Get a Firework & Bonfire Display Insurance Quote

Name: David J Miller Insurance Brokers Limited
Address: 339 Union Road, Oswaldtwistle, Accrington, Lancashire, BB5 3HS, GB
Telephone: 01254 355 159

Complete the form below for a quotation

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Firework display protected with specialist firework display insurance.

✓ Competitive Premiums ✓ Bespoke Policies ✓ Dedicated Claims Support ✓ Fast & Hassle-Free Service

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Step 1 of 14 - Public liability cover

Do you require public liability cover?*

Public liability indemnity limit*

Maximum attendance throughout entire duration of the event*

Have all the licences, visas, permits been obtained and are all contractual arrangements in writing for the event?

Please provide details

Have you undertaken a risk assessment of the event? You may be asked to provide this.

Do all independent stallholders, exhibitors, contractors or suppliers to the event hold their own liability insurance?

Do you have a written health and safety policy that all stallholders, exhibitors, contractors or suppliers to the event are made aware of and required to comply with?

Who is responsible for the firing of the fireworks?

Will you check to ensure that such independent suppliers have their own public liability insurance with a limit of indemnity at least equal to that which you have requested and check that their insurance will be current for the entirety of your event? If the answer is 'No' you must inform us immediately.

Name of the fireworks company

Do they have their own public liability insurance?

What limit of indemnity do they have?

Will there be a bonfire at the event?

Who is responsible for erecting & clearing up the bonfire before and after the event?

Do you require employers' liability cover?*

Number of volunteers / helpers / employees*

Please enter a number greater than or equal to 0.

Do you have an ERN?

This is the reference issued by HMRC when you register as an employer. It usually looks like 123/AB456 and can be found on letters from HMRC about PAYE, P45s and P60s

Please provide your ERN

Do any volunteers / helpers / employees carry out work at height in excess of 5 metres or depth of 2 metres?

Do any volunteers / helpers / employees carry out work involving the application of heat, other than the preparation of food and drink?

Do you require event equipment cover?*

Amount*

Do you require cancellation cover?*

Amount*

Your turnover for the event

If there is no revenue / turnover, please enter '0' below

Cancellation cover - total costs and expenses of the event

Please include the total expected cost of running the event

Cancellation cover - total estimated gross revenue of the event

Please include total income generated from the event, not just profit

Has the event been held before?

Please note if this is a first time event then you can only insure for 'Pre-contracted gross revenue'

Which cancellation cover type is required?

Is non-appearance cover required?

Please provide:

- Name(s) of individual(s) you require cover for?
- Date(s) of birth of all individual(s) you require cover for?
- What is their role in the event?
- Is their attendance crucial to the event going ahead?
- Are they being paid to attend the event, and if so, how much is their fee?

Is cancellation through terrorism cover required?

Is cancellation through civil commotion cover required?

Is cancellation through computer system failure required?

Are you aware of any matter, fact, circumstance or incident existing or threatened that could possibly affect the event(s) to be insured which might result in a loss under this insurance?

Please provide details

Your name*

First Last

Name of insured*

Please enter the full name(s) and any trading names exactly as they should appear on the policy documents.

What is the insured’s trading type?

Please provide details

Are you domiciled in the United Kingdom (England, Scotland, Wales or Northern Ireland)?*

Address

Street address City / town County Postcode Country

Email*

Contact number*

What is your role at the event?

Please provide details

Have you ever suffered a loss (whether insured or not) in respect of any similar events?

Please provide details

Name of the event

Start date of the event

DD slash MM slash YYYY

Finish date of the event

DD slash MM slash YYYY

Set up start date

DD slash MM slash YYYY

Take down/dismantle end date

DD slash MM slash YYYY

Name of the venue

Venue address

Street address City / town County Postcode Country

Do you confirm that no official, committee member, you or co-organiser:*

- Has sustained any loss for damage or liability during the last 5 years, whether insured or not
- Has had any insurance declined, cancelled, refused or had special terms imposed
- Has been convicted of or charged, but not yet tried, or been given an official police caution in respect of any criminal offence other than a motoring offence
- Has been declared bankrupt, insolvent or gone into liquidation
- Has been the subject of a County Court Judgement, an Individual Voluntary Arrangement, a Company Voluntary Arrangement or a Sheriff Court Decree
- Has been disqualified from being a company director
- Has been prosecuted or has prosecutions pending under the Health and Safety at Work Act or any other statute or regulation
- Has been censured by any regulatory or trade body, or had any action taken against the company by the Office of Fair Trading, consumer groups or similar bodies

Please provide details

Notes and additional information

Please let us know if there is any further information you would like to bring to our attention

How did you hear about us?

Please provide details

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