brick walls, Mild steel roof)  Is there a partial or full flat roof?  Yes No  If "Yes" describe in detail: (construction, waterproofing, access, security...)  Type of heating at premises 7. THE LOCATION OF PREMISES: IndustrialMixed residential/commercialRuralOther-  If other, please give details:  Are there any rivers or watercourses near the premises?  Yes No  If "Yes" please give full details  Approximate distance from Police Station (Miles)  Approx distance from Fire Station (Miles) 8. SECURITY AND FIRE PRECAUTIONS    Are the premises fitted with -  Fire Alarm?  Yes No  Sprinklers?  Yes No  Fire Extinguishers?  Yes No  Are fire extinguishers inspected annually?  Yes No  Are door locks 5-lever mortise deadlock type?  Yes No (eg Chubb locks)  Are window locks fitted?  Yes No  Please give any other physical security details: 9. BURGLAR ALARM    Is there a burglar alarm under your sole control?  Yes No  If "Yes" please indicate type: Alarm to Police StationAlarm to Central Monitoring StationPrivate line to KeyholderBells only- 10. YOUR BUSINESS   Please provide a full description of your business, its licenced hours, and whether you have live entertainment: Do you have a deep fat fryer? Yes No If "Yes" describe in detail (size, type etc): Total Estimated Turnover: Does the pub have a restaurant? If so number of seats: Do you have a children's play area? Yes No If "Yes" please describe in detail: 11. INSURANCE HISTORY    Have you had any previous insurers?: Yes No  Have you ever been declined, cancelled, refused or special terms?: Yes No  Name of current insurers (so that we don't approach them!)  Expiry date of current insurance  Current premium (if known) £  Have you had any claims?: Yes No  If "Yes" please give details - Date of claim: What happened? Total Payment: 12. SUMS INSURED    Buildings (including outbuildings): £  Stock in trade (excluding wines/spirits): £  Stock (wines & spirits): £  Fixtures & Fittings: £  All other contents: £  Computer Systems: £  Loss of Liquor Licence: (Enter the value of business that would be lost if your alcohol licence was refused or revoked) £ 13. LOSS OF PROFITS    Gross Profit: £ 14. EMPLOYERS LIABILITY (Please give estimated wages)    Clerical, Admin & Managerial Wages: £  Employees (cleaning): £  Employees (bar staff): £ All other employees: £ 15. PUBLIC AND PRODUCTS LIABILITY    Estimated turnover: £ 16. GLASS BREAKAGE    Value of Glass and fixed sanitary fittings £ 17. MONEY    Estimated annual carryings: £  Limit required in safe (outside business hours): £  Limit required on premises during business hours: £  Limit required in transit: £  Any other money required (detail) 18. GOODS IN TRANSIT   Limit required any one vehicle: £ Numbers of vehicles:    Do you have an ATM in your premises?  (Note that if you DO have an ATM, you will need to fill out the ATM Questionnaire, available by clicking here.)  Yes No If you live on the PREMISES, would you like a quote for Personal Contents?   Yes No Please supply me with an estimate within 105 working days. (We will attempt to meet the target, but please be aware that it does require our insurers to respond quickly as well!) Done   Please check your details, and when you are happy that all is correct, tick the 'Done' box and then click the Submit button above...