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Golf Club Quotation Request Form  

We are happy to provide quotations and cover for your Golf Club. Please contact us for any other type of Club not specified.

Agent Name Contact Number
Agents’CCV Agency No
Name of Golf Club
Address of Golf Club
Postcode
Telephone No
Email Address
Current Insurers
Renewal Date
Existing Premium
Cover Commencement Date
Invited Premium
Please tell us where you heard about this product?
Sums Insured / Limits Required ( Please show split in sums insured as requested below)
PROPERTY / MATERIAL DAMAGE (* Please advise %ge Day One uplift if required)
Clubhouse * £   Greenkeepers store & outbuildings * £
Golf professional shop (if detached)* £   Private dwelling houses (if any)* £
Clubhouse contents/Fixtures & fittings * £   Greenkeeping plant & machinery* £
Irrigation system * £   Bar/cellar stock £
Golf professional shop stock £   Refrigerated/Freezer stock £
Cups/trophies/pictures £   Computers (incl. hardware, software, etc) £
Money in safe limit £   Damage to greens, fairways, etc. £
Metered water £   Personal effects – club members £
Personal effects – club officials & employees £      
All other stock (excluding bar/cellar stock and golf pro shop stock) £
BUSINESS INTERRUPTION
Gross revenue
Book debts (standard policy limit)
Indemnity period (months)
Increased Cost of Working
EMPLOYERS & PUBLIC LIABILITY
Employers Liability Indemnity Limit - £10,000,000
Public Liability Indemnity Limit
£5m £10m
MOTOR THIRD PARTY LIABILITY (ROAD TRAFFIC ACT COVER)
Is cover for licensed motorised Plant & Machinery items
(e.g. tractors, mowers) required?
How many items to be covered?

GENERAL INFORMATION
Details Of Construction Please include age of buildings, type of construction (including walls and roofs) and if there are any listed buildings, please state what ‘Grade’ listing (e.g. Grade I, Grade II etc)
Please advise percentage of Flat Roof? %

Clubhouse

Greenkeepers store & outbuildings

Private dwelling houses (if any)

Golf pro. shop (Part of Clubhouse or Detached?)
Details of Intruder Alarm System (please state what buildings are protected (e.g. Clubhouse/Greenkeepers Store/ProShop, etc.) and the alarm signalling method on each building)
Audible Only   Central Station
Digicom Overground or Underground   RedCARE
DualCom   PAKNET
Other (please detail)
Alarm Company name
NACOSS-approved
Other security details (e.g.Shutters, CCTV, etc.)
Is greenkeepers store alarmed?
Method of signaling?
Does a club official or employee live on the premises
or golf course overnight?
Please advise who, and where they live on the course
CLAIMS
Details of claims paid or outstanding in past 5 years
Have there been any floods in last 5 years, or flood warning given in the area?
If ‘Yes’, please provide details
OPTIONAL ADDITIONAL COVERS REQUIRED
Full Terrorism cover
Directors & Officers Liability / Club Officials Indemnity
If ‘Yes’ a proposal form will be sent  
Engineering Inspection
If ‘Yes’ provide full details of items to be covered
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the letters in the box below when submitted this form to us

Cover is subject to a satisfactorily completed proposal form.
One of our advisers will be in touch with you about this quotation request very shortly.
Contact us for further information or an appointment
 
 
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