Community Library Quotation Community Library Quotation Step 1 of 4 25% Basic Charity DetailsName of the Library or Group*Your Name* MrMrsMissMsDrProf.Rev. Prefix First Last Library Status*Non Profit OrganisationRegistered CharitySocial EnterpriseCo-operativeCommunity Interest CompanyCompany Ltd by GuaranteeVoluntary GroupOtherPlease select the option that best describes your constitutionPlease describe the organisational statusRegistered Charity Number*Can you confirm that the statement below is correct?*YesNo (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 declarationAddress of the Library* Address Line 1 Address Line 2 Address Line 3 Address Line 4 Postcode Is this address also the correspondence address?*YesNoCorrespondence Address Address Line 1 Address Line 2 City County Postcode Email* Phone Number*Year Established*What year was your organisation establishedIs the Library Currently Insured?*YesNoYour Renewal Date Your Current InsurerWhen Would You Like Cover to Commence? Your Goals and ActivitiesPlease describe the aims of your library*Please select any activities you undertake from the following listYou can select multiple activities - 1 Running a Cafe - 1 After School Clubs - 1 School Visits - 1 Film Nights - 1 Hiring Out Facilities - 1 Fundraising Events - 1 Public Exhibitions - 1 IT or Employment Advice or Classes - 1 Other Unlisted Activities Please describe as fully as possible your other library activitiesPlease include details of all activities including how often each is undertaken, approximately how many people are involved and the age range of those involvedWill any of your activities ever involve fireworks?*YesNoAre any of your activities undertaken away from the insured address?YesNoPlease detail any activities away from the insured addressAre you planning any events?YesNoPlease describe the events that you are planning to runPlease include the maximum attendance at any event and a description of the types of events you are planning.What will be the maximum total attendance at a single event?How many events will you run this year?Your Annual Turnover*If the exact income is not known, please provide an estimation. Please include all income, including any grants, funding and donations The Cover you RequireOur generous standard covers include;£5 million - Public and Product Liability Insurance£10 million - Employers Liability Insurance£25,000 - Fidelity Cover (staff dishonesty)Equipment Breakdown Cover Money and Assault Cover £100,000 - Legal Expenses CoverInternet and Email Cover £25,000 - Crisis ContainmentBusiness HR Support for your LibraryWe will include an extension to accommodate your activities as a cafeWe automatically include 'Hirer Liability' insurance allowing you to hire the library space to local 'ad hoc' groups. We would always recommend that regular groups have their own insurance in place to protect themselves and your library.The Value of your Library Contents*Please include the value of all contents including book stock, fixtures, fittings and computer equipmentTrustee Indemnity InsuranceNo Cover Required£100,000£250,000£500,000£1,000,000£2,000,000£5,000,000Protection for trustees and the management committeeDo you require buildings insurance?*YesNoBuilding Sum Insured (£)This should represent the full rebuilding costs which would include professional fees and site clearance costs Property and Claim DetailsWhat year was the building constructed?Construction of WallsBrickStoneConcreteMetalTimberOtherConstruction of RoofTileSlateFeltConcreteSheet MetalOtherDoes the building have any flat roofed areas?YesNoWhat % of the roof area is flat?Do final exit doors have 5 lever mortice deadlocks complying with BS3621?YesNoDo all accessible opening windows have key operated locks?YesNoDo you have an alarm system on the building?YesNoDoes your alarm have a signalling mechanism?RedcareDigital CommunicatorCentral Police StationDon't KnowPlease provide any other security details that you feel are relevantShutters or other security featuresHave you made any claims or suffered any losses in the last 5 years?*YesNoPlease 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?*YesNoIf in any doubt, please select no and complete details in the box below.Please detail any additional facts or circumstances.PhoneThis field is for validation purposes and should be left unchanged.