PoundGates Nursery Insurance Quotation Form
Click below to download: -
Nursery Insurance Policy Summary - PDF <160kb>
Please enter your details below:
NOTE: All fields marked with a * must be filled in for a successful form submission.
Broker Contact Details
*Company Name:
*Contact Name:
*Phone Number:
*FSA Membership Number:
*Email:
*Fax Number:
UA Number if known:
Contact Details
*Your name(s) in full:
*Full Trading title of the nursery:
*Address of the nursery:
*Postcode:
*Telephone Number:
Fax:
*E-mail:
Website:
Postal Address:
(if different from above)
Postcode:
Telephone Number:
Fax:
E-mail:
*Current Insurers :
*Renewal Date:
(dd/mm/yyyy)
The Nursery
*Are the buildings of standard construction (i.e of brick or stone with a slate or tiled roof?)
*If No, please provide details:
*Does any of the building have a flat roof?
*If Yes, how extensive is this?
*When was your flat roof last inspected/overhauled?
*Give full details of the security in place at the nursery:
*Are all appropriate doors fitted with "Fingershield" or similar?
Sums Insured
 
*Buildings:
If you wish to insure the buildings, please state the full rebuilding cost including all fixtures and fittings, outbuildings, annexes and walls, gates and fences plus an allowance for architects’ fees
Please note that Non-Standard Construction Outbuildings (ie Sheds) and the Contents thereof are not covered as standard, to provide cover in this respect the Sum Insured together with security details must be provided.
*Tenants Improvements:
If you lease your premises and wish to insure fixtures and fittings you have added to the building please state full sum insured required
*Nursery Contents:
*Stock of consumables:
(food, stationery etc)
*Loss of revenue
Gross Income per annum:
Protection for your fee income of up to £500,000 over a 12 month period is automatically provided under the policy. If these limits are not going to be adequate for your business then please state the limited required:
*Selected Indemnity Period:
 Months
*Loss of Registration Certificate
Liability:
Public, Products and Property Owners’ Liability is included within your policy with a Limit of Indemnity of £2,000,000. If this is not adequate please select revised limit:
(Employers’ Liability cover is automatically provided at £10,000,000, restricted to £5,000,000 if arising out of terrorism).
*Professional Indemnity, Directors & Officers and Charity Trustees Liability: :
Please indicate if you would like to take out this cover


The Children
*Please give details of the business, facilities and activities available at the nursery fpr pre-school children:
*How many children is the nursery registered for by OFSTED or other registering authority?:
*What age range do you cater for?
 to
*Do you provide an out of school or holiday club?
If Yes, please advise:
 Maximum number of children in attendance: Out of School: Holiday:
Age range of children in attendance: Out of School: Holiday:
General Questions
*How many staff do you employ?:
*Are all staff free from pre-existing medical conditions? ie bad backs:
*Are all staff fully qualified?
*Have you obtained the necessary Criminal Records Bureau Disclosure for all new and existing members of staff, including voluntary helpers?
*If No, please explain why:
If you are waiting for CRB checks to be completed on members of staff or voluntary helpers, are all non-checked personnel fully supervised at all times by a suitable person with CRB clearance?
If No, please explain why:
*What date did the Nursery Open?
(dd/mm/yyyy)
*Has the premises ever been flooded or effected by water damage in any way, whether you made a claim under your insurance or not?
If Yes, please give details:
*Are you a member of the National Day Nursery Association (NDNA)?
*Is your nursery accredited by the NDNA Quality Counts scheme?
*Do you subscribe to Nursery World magazine?
*Do you subscribe to Nursery Management Today (NMT)?
*Who is responsible for Health & Safety at your setting?
*When did you last carry out a Risk Assessment at your setting?
*Where did you hear about PoundGates Nursery Insurance?
*Any claims occurring or pending in the last 3 years?
If Yes, please give details:
  
Date
Type of Claim
Amount settled or outstanding
 
Duty Of Disclosure
We would remind you that it is your duty to disclose all material facts to Insurers. A material fact is one which would influence the judgement of a prudent Insurer in his consideration of the risk. Any material change in the facts previously disclosed in connection with this insurance should be advised to us if the coverage is to be amended or if the period of cover is to be extended and at renewal. If you are in any doubt whether a fact is material you should disclose it. Insurers may have grounds for avoiding the insurance or you may have prejudiced your rights to recover in the event of a claim, if it transpires that there has been a failure to make such a disclosure.
 
 
Please note that this form is for enquiry purposes only. Further information may be required prior to a quotation being provided.