David J Miller Insurance Brokers - Event Insurance

Event Insurance Direct

Firework Display Insurance & Bonfire Display Insurance

Contact Name
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Name of Insured individual, company or association
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E-mail
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Proposer Address & Postcode
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Contact Number
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Type of display
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Name of Event
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Venue of the display/event
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Postcode of event
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Date of Event
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Date cover required from
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Date cover required to
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Estimated maximum attendance at event
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Who is releasing the fireworks?
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Public Liability Indemnity Limit
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Employers Liability Cover
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Number of employees / volunteers
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Are any charges made for public entry or parking
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Estimated turnover/ revenue for paid entry displays
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Please give a detailed description of the activities taking place at the event including the use of any outside contractors and whether there will be any stall holders at the event
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Are there any dangerous or hazardous activities taking place at the event?
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Please tick any hazardous activities taking place at the event
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If 'Other' please state type
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Do all independent outside contractors have their own liability insurance?
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Will you be using the services of a bona-fide insured security or stewarding company?
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Please advise the number of stewards that will be in attendance at the event
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Will staging and seating be erected, and if so will this be carried out by suitably qualified professionals with their own insurance?
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Will alcohol be sold or supplied during the event?
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Is the event organised in accordance with The Department of Trade & Industry Firework Display Regulations? (*)
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Will there be first aid provisions at the event?
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Has the advice of the police and/or fire and local authorities been sought and if required their permission been granted and will either be present at the event?
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Do written contracts of hire exist between yourself and the venue?
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Whilst organising or participating in an event, have you, any official, commitee member or co-organiser:
Had any insurance declined or cancelled or special terms imposed?
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Been convicted or charged but not yet tried for any criminal offence other than a driving offence?
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Sustained any loss or damage or liability during the last 5 years, whether insured or not?
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Please provide the details of all claims or incidents whether insured or otherwise that have occurred in the last 5 years
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Policy Conditions (*)
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How did you hear about us?
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