Lloyd Manley Associates - Pub & Hotel Enquiries

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Please complete the following Pub, Restaurant & Hotel Enquiry form

General:
Company Name:
Address 1:
Address 2:
Post Code:
Telephone:
E-mail:
Business description:
Type of Firm:
	Limited Company
	Partnership
	Sole Trader
When established:
Annual Turnover:	£
Have you had any claims in the last 5 years:	Yes No
If Yes, please give details:
Premises:
Are your premises detached?	Yes No
Are your premises in an Arcade or Shopping Centre?	Yes No
Non combustible construction?	Yes No
Do you have an intruder alarm that is annually maintained by a registered installer?	Yes No
Do your doors have 5 lever locks and your windows have key operated locks?	Yes No
Sums Insured:
Buildings:	£
Stock of High Risk Items (Cigarettes, tobacco, wines, spirits, precious metals and stones, non-ferrous metals & portable hand tools)	£
Other Stock:	£
Computers & Electrical Office Equipment:	£
All other trade contents:	£
Frozen food:	£
Trade Specific Questions:
Number of Gaming Machines:
Is there an ATM on the premises?	Yes No
Number of letting bedrooms:
Do you have guests stopping for longer than 4 weeks?	Yes No
Number of restaurant covers:
Do you have deep fat fryers?	Yes No
If 'Yes', are they and associated ducting and extraction the subject of an annual cleaning contract?	Yes No
Do you provide the following entertainment:
Disco's:	Yes No
Karaoke:	Yes No
Solo/Duo artists:	Yes No
Groups and Bands:	Yes No
Childrens play areas:	Yes No
Do you charge a fee for entertainment:	Yes No
Loss of Revenue:
Do you need an indemnity period longer than 12 months?	Yes No
If 'Yes', how long
Amount of Loss of Licence Indemnity required:	£
Your name:	Position:

Authorised and Regulated by the Financial Services Authority for General Insurance Business No. 302600