01226 750 001 admin@jstinsuranceservices.co.uk

Community Centre Enquiry

Proposer:

Renewal Date:

Email:

Telephone:

Risk Address:

Summary of activities at the centre:

Years Established:

Current Insurer:

Target/Previous Premium:

£

Website:

Claims in last 5 years:

Are Premises Alarmed:

Yes

No

Any other Security (CCTV etc):

Registered Charity No. (if applicable):

Sums Insured's

Buildings:

£

Outbuildings:

£

Loss of Rent:

£

General Stock:

£

Stock of Wines & Spirits:

£

Stock of Cigarettes & Tobacco:

£

Trade Contents:

£

Computer Equipment:

£

Goods in Transit:

£

Money (in a locked safe(s)):

£

Money (in transit/on premises):

£

Business Interruption (gross profit):

£

Employers Liability:

£

Number of permanent staff:

Wages/Salary to permanent staff:

£

Approximate number of volunteers:

Estimated Annual Income:

£

Public/Products Liabiliy:

£

Any Other Covers:

Additional Information:

Captcha:

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