Childrens' Nursery Quotation Request

Helpline : 01383 511442

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Contact Name
Contact Email:

Correspondence Address
Address Line 1
Address Line 2
Town
County
Postcode


Name of Nursery:
Phone Number

Company Status
Date Established
Employers Reference Number
Insurance Effective Date
Current Insurer
Target Premium

Do you want to name other companies on the same insurance policy?	No	Yes

Business Description	Please use the space below to include additional information that may affect insurers assessment of your requirements. (include details about the type of work you do, where the work is done, the types of clients' you work for etc). Please consider your obligations from the Declaration below.

Staffing & Turnover

	Headcount (FTE)	Wages
Principals & Directors - Clerical - Professional		�

Employees - Manual		�
Employees - Clerical - Admin		�
Employees - Clerical - Professional		�


Turnover	�

This section is about the work done and how the business is managed

The Children

How many children is the nursery registered for by OFSTED or other registering authority?

Do you care for school age children?	No	Yes

Risk Management

Do you have a Health & Safety Policy Statement	No	Yes

Do you conduct Staff Training and are records of all training kept?	No	Yes
Has your H&S or Risk Management Systems been externally audited and accredited	No	Yes

This section is about the insurance covers required

Do you need Liability Insurance?	No	Yes
Do you need Professional Indemnity Insurance?	No	Yes
Do you need Property Insurance?	No	Yes

This final section is about the business history

Directors & Principals

Have you or any principals or directors in the business or any company in which you or such Principal or Director have or had an interest:

Ever been refused insurance or had any special terms or conditions imposed by an insurer?	No	Yes

Ever been convicted or is any prosecution pending for any offence (other than motoring offences that did not result in a custodial sentence)?	No	Yes

Ever been declared bankrupt, the subject of bankruptcy proceedings, insolvency, winding up, receivership, administration or liquidation or disqualified from being a company director?	No	Yes

Ever received a prohibition notice or been prosecuted or awaiting intended prosecution under the Health & Safety At Work Act?	No	Yes

Claims History

How many years continuous insurance do you have for consideration of claims history?
Have you made any claims, or have there been any incidents that could have led to claim, whether insured or not, in the past 10 years?	No	Yes

Material Facts

Please note your obligations with respect to material facts. Material facts are those which may affect the insurers assessment of the risk. This duty of disclosure is imposed on policyholders by the legal principle of Utmost Good Faith and clauses in the policy. It arises at inception, during the policy term, at renewal and whenever previously disclosed facts change. If you are in doubt as to whether a fact is one that you should disclose, you should declare it to Abbott Insurance regardless.

Additional Information: (Accreditations, Risk Management etc)