Men's Shed Quote Insurance Enquiry for your Men's Shed Step 1 of 7 14% Basic Charity DetailsName of Your Shed*Your Name* MrMrsMissMsDrProf.Rev. Prefix First Last Shed 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 NumberAre you a member of:*UK Men's Shed AssociationMen's Shed CymruScottish Men's Shed AssociationNone of these groupsPlease select any group that you are a member of: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 Your Shed 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 shed establishedIs the Shed Currently Insured?YesNoYour Renewal Date Your Current InsurerWhen Would You Like Cover to Commence? Your Goals and ActivitiesPlease describe the aims of your shed*Please describe as fully as possible your shed activities*Please 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 you registered with any regulatory authorities?*YesNoFor example Ofsted or the Care Quality CommissionWhich regulatory authorities are you registered with?Please confirm that there are no outstanding issues with such regulatory authority which might affect your ability to continue to operate and that you anticipate that no such issues will arise within the proposed period of insurance? There are no unresolved or pending objections to any application for, or renewal of, registration You are not aware of any complaints lodged with the regulatory authority in respect of your activitiesYes, I can confirm the aboveNo, I cannot confirm the aboveDo you undertake any higher risk activities?*YesNoExamples 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 activitiesAre your activities undertaken solely within the UK?*YesNoPlease describe your overseas activitiesAre 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 Income and PeopleYour Annual Turnover*If the exact income is not known, please provide an estimation. Please include all income, including any grants, funding and donationsDoes your shed have:* --- Employees --- Volunteers --- Members Employees would include any sub contractors, apprenticeships, work placements, self employed individuals and freelancers.Your Annual WagerollNumber of EmployeesNumber of VolunteersNumber of Members Your Risk ManagementDo you have a Health and Safety Policy?YesNoDoes your organisation work with children or vulnerable adults?ChildrenVulnerable AdultsBothNeitherDo you work in the service users home?YesNoDo you have a child protection or safeguarding policy in place?YesNoAre all volunteers and employees DBS checked?YesNo The Risk Profile of Your ShedDo you use only hand tools?*YesNoThis would be unusual in a shed but would mean that your group does not use any powered machinery.Do you use mechanical machinery?*YesNoThis would be unusual in a shed but would mean that your group does not use any powered machinery.Can you confirm that you comply with the following woodworking conditions statement*YesNoWoodworking Conditions It is a condition precedent to the liability that the Insured shall ensure that: a. all mechanical woodworking machinery is guarded in accordance with prevailing Government Regulations; b. all recommended personal protective equipment is worn at all times; c. any person who is inexperienced in the use of mechanical woodworking machinery shall be fully supervised at all times by a Competent Person Employed of the Insured until such time as the person has completed all relevant training and is deemed to be proficient in its use and is documented as being authorised to work alone. This Policy does not apply to any claim, loss, liability, cost or expense directly or indirectly arising to any person who is under 18 years of age which is attributed to the use of any mechanical woodworking machinery. For the purposes of this endorsement a Competent Person Employed is deemed to be a person with the skill, knowledge, practical experience and training to enable them to assess the risks involved in using the machinery in accordance with the register of Competent Person Employed maintained by the Insured.How many Competent Persons are employed as either employees or volunteers in your shed?*A Competent Person Employed is deemed to be a person with the skill, knowledge, practical experience and training to enable them to assess the risks involved in using the machinery in accordance with the register of Competent Person Employed maintained by the Insured.How would you generally describe your activities:*A designated person runs each sessionMembers can turn up and carry on with their own hobbiesA combination of the aboveHow many sessions do you run each week?*Are any products made to be sold or given away?YesNoPlease describe fully the products that your shed might make or distributeWill you work on any motorised vehicles?*YesNoDo you plan on working on cars or motorbikes. The Cover you RequirePublic Liability Insurance£1,000,000£2,000,000£5,000,000£10,000,000We would recommend £5,000,000 for organisations that work with children or vulnerable adultsProducts Liability InsuranceRequiredNot RequiredYou indicated that you supply or sell products and services and. We would recommend that you include Products Liability Insurance.Employers LiabilityNo cover required£10,000,000You 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.Professional Indemnity InsuranceNo Cover Required£100,000£250,000£500,000£1,000,000£2,000,000£5,000,000Important for organisations that provide professional services or advice.Trustee 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 contents insurance?YesNoAll Risks CoverPlease indicate the value of items you might regularly remove from your premisesComputer and Electronic EquipmentPlease indicate the value of your computer and electronic equipment cover.StockPlease indicate the value of any stock you might have on the premisesOther Contents (£)Please indicate the value of any other contents that your group ownsDo you require buildings insurance?YesNoBuilding Sum Insured (£)This should represent the full rebuilding costs which would include professional fees and site clearance costsPlease select any other cover sections that you require --- Legal Expenses --- Business Interruption --- Personal Accident --- Money --- Loss of Rental Income --- Goods in Transit --- Cyber and Data Cover 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.CommentsThis field is for validation purposes and should be left unchanged.