Page 5 - Sums Insured

In the event of buildings or contents (other than stock in trade, Employees pedal cycles or personal effects and residents effects) being lost or damaged the basis of the settlement will reinstatement as new. On owners' personal clothing/linen a deduction will be made for wear and tear. It is therefore essential that you make allowance for these factors in deciding upon sums to be insured.

Please complete as fully as possible and press "submit". Fields marked with an asterisk (*) are mandatory. Please enter "N/A" if a mandatory item is non-applicable.

5. Sums Insured

Buildings

The buildings including outbuildings, landlords fixtures and fittings, boundary walls, gates and fences (£)*

Tenants improvements and decorations (£)*

Buildings Total (£)*

Contents

Contents (£)*

Stock and materials in trade (£)*

Stock of drugs & medicine (£)*

Residents personal effects (limit per resident £1000) (£)*

Owners household goods & effects (£)*

Business Interruption

The standard sums insured for loss of income is £350,000 and the standard indemnity period is 12 months

Do you require a higher sums insured?*

Yes No

If yes state annual net income (£)

Do you require an indemnity period of 24 months?*
If 24 month period is required we will automatically increase annual net income sum insured to take into account the increase in cover

Yes No

Money

The standard limit for money in transit in the custody of employees £2,000, is that adequate?*

Yes No

If no please advise level of cover required;

In safe (£)

Any other loss (£)

Make & model of your safe if available

Frozen Foods

Select limit required up to a maximum of £5,000 per unit, the unit must be under 10 years old

Description of Unit	Date of make	Sum Insured
		£
		£
		£
		£

Loss of Registration Certificate

Do you require cover?*

Yes No

Please indicate the limit of indemnity required

Limit of £50,000
Limit of £100,000
Limit of £200,000

Has there been any opposition to your registration?*

Yes No

If Yes, provide details

Is there any intention to apply for transfer of the certificate within the next 12 months?*

Yes No

Have you or the certificate holder ever had an application for the grant renewal or transfer of certificate refused?*

Yes No

Specified All Risks

Do you require cover?*

Yes No

Make, model and serial number	Sum Insured
	£
	£
	£
	£

Work Away from Your Care Home

Is Public and Employers Liability cover required for care services away from your own premises?*

Yes No

If yes please state;

Number of employees involved

Number of principals, partners and directors involved

Description of work

Estimated annual wages for this work for the coming year (£)

Estimated annual turnover for this work for the coming year (£)

Employee Dishonesty

Cover required?*

Yes No

Please select indemnity limit

£50,000
£100,000

Please provide annual wage roll (£)

Engineering Insurance

Cover required?*

Yes No

Please supply an up-to-date schedule of lifting and pressure plant

Group Personal Accident

Number of Staff members*

Do you have staff members over 70/75/80?*

Yes No

If Yes, please provide full name, D.o.B and occupation

Do you have Employees earning £50,000 or more?*

Yes No

If Yes, please provide full name, occupation and salary (£)