Hotel Insurance Proposal Form
page 1 of 2

 

General details

Name and address of hotel/business (risk address including post code)       
A value is required.		  
Please click here to add additional hotels if more than one

Proprietors name (if sole trader) or Company name (if Limited Company)

  
Nature of business
Turnover in last financial year £   
Estimated turnover this financial year £   
Year business established at risk address  
   
How many hotel guest rooms?  
Do you hold a liquor licence? Yes No  
   
Number of employees  
Full time  
Part time  
Approximate total amount of employee wage bill (if known)  
     
How many covers in restaurant (if any) ?  
Are any of the following available to guests at the hotel?  
Gym   
Swimming pool   
Tennis courts   
Golf course   
Childrens playgrounds   
Other   
   
     
When do you need cover to start/When is your renewal date?  

 

Property damage

Do you require cover for damage to trade contents and/or buildings? Yes No  
  If Yes, please indicate level of cover required for:
 
  Buildings
  Machinery  
  Stock  
  Fixtures & fittings  
  Contents of owners quarters (if any)
 

 

Business Interruption

Do you require cover for loss of profit due to interruptions to your business? Yes No  
If yes, please note the minimum cover is £500,000.
 
  Minimum cover Cover required  
If a higher amount is required, please enter the figure here £500,000  
 

 

Money and Personal Assault

Do you require cover for Loss of Money and/or Assault to you or your staff? Yes No  
 
  Please note the minimum cover as follows: Minimum cover Cover required  
       
  Cash in transit or bank night safe £3,000  
  On premises during business hours £3,000  
  Out of hours in a locked safe £1,500  
  Out of hours not in a locked safe £500  
  In your home or home of employee £500  
  In custody of an approved security company £10,000  
  Cheques (crossed), credit card vouchers, VAT purchase invoices £250,000  
  Personal assault to you or staff £10,000  
 

 

Glass

Do you require cover for breakage or damage to glass in doors or windows, mirrors or external signs? Yes No  

 

Employers's Liability

A statutory requirement under UK legislation, this covers legal liability for injury to employees up to £10,000,000. Yes No  
Please enter here if the sum required is greater than £10,000,000. £   

 

Public Liability

Do you require cover for accidental injury to the public or damage to their property due to your or your employees negligence? Yes No  
Please enter here if the sum required is greater than £2,000,000. £   

 

Products Liability

Do you require cover for accidental injury to the public or damage to their property for products sold, supplied,
serviced, repaired or hired by you?		 Yes No  
Please enter here if the sum required is greater than £2,000,000. £   

 

Warrings Ltd
Hotel Insurance Proposal Form
page 1 of 2

 

All risks

Do you wish to select a wider cover for your business machines to provide cover for any accidental loss or damage?

Yes No  

 

Book debts

Do you wish to insure against outstanding book debts you are unable to trace due to damage to accounting records? Yes No  
Please enter here if the sum required is greater than £25,000. £   

 

Goods in transit

Do you wish to cover business goods whilst in transit in your vehicles or with other carriers in GB? Yes No  
Please enter here if the sum required is greater than £2,500. £   

 

Terrorism

Do you wish to extend your cover to include damage caused by acts of terrorism to the property
in the areas to be insured under the headings Property Damage and All Risks above?		 Yes No  

 

Questions about your premises and risk management

Is the premises constructed of brick, stone, concrete or steel and roofed with tile, slate or concrete? Yes No  
Are the walls which divide the premises from other users of the building and adjoining
premises built of brick stone or concrete?		 Yes No  
Is the premises in good condition and well maintained? Yes No  
Is the premises closed during any part of the year? Yes No  
Does the premises benefit from recorded CCTV? Yes No  
Recorded CCTV in the passenger lift? Yes No  
Recorded CCTV in the basement? Yes No  
Are any parts of the building containing the premises to be insured vacant or unused? Yes No  
Are you the sole business occupant of the building containing the premises for which insurance is sought? Yes No  
Is any part of the electrical wiring system at the premises greater than 40 years old? Yes No  
Are Gas Safety Inspections carried out on all gas appliances at least annually? Yes No  
Does the premises have suitable fire extinguishers correctly sited and inspected annually? Yes No  
Is all deep fat frying cooking equipment thermostatically controlled? Yes No Not applicable  
How often are all extraction systems and ducting cleaned? (in months)  
Is any of the work relating to the business carried out on third party premises other than sales visits or collection and delivery? Yes No  
Do you outsource any work to third parties? Yes No  

 

Claims experience

Have you or your business suffered any accidents or losses, whether covered by
insurance or not, or had any claims made against you during the past 5 years?		 Yes No  

 

Other material facts

Please be aware that it is essential that all material facts be disclosed at inception or during currency of the insurance. A material fact is information that may affect the insurers decision to provide cover, such as previous losses, convictions, vehicle modifications, occupancy of property, etc. If you are in any doubt please give further details regarding what may be a material fact here.

 

Contact details

So that we may readily discuss or clarify any aspects of the proposal form with you, please supply your relevant contact details below:  
     
  Your name  
  Daytime telephone number  
  Mobile telephone number  
  email address  
 
Correspondence address (if different to risk address above)		  

 

Declaration

I/We declare that:

i) to the best of my/our knowledge and belief, the answers given are true and that all material facts have been disclosed;
ii) this proposal and declaration shall form the basis of the contract between me/us and the Underwriters and when I/we accept a policy on the standard form issued by the Underwriters will be bound by the terms and conditions thereof;

  

 

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Warrings Ltd