- InsureOurEvent

IMPORTANT Please check the information provided is accurate. Failure to include any important details or provide a deliberately misleading answers could affect the cover provided. If you are not sure its better to ring and get advice from our team. (V.16)

1. Before we get started we just need you to confirm a couple of things

Legal title

Please supply the names of your fellow partners

Is your turnover less than £6,500,000

Yes No

Are you domiciled in the UK

Yes No

We are currently unable to provide a quotation for anyone domiciled outside of Great Britain Northern Ireland the Channel Islands and the Isle of Man

Proposer/Organisation Name

Proposer

Are you the organiser of the event

Yes No

Telephone/Mobile

Alternative Telephone/Mobile

Address line 1

Address line 2

City

Post Code

I agree that InsureOurEvent.co.uk can keep me up to date with the latest product and marketing information via the following methods (please select).

2. Cover required.

Cover Type

Event Type

How far is the display and/or bonfire from any vehicles, premises, flammable or other dangerous materials.

Is there any criteria for entry
(i.e. minimum/maximum age, previous experience etc)?

Yes No

Please supply further information:

Are participants required to sign a waiver or disclaimer in order to take part?

Yes No

What first aid provisions are in place for this event?

If the any or all of the event takes place on public roads, will the roads be closed?

Yes No

What measures are in place to limit the risks to participants?:

Please confirm what distances the event takes place over:

As a dangerous event type has been selected, please provide as much detail as possible below

What is your role within the event

Event Name

Where in the UK does the event(s) take place

Event Venue

Event City

Event Postcode

Event venue access start date

End

Event start date

End

Have you carried out a written risk assessment for this event

Yes No

Public Liability Required

Yes No

Employers Liability Required

Yes No

2.2 Employers Liability Cover

Employers Liability Limit

Total number of staff/volunteers

Do any employees/volunteers carry out work at height in excess of 5m or depth of 2m:

Yes No

Please describe

Do any employees/volunteers carry out work involving the application of heat, other than the preparation of food and drink:

Yes No

Please describe

Are you exempt from providing an ERN reference:

Yes No

Employers liability reference

Cancellation cover required

Yes No

2.4 Money cover

Value of money to be covered at this event

Note: values over £250,000 will be referred to the Insurer's for consideration

2.5 Property cover

Amount of cover required

Note: values over £250,000 will be referred to the Insurer's for consideration

Please describe the property to be covered

Will there be 24 hour security in place

Yes No

Where is the property stored when left unattended

2.3.1 Money cover

Money Limit

2.3.2 Equipment cover

Amount of cover required

Political, Violence, and Terrorism cover required

Yes No

Your Quote

Help & Info

1. Before we get started we just need you to confirm a couple of things

2. Cover required.

2.1 Public Liability Cover

2.2 Employers Liability Cover

2.3 Cancellation Cover

2.3.1 Adverse weather

2.4 Money cover

2.5 Property cover

2.3.1 Money cover

2.3.2 Equipment cover