Cofton Insurance Services

Public House


Please complete the enquiry form below to receive an insurance quotation for your Public House. We will contact you, with your quotation, by e-mail, telephone, fax or post. Please select your preference on the form. When you have completed the form, press the 'Submit Details' button to proceed.

Please try to complete all details as omissions may affect the given quote.

We aim to provide a fast response to your enquiry and will endeavour to acknowledge receipt of your enquiry the same day.

Before completing the form please read the Terms of Business. If you have any queries please contact us.
Name of Public House
Title
Forename(s)
Surname
Address
Post Code
Telephone Number
Fax Number
E-mail Address
Do you live at the premises?
Does the premises have a Restaurant? If yes please state number of seats

Number of years trading at this premise
Renewal Date
Target Premium


Cover Required:
Buildings Sum Insured (if required)
Trade Contents, Fixtures & Fittings
Glass & Signs
Stock
Wines / Spirits
Cigarettes / Tobacco
Frozen Food
Domestic Contents (if required)

Standard Cover:
Public Liability £2 Million
Employer's Liability £10 Million
Goods in Transit £1,500
Glass Cover £1,000
Frozen Food £1,000
Business Interruption £100,000
Loss of License £100,000
If you require any cover in addition to the standard policy, please advise.


Security:
Are the premises protected by a N.A.C.O.S.S. approved and maintained alarm system?
Are the premises covered by C.C.T.V.?
Please advise of any additional security.
Please advise of any claims or losses in the last FIVE years. If none please state "NONE"


STATEMENT OF FACT

  1. You do not have an extended licence, children's play area or
    host discos and/or live entertainment.
  2. The premises are of standard construction. i.e. built with
    brick, stone or concrete walls and slate, tile, metal or asbestos
    roofs and in a good state of repair.
  3. Any flat roof area does not exceed 15% of total roof area.
  4. The buildings are not Grade I or II listed.
  5. The premises are in an area free from flooding and subsidence.
  6. You have no adverse insurance, economic or personal history.
  7. You comply with the minimum levels of physical security.
    i.e. all external entry/exit doors are fitted with 5 lever mortice
    deadlocks complying to BS3621 and all accessible windows are
    either barred, grilled or fitted with key operated window locks.
  8. You do not have a cash machine. i.e. ATM on the premises.
  9. There are no other material facts that may affect an insurers
    willingness to offer you cover.
If you agree with the above Statement of Fact, please confirm here by checking the box
If you do not agree with the above Statement of Fact, please provide full details below.
Preferred Method Of Contact
Enquiry Source




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Cofton Insurance Services Limited is Authorised and Regulated by the Financial Services Authority (FSA) Registration Number 304327.
These details can be confirmed by telephoning the FSA on 0845 606 1234 or visiting their website at www.fsa.gov.uk/register