EVENT INSURANCE QUOTATION
PROPOSER
Name
Occupation
Address
Postcode
THE EVENT
Event
Select Event Type?
Bespoke/Tailored Event
Celebration Event
Charity Event
Christmas Lights Event
Concert Event
Conference Event
Exhibitor Event
Fireworks Event
Meeting Event
Multiple Event
One Off Event
Party Event
Street Party Event
Stall Holder Event
Wedding Event
Describe
Location
Postcode
How many events
CONTACT DETAILS
Tel
Fax
Mob
Email
Web
EVENT COVER SECTIONS
Cover Limits
1. Employers Liability :
Select Limit?
5 Million
10 Million
(Legal liability arising from injury to paid helpers)
2. Public Liability :
Select Limit?
1 Million
2 Million
5 Million
10 Million
(Legal liability arising from injury/property damage to third parties)
3. Cancellation :
Select Limit?
Up to 5000
Up to 10000
Up to 20000
Up to 30000
Up to 40000
Up to 50000
(Unforeseen event abandonment, cancellation, postponement)
4. Event Equipment :
Select Limit?
Up to 5000
Up to 10000
Up to 20000
Up to 30000
Up to 40000
Up to 50000
(Loss or damage to event equipment)
EVENT DATES SIZE
Start Date
For
Days
Number of helpers (paid/unpaid)
Total number of vistor's expected
Max visitor's expected on any one day
EVENT SPECIFICS
The following are basic conditions...
You are the event organiser? :
Written agreements are in place with venue owner/s? :
Any contractors insurance will be checked? :
Any performer's insurances will be checked? :
Any exhibitor's insurance will be checked? :
Suitable first aid facilities will be provided? :
Any local authority permission/s will be granted? :
Any fire authority permission/s will be granted? :
Any security personnel are experienced/qualifed? :
Suitable event toilet/wash faclities are available? :
If you are unable to tick to confirm give details below...
HAZARDOUS ACTIVITIES
Will the event/s involve any of the following:
Fireworks :
Fire :
Inflatables :
Gymnastics :
Ropes :
Circus Acts :
Flying :
Animals :
Biking :
Shooting :
Trampolines :
Motor Sports :
Climbing :
Archery :
Projectiles :
Pyrotechnics :
Safety Harness :
Fairgrounds :
Height >1 metres :
Electrical Rides :
Mechanical Rides :
Water Activities :
If ticked give details below...
INSURANCE HISTORY
Required Date
Current Insurer
Policy Number
Premium
Current Broker
CLAIMS RECORD
Tick if any claim in last 5 years
Give claim details, types, dates :
OTHER INFORMATION
Telephone 02870325999 for assistance