Event Quote Form - Access Insurance Charity Event Insurance Enquiry. We are a charity-specialist team, now part of Access Insurance, one of the UK's leading charity insurance brokers. Fill in the form below to start your tailored quotation. Step 1 of 6 - Details about your group 0% Getting a quote with usConsent* I agree to my enquiry being shared with Access Insurance.We are now part of Access Insurance. This move provides our clients with access to more specialist products, expanded resources and integration into a company and Group that gives all available profits back to charities and good causes. By giving your consent here, you agree that we will share the details of your quotation enquiry within Access Insurance. Upon submission, one of our experienced charity-specialist brokers from will be in touch to confirm any details and provide a bespoke quote for your organisation.Do you have any special requirements in the way we deliver our service to you?* Yes No If yes, what special requirements do you have, that will help our team deliver our service to you?*Details About your EventName of Event*Name of Your Organisation (if different)Your Name* MrMrsMissMsDrProf.Rev. Prefix First Last Organisation Status of the Group/Organisation running the Event*Non Profit OrganisationRegistered CharitySocial EnterpriseCommunity Interest CompanyCompany Ltd by GuaranteeOtherPlease select the option that best describes your constitutionPlease Explain the Nature of Your Group*Please note that we are unable to insure individuals or groups of individuals without a constituted group.Please describe the organisational statusRegistered Charity NumberCan you confirm that the statement below is correct?* Yes No (We need to make declarations) Can you confirm that the Proposer and the organisation or any director, manager, partner or trustee of theirs or any person insured or proposing for insurance have never; 1. been convicted, or charged but not yet tried, of any criminal offence other than a motoring offence? 2. been declared bankrupt, disqualified from acting as a company director, gone through insolvent liquidation or been the subject of receivership or an administration order? 3. had an application declined by an insurer, had a renewal declined, or had similar insurance cancelled or made subject to special conditions? 4. been made aware, after enquiry, of any investigation, circumstance or incident that they have reason to suppose might afford grounds for any future claim?Please provide details regarding the above declaration*Address of the Event Address Line 1 Address Line 2 Address Line 3 Address Line 4 Postcode Is this address also the correspondence address? Yes No Correspondence Address Address Line 1 Address Line 2 City County Postcode Email* Phone Number*What is the First day of 'Build Up' for the Event?* DD dash MM dash YYYY This is the first day that preparation activity around the event starts.What is the Date that the Event Itself Starts?* DD dash MM dash YYYY What is the Date that the Event Itself Finishes?* DD dash MM dash YYYY When is the Last Day of 'Shut Down' for the Event?* DD dash MM dash YYYY This is the last day of activity associated with the event including any required clear up.It is very important that you disclose all material facts that your insurer would expect to know. Failing to do so could result in part of all of a claim not being settled. A material fact is any information that would influence an insurance underwriter. Examples include your income, any higher risk activities you undertake (e.g. sports), the use of equipment or tools by your group, activities that take place at height or using heat, the use of inflatables, bonfire or firework events and previous incidents or claims. If you are in doubt as to whether something is material, then we would advise you to declare it. Your Goals and ActivitiesPlease describe as fully as possible the activities ran at the event*Please include details of all activities ran at the event as well as details on the event setup / takedown and details on who will manage the event whilst it is being ran.Will there be any third party/parties running activities at the event?* Yes No A Third Party/Third Parties would be a separate entity from those actually hosting the eventWhat activities will the third party/parties run?*Please provide full details on who the third party/parties are along with what activities they shall be running during the event.Will there be any higher risk activities?* Yes No Examples of higher risk activities include: Contact sports, adventure activities, archery, ballooning, clay-pigeon shooting, dry slope skiing, gliding, mountaineering, climbing, parachuting, pot-holing, sailing or canoeing, outdoor swimming, abseiling, BMX, mountain biking, winter sports, parkour, BASE jumping, pole climbing, elastic rope activities, motor based activities, hang gliding, flying, equestrian activities, animal rides, jet skiing, raft racing, white water activities, water skiing, diving, quad biking, martial arts, paintballing, road rallies, fireworks events, bonfire events, or shooting. If in doubt, click yes and input any activities that may be higher risk.Please provide details of any higher risk activitiesDo you (or your activities);* --- None of the above --- Involve the use of bonfires or fireworks --- Involve the use, sale or supply of alcohol --- Involve the erection of structures or working ‘at height’? --- Involve use of power tools when setting up / during / when dismantaling event --- Involve use of items such as bouncy castles, fairground rides. --- Involve a protest / march / demonstration Please describe your activties involving fireworks or bonfires*If so will they be ran by a third party? Is there an event plan/site map? Please describe details to the provision/use/sale of alcohol*If so, is this provided by you or a third party? Are you selling alcohol or are people bringing their own?Please provide details of work erecting structures or 'at height'*Please include details of the activities, who carries them out, how often and what risk assessments and equipment are in place to reduce the risk.Please provide details of the tools and machinery that your activities involve.*Please include details of the machinery or tools, who uses them, the safety equipment in place and how often such activities are undertaken. Details on Inflatables/Mechanical rides*Please provide details on this including what items and whether they are hired and ran by a third party, hired by a third party and ran by yourselves or owned and ran by yourselvesDetails on protest / march / demonstration*Please provide details on what the protest / march / demonstration is regardingWhat will be the maximum total attendance at your event?* Your Income and PeopleExpected income from your event?*Please enter a number greater than or equal to 1.If the exact income is not known, please provide an estimation. Please include all income, donations and funding, this does not take into account any expenditureIncome from alcohol related activities*Please enter a number greater than or equal to 1.How much of your income above relates to the sale or provision of alcohol?Does the organisation/group running the event have any of the following:* --- Employees --- Volunteers --- Trustees / Committee Members --- Members --- None of the Above Employees would include any sub contractors, apprenticeships, work placements, self employed individuals and freelancers.Your Annual Wageroll*Number of Employees*Number of Volunteers*Trustees / Committee Members*Number of Members*Further Explanation*Please describe how your group operates and runs activities without employees, volunteers or trustees / committee members Your Risk ManagementHealth & Safety* --- None of the below --- We have a health and safety policy in force --- We have a nominated health and safety officer --- We provide provide adequate health and safety training to employees and volunteers --- We undertake risk assessments --- We have an event plan/site plan for the event --- Will there be road closures to hold the event --- If applicable; have the relevant permissions been sought I.e. Local Authority or Police You can select multiple statements that apply to your approach to health and safety.Do you have a child protection or safeguarding policy in place?* Yes No Are all volunteers and employees DBS checked? Yes No Will you sell anything at your event?* Yes No Please indicate the income derived from these salesPlease describe the items that you sell or supply The Cover you RequirePublic Liability Insurance£1,000,000£2,000,000£5,000,000£10,000,000Those with a higher attendance figure or those with children attending may want to consider a higher indemnity limitProduct Liability Yes No Unsure You indicated that you supply or sell products and / or services. We would recommend that you include Products Liability Insurance.Employers Liability* No cover required £10,000,000 You have volunteers in your organisation. Insurers treat volunteers as employees and so Employer Liability insurance is recommended for you.Since you have staff, employers liability insurance is a legal requirement for your group.Do you require contents insurance?* Yes No General Contents (£)Please enter a number greater than or equal to 0.Please indicate the value of any general contents that your group ownsComputer and Electronic EquipmentPlease enter a number greater than or equal to 0.Please indicate the value of your computer and electronic equipment cover.StockPlease indicate the value of any stock you might have on the premisesAll Risks Contents CoverPlease indicate the value of items you might regularly remove from your premisesPlease select any other cover sections that you require --- Event Cancellation --- Personal Accident --- Money Claim Details and Finishing InformationHave you made any claims or suffered any losses (of any nature) in the last 10 years? Yes No Please describe the circumstances of your loss or claimPlease include the date, circumstances and financial lossBefore entering into a contract of insurance, it is your statutory duty to make a fair presentation of your risk. You must disclose all material circumstances about your risk that might affect the judgement of a prudent insurer in deciding whether to accept your risk or not. Should you require additional explanation of what constitutes a material circumstance, please contact us immediately. You must make reasonable enquiries before presenting your risk and ensure that all individuals holding knowledge about the risk have been approached in the compilation of this information. You must complete any proposal forms or fact finds provided to you, honestly, accurately and in good faith. Any deliberate or reckless misrepresentation may involve part or your entire claim being declined and in some circumstances; the Insurer may be entitled to retain your premium whilst avoiding the policy or apply additional terms to your policy.Do you feel that the details you have entered are a fair presentation of your insurance risk? Yes No If in any doubt, please select no and complete details in the box below.Please detail any additional facts or circumstances.X/TwitterThis field is for validation purposes and should be left unchanged. Δ
