What is the Name of your Hotel, Motel or Pub
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Your name
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Your phone number
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Email address
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Your business address
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Who are you currently insured with?
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Have you had any business insurance claims in the past 5 years?
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Have you ever been declared bankrupt, or been a director of a company placed into voluntary administration?
What facilities do you have?
Please select all that apply
What are the external walls of your building made of?
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Tick all that apply
What is the Building's Roof made of?
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What is your floor made of?
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When was the Electrical Switchboard last replaced?
When was the Building last re-wired?
What Fire Safety Equipment do you have Installed?
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Select all that apply
What security measures do you have in place?
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Select all that apply
If you have gaming machines, how many do you have?
Do you or a manager live on the premise?
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No-one lives on site
The building owner lives on site
The operator lives on site
A staff member lives on site
Cooking Risk Questions
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Select all that apply
Select the types of cover you would like included in your quote(s)
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Depending on which covers you select, we may need to call you for more information before we can provide you with a quotation.
How much Liability Cover do you Require?
Select one option
$5 Million
$10 Million
$15 Million
$20 Million
$50 Million
Higher
Additional Liability Information
Please select any of the following that apply
Type of Accomodation you offer
Select all that apply
What type of Activities do you offer your Guests?
Select all that apply
If you offer accommodation, how many rooms or sites do you have
If you have multiple types of accommodation, please list number by type, such as 20 motel rooms, 4 cabins, 10 powered sites, 20 unpowered sites.
If there is anything else you would like to tell us, please list it here before submitting your quote request
