Multiple Event Insurance Proposal Multiple Event Insurance ProposalGeneral InformationLiability InsuranceCancellation InsuranceProperty "AllRisks" InsuranceFinal ConfirmationAre you an Insurance Broker or Direct Client:Insurance Broker Company Name:Financial Services Authority Number:Insured Company Name (or Insured Person):First NameLast NamePhone/MobileEmailType of Event:Your interest at the event. Organiser, Exhibitor:Location:Please state the experience you or the organiser have for events of this type (for example: 2 years, 10 events):Have you or any of your events ever suffered a loss?: Yes NoPreviousNextClick to edit this text...Do you require Liability Insurance for your events?: Yes NoEvent 1Section description goes hereStart Date:End Date:Number of people attending the event:Public Liability Value (e.g. £5m):Do you require Employers Liability: Yes NoNumber of staff, including volunteers:Event 2Section description goes hereStart Date:End Date:Number of people attending the event:Public Liability Value (e.g. £5m): Yes NoDo you require Employers Liability: Yes NoNumber of staff, including volunteers:Event 3Section description goes hereStart Date:End Date:Number of people attending the event:Public Liability Value (e.g. £5m):Do you require Employers Liability: Yes NoNumber of staff, including volunteers:Event 4Section description goes hereStart Date:End Date:Number of people attending the event:Public Liability Value (e.g. £5m):Do you require Employers Liability: Yes NoNumber of staff, including volunteers:PreviousNextDo you require Cancellation Insurance for any all of your events?: Yes NoOn which basis do you wish to insure? You may request a quotation for both options. Please put the total value for all events and the value of the largest single event Costs, expenses & commitments (TOTAL): Costs, expenses & commitments (LARGEST SINGLE): Loss of revenue (i.e. total income including profits) Loss of revenue (i.e. total income including profits)(LARGEST SINGLE)Are any of the venues due to undergo any construction or refurbishment work?: Yes NoAre any of the events held in conjunction with or dependent upon another events?: Yes NoPlease state the critical factors which the successful holding of the events rely:Have all the licences, visas and permits been obtained and are all contractual obligations completed?: Yes NoDo you require Non Appearance Insurance?: Yes NoPlease provide some basic information in the box provided. We will ask for moredetails when we contact you:PreviousNextDo you require Property "All Risks" Insurance?: Yes NoPlease provide some basic information in the box provided. We will ask for more details when we contact you. :PreviousNextI declare that I have never been 1. Bankrupt 2. Disqualified from being a Company Director 3. Involved as an owner, director, or partner with any company that went into receivership, administration, or liquidation 4. Convicted (or charged but not tried) of any criminal offence involving dishonesty of any kind 5. Organising or attending an event where you have suffered a loss : Yes NoRadio Field Yes No Previous Submit Form
