Media and Entertainment by Yutree

Quote Form

Date of submission

Insurance broker

Contact Info

Your Name

Your Email

Your Contact Phone No.

The Insured

The Insured (full company name including any subsidiary companies)

Registered address

Street Address Address Line 2 City County Post code

Business description / Media business services

Year business established

Client website address

Employer Reference Number (ERN)

Has any proposer, director or partner of the business ever had insurance declined, refused, cancelled, declared void, or had special terms imposed?

Yes

Has any proposer, director or partner of the business ever been convicted of any criminal offences not spent under the Rehabilitation of Offenders Act, or have any prosecutions pending?

Yes

Has any proposer, director or partner of the business been declared bankrupt, been the subject of any bankruptcy proceedings or any form of voluntary or compulsory insolvency or winding up procedures (including administrative receivership) or subject to any voluntary arrangements with creditors, the subject of recovery action by HM Revenue & Customs, or been disqualified from being a company director, in the last five years?

Yes

Has any proposer, director or partner of the business been prosecuted, served prohibition or served an improvement order or notice under Health & Safety legislation or Environmental protection legislation, in the last five years?

Yes

Has any proposer, director or partner of the business been the subject of a County Court or High Court judgment (or Scottish Equivalent) in the last five years?

Yes

Period of insurance required from:

Period of insurance required to:

Target premium (not incl IPT)

Premises

Existing Cover

Current insurer

Number of years insured with current insurer

Renewal date

Last renewal premium

Policy Sections Required

Property damage – All risks

Yes

Production property – Selected all risks

Yes

Business interruption – All risks

Yes

Terrorism

Yes

Employers' Liability

Yes

Public and products liability

Yes

Money and personal accident assault

Yes

Goods in transit

Yes

Production indemnity – All risks

Yes

Professional liability

Yes

Property damage – All risks

Buildings situated at Premises 1

Declared value (£)

Sum insured (£)

What we will pay

Buildings situated at Premises 2

Declared value (£)

Sum insured (£)

What we will pay

Buildings situated at Premises 3

Declared value (£)

Sum insured (£)

What we will pay

Buildings situated at Premises 4

Declared value (£)

Sum insured (£)

What we will pay

Contents situated at Premises 1

Declared value (£)

Sum insured (£)

What we will pay

Contents situated at Premises 2

Declared value (£)

Sum insured (£)

What we will pay

Contents situated at Premises 3

Declared value (£)

Sum insured (£)

What we will pay

Contents situated at Premises 4

Declared value (£)

Sum insured (£)

What we will pay

Stock situated at Premises 1

Declared value (£)

Sum insured (£)

What we will pay

Stock situated at Premises 2

Declared value (£)

Sum insured (£)

What we will pay

Stock situated at Premises 3

Declared value (£)

Sum insured (£)

What we will pay

Stock situated at Premises 4

Declared value (£)

Sum insured (£)

What we will pay

Rent (please also state in respect of which premises)

Totals

Total Declared value (£)

Total Sum insured (£)

Production property – Selected all risks

Own Technical Equipment

Sum Insured (£)

What we will pay

Props, Sets and Wardrobes

Sum Insured (£)

What we will pay

Describe each specified article and the sum insured value for each here

Optional Extensions and Limits (where section operative)

Hired in property - continuing hire charges

Required? (Y/N)

Limit - £100,000

Hired out property

Required? (Y/N)

Limit (£)

Mechanical and electrical breakdown

Required? (Y/N)

Limit (£)

Sub-limit restriction

Required? (Y/N)

Limit (£)

1. Computer Equipment

Location

Not insured

At the premises

Anywhere in the world

Sum insured

2. Business Machines

Location

Not insured

At the premises

Anywhere in the world

Sum insured

3. Portable Computers (including mobile telephones)

Location

Not insured

At the premises

Anywhere in the world

Sum insured

4. Data Carrying Materials

Location

Not insured

At the premises

Anywhere in the world

Sum insured

5. Ancillary Equipment

Location

Not insured

At the premises

Anywhere in the world

Sum insured

6. Reinstatement of Data for computer records but only for the value of the materials and the rewriting of the records and not the value to the Insured

Sum insured

£25,000 or 10% of the Computer Equipment Sum Insured, whichever is the lesser