ROWLANDS & HAMES - SMALL HOTELS & GUEST HOUSES
QUOTATION REQUEST
       
     
Proposer(s) Full Name
 
(and trading title) trading as:
       
Renewal Date / Trading Since
Renewal Previous Insurer
New Business Expiring Premium
   
Convictions/CCJs/Bankruptcies Effective Date
If Yes, details:- Current Insurer/Broker
   
   
Risk Address
       
    Postcode
       
Type of Hotel Number of Bedrooms
Licenced Bar/Resaurant/Facilities Open to Public
Any Entertainment If Yes, Type of Entertainment
Any saunas/spas/swimming pools Cater for Functions?
Do you specialise in OR advertise for OR knowingly cater for stag/hen accomodation  
Occupied 24/7 Any ATM machines
Ever unoccupied for 3 months or more?    
       
Buildings (re-build) £ Business Stock - Wines/Spirits £
Tenants Improvements (where rented) £ Business Stock - Cigarettes/Tobacco £
Personal Contents £ Business Stock - All Other Stock £
Business Fixtures & Fittings £ Guests Effects £
       
Wall Construction (i.e. Brick or Stone) Roof Construction (i.e. Slate / Tile)
Percentage Wall Non-Std (i.e. Non Brick / Stone) Percentage Non-Standard/Flat Roof (i.e. Non Slate / Tile or if flat roof)
Current Standard Excess (if known) £ Current Storm/T Excess (if known) £
Any History/evidence of previous Subsidence/Heave:
Details:
       
What trade experience have you had?    
Health & Safety Policies in force and up to date?    
Automatic Fire Alarm? Remote Signalling?
Electrics last renewed/maintained? Current Certificate held?
How are the premises / rooms heated?    
Any Smoking Restrictions?    
Any Additional Security?    
       

FIVE Years Claim Information
(in this or any previous business or subsidiary company)

 

 Optional Extensions
Required?
   
Terrorism
   
Legal Expenses Est:
   
Fidelity Cover
   
Personal Accident:
 
Units
  People
   
       
Contact Details      
*Name:
*Telephone:
Email Address:
Fax:
       
* These fields are mandatory      
       
I/We declare that to the best of my/our knowledge and belief, the above statements are true and complete and that I/We have withheld no information that might influence the acceptance of my/our insurance. I/We understand that the withholding of material information would give my/our insurers the right to decline a claim or void the policy.

I/We understand that the setting of adequate sums insured is my/our responsibility alone and that Rowlands & Hames do not accept any liability whatsoever for underinsurance or other omissions.
Name: Position: Date: