Insurance for hairdressers | Insurance for beauty therapists | Beauty salon insurance | Mobile hairdressers insurance | Self employed beauty insurance

BUSINESS/PERSONAL DETAILS

Full Name of Proposer (Including Trading Name)

Address of Salon

Post Code       Telephone No.

Postal Address (if different from above)

Post Code       Telephone No.

Full Business Description

Inception Date of Cover Required

How long have you been in business;

at this address or Elsewhere

Number of years experience

Are your books kept up to date and would be available upon request
Yes No

Are you registered for VAT
Yes No

Previous Insurers Name and Policy Number (if known)

GENERAL QUESTIONS

In respect of any Risks now Proposed for any business in which you the Proposer or any Partner or Director are or have been engaged in have you -

(a) ever been convicted of or charged (but not yet tried) with a criminal offence other than a motoring offence
Yes No

(b) ever had an insurer decline to offer insurance to you
Yes No

(c) ever had an insurer cancel or refuse to renew your policy
Yes No

(d) ever had an insurer require an increase premium or impose special terms
Yes No

(e) ever been declared bankrupt or are the subject of any bankruptcy proceedings or any voluntary or mandatory winding up procedures
Yes No

If you have answered ‘Yes’ to any of the above please give full details below, including any dates.

SUMS INSURED, LIMITS & ESTIMATES

This policy is a package product and provides cover automatically for Sections 1 to 6. Premium for this is based upon the property sums insured. Optional covers are the Treatment Extension to Section 6 and Section 7 Personal Accident.

SECTION 1 – PROPERTY ALL RISKS
Please input the cover that you require below.

SECTION 2 – BUSINESS INTERRUPTION
Loss of Profit following a covered property loss. Standard Sums Insured of £400,000 with a 12 month Indemnity period. Alternative, longer Indemnity Periods are available if you consider 12 months inadequate. Please request a revised quotation if you consider you might require additional cover.

SECTION 3 - GLASS
£5000 cover for all internal and external glass and up to £20,000 cover for breakage of fixed washbasins, sinks, lavatory bowls and cisterns

SECTION 4 - MONEY
Standard money limits as below with options to increase if required

SECTION 5 – EMPLOYERS LIABILITY
Legal liability for employees with £10,000,000 indemnity any one incident

As of April 2011 due to the requirements of the Employers Liability Tracing Office, the Employer Reference Number (ERN) must be supplied for the Insured and all subsidiary companies, cover cannot be effected without this number.

Employer Reference Number (s)

SECTION 6 – PUBLIC & PRODUCTS LIABILITY
Legal liability to the public with £2,000,000 indemnity any one incident

SECTION 6 EXTENSION – PROFESSIONAL TREATMENT
Legal liability to the public resulting from treatment given.
£2,000,000 indemnity in total in any one policy period.

Do you wish to extend your policy to include liability cover
In respect of Treatments that you carry out?
Yes No

OPTIONAL EXTENSIONS

If you have ticked ‘Yes’ to include Treatment Liability please complete the following sections: -

1. Please provide the following information

2. The policy can provide cover for numerous treatments, which are listed in different categories. Please tick those categories required, underlining the treatments carried out.

If you undertake any treatments that are not listed above then please name below and provide full details and attach as much information as you can regarding said treatment.

SECTION 7 - PERSONAL ACCIDENT

If you wish to add Personal Accident as an extension to your cover, please tick here

Indicate the cover you require. Cover will apply to all staff listed above.

PREMISES & CLAIMS EXPERIENCE

Are the Premises: -

(i) constructed of brick, stone or concrete and roofed with slates, tiles, concrete, metal or asbestos sheeting
Yes No

(ii) maintained in a good state of repair
Yes No

(iii) in a position or area likely to be subject to flooding or where flooding has occurred
Yes No

(iv) occupied by you in connection with the business only or in connection with the business and as a private dwelling only
Yes No

(v) heated by low pressure hot water apparatus, fixed gas appliances or fixed electrical appliances
Yes No

(vi) protected by 5 lever mortise deadlocks and 7 inch box striking plates on all external doors and any opening windows and other accessible windows secured by key operated window locks
Yes No

(vii) protected by Shutters
Yes No

(viii) protected by a Burglar Alarm
Yes No

If ‘Yes’ to question (viii) please answer the following questions

Was the alarm installed by either a NACOSS or SSAIB approved installer
Yes No

Is the alarm a Bells Only System
Yes No

Is the alarm connected to either your home or a mobile
Yes No

Is the alarm connected to a Central Station
Yes No

Is the alarm BT RedCare
Yes No

Claims Experience
Please detail below any claims, losses or incidents made by you or against you, within the last 5 years, whether insured or not. Please specify dates and provide as much information as possible. Please also specify if the claim is still outstanding. If none please state ‘None’.

Declaration

I/We declare that to the best of my knowledge and belief all statements and particulars given by me/us are true and complete and that no material information or fact has been withheld or suppressed

I am /We are authorised to sign on behalf of all proposers

I/We agree

- that this proposal will be the basis of the contract between me/us and Groupama Insurance Company Ltd

- that if any answers have been written by another person then for the purpose such person will be regarded as my/our agent and not the agent of Groupama Insurance Company Limited.
- To be bound by the terms and conditions of the policy

I/We understand that

- the liability of Groupama Insurance Company Limited does not commence until this proposal has been accepted by them

- Groupama Insurance Company Limited reserve the right to decline any proposal

I/We agree to the seeking of information from credit and other agencies in connection with this proposal

Proposers Name    Email    Date

I agree to the above declaration

Any Additional Comments

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