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FS Register FRN 1029698

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13+ years specialist broking experience

Pub & Bar Insurance – Quote Request

Please complete as much as possible. We’ll use this to obtain tailored terms for your pub, bar or inn.

Your details

Name of pub / bar / inn *

Registered name (if different)

Correspondence address *

Postcode *

Telephone number *

Email address *

Preferred contact method

Best time to contact you

Business details

Approx year business started trading

Legal status *

Full description of activities * e.g. wet-led pub, food-led pub/restaurant, live music, function room, letting rooms, etc.

Any other activities? (e.g. takeaway, outside catering, events)

Number of directors / partners / proprietors

Number of full-time staff

Number of part-time / casual staff

Estimated annual turnover £ *

Approx turnover split – wet sales (%)

Approx turnover split – food (%)

Approx turnover split – accommodation (%)

Approx turnover split – other (e.g. gaming, functions) (%)

Wages / wage roll

Estimated annual wages – proprietors / directors £

Estimated annual wages – bar / front-of-house staff £

Estimated annual wages – kitchen staff £

Estimated annual wages – door staff / security £

Any other wage categories – details & annual wages

Premises details

Trading address (if different from correspondence)

Postcode (trading address)

Type of location

Approximate year built

Construction of main building

Is the building listed?

Number of storeys (including cellar)

Does the premises have a cellar or basement?

Any flats / residential accommodation above?

Security protections

Intruder alarm?

Fire protections

Any history of flooding, subsidence or structural movement?

If yes, please provide details

Food, cooking & deep fat frying

Is food prepared and cooked on the premises?

Is deep fat frying carried out?

If deep fat frying, please give details

Approx number of covers / meals served per day

Licensing, opening hours & entertainment

Standard opening hours (e.g. Mon–Thu 11:00–23:00, Fri–Sat 11:00–01:00)

Latest regular closing time

Does the premises have a late licence?

Approx maximum occupancy (number of people)

Do you have an outdoor drinking area / beer garden?

Do you provide any of the following? (tick all that apply)

Live music DJs / discos Karaoke Quiz nights Pub games / pool / darts Live sport on TV Private functions / parties None of the above

If entertainment, please give details (frequency, type, any ticketed events, etc.)

Do you use door staff / security?

If door staff used, are they SIA registered and from an approved firm?

Property damage – sums insured

Buildings sum insured £ (if required) Full rebuilding cost including debris removal and professional fees.

Tenants’ improvements £

Trade contents / fixtures & fittings £

Computer & electronic equipment £

Stock – general food & drink £

Stock – wines & spirits £

Stock – tobacco / cigarettes £

Stock – refrigerated / frozen £

Gaming / amusement machines – total value £

Outdoor furniture / play equipment / smoking shelters £

Glass cover required? (if separate)

Business interruption

Business interruption cover required?

Indemnity period

Estimated annual gross profit / revenue £

Sum insured required for business interruption £

Loss of licence (if required)

Loss of licence cover required?

Sum insured required for loss of licence £

Licence holder’s name

Have there been any issues / warnings from the licensing authority?

If yes, please provide details

Liability cover

Employers Liability required? Usually required by law if you have employees.

Number of people to be covered under Employers Liability

Public & Products Liability limit required

If other limit required, please specify

Any outside events organised by you? (e.g. festivals, large outdoor events)

If yes, please provide details

Money

Money cover required?

Max money on premises during business hours £

Max money on premises outside business hours (in safe) £

Type of safe (if any)

Max money in transit £

Who usually banks the takings?

Personal Accident

Personal Accident cover required?

Number of persons to be covered

Benefit level required

Names / roles of persons to be covered (if specific individuals)

Claims & history

Any claims or incidents (paid or outstanding) in the last 5 years? *

If yes, please provide details Please include dates, type of claim, amount paid / outstanding and circumstances.

Have you or any partner / director ever had insurance cancelled, declined, refused, or had special terms imposed, or any unspent criminal convictions? *

If yes, please provide full details

Current insurance (if applicable)

Current insurer

Policy renewal date

No claims discount (years)

Approximate annual premium £

Scores on the Doors Rating and anything else we should know?

Additional information Any other details which may help us obtain the most competitive terms for you.

Fields marked with * are required.

By submitting this form you are providing consent for Miller & Partner Ltd to contact you in relation to this quotation and any related insurance products.

Office: Vivian House, Roman Bridge Close, Mumbles, Swansea, SA3 5BG

Call 01792 001350

Email: [email protected]

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Miller & Partner Ltd is an Appointed Representative of Gauntlet Risk Management Ltd, which is authorised and regulated by the Financial Conduct Authority (FRN 308081). Miller & Partner Ltd is entered on the Financial Services Register under firm reference number 1029698. You may check this on the Financial Services Register by visiting the FCA website at https://www.fca.org.uk/firms/financial-services-register or by contacting the FCA on 0800 111 6768. Miller & Partner Ltd is registered in England & Wales, company number 16206282. Registered office: 20 Vivian House, Roman Bridge Close, Swansea, SA3 5BG.