GROUPS & SOCIETIES - QUOTE uS

Our Privacy Statement, Terms and Conditions, Initial Disclosure Document and Terms of Business are those on which we intend to rely and for your own benefit and protection we urge you to read these carefully before proceeding. If you do not understand any point lease ask for further information.

I agree to receiving marketing information from Bridge Insurance Brokers Ltd or from selected business partners Yes No

Group / Society name:

Contact name:

1st line of address:

Postcode:

Contact Telephone Number:

Email Address (help):

The type of organisation (help):

Please select Amateur Dramatic Amateur Operatic Amateur Dance Gilbert & Sullivan Amateur Performance Panto Society Musical Group Community Theatre Performance Festival Touring Theatre Small Professional Acting Group Majorettes / Carnival Other

Are you a member of Association of Community Theatre (ACT)?

YES No No - please tell me more

How did you hear of Stage Safe Insurance? (help)

Please select Amateur Stage (Publication) Amateur Stage (Website) ACT Google Bing Recommendation Link from another website Other

Employers Liability Cover Limit:

£ 10,000,000 (standard)

Public & Products Liability Cover Limit required:

£2,000,000 £5,000,000

Property Cover sum insured required:
(scenery, sets, costumes, etc)

Not Required £5,000 £10,000 £15,000 £20.000 £25,000 £30,000 £35,000 £40,000 £45,000 £50,000 Other - Higher limit than options

If other, please enter amount:

Abandonment/cancellation is automatically cover to a sum insured of £1,000 per event when property cover is selected. Please enter if you require a higher limit:

Not Required £1,000 Per event £2,500 Per event £5,000 Per event £10,000 Per event £15,000 Per event £20,000 Per event Other - Details below

If other, please enter amount:

Do you require Personal Accident cover for members?:
(additional premium to the standard package)

Not Required Required - please insert number below I'd like further information

If yes, please provide the number of members:

If Required please select required number 0 - 25 Members 26 - 50 Members 51 - 75 Members 76 - 100 Members 101 - 150 Members Over 151 Members

What is the estimated income of the group:

Community Interest Management Liability:
(additional premium to the standard package)

Not Required £100,000 indemnity £250,000 indemnity I'm not sure, tell me more.

Have there been any incidents in the last three years which have or could result in a claim?

Please select Yes - Details below No

Date:

(dd/mm/yyyy)

Value:

Describe circumstances:

Date:

(dd/mm/yyyy)

Value:

Describe circumstances:

If you are currently insured, who is your existing provider (help):

When do you require cover (help):

(dd/mm/yyyy)

What is your existing policy premium:

Any further information (help):

Important Note: If information provided is incorrect or incomplete Insurers may not pay your claim. Details you provide may be checked by Insurers against data held elsewhere.

Amateur Theatre Insurance - Amateur Dramatics - Society Insurance - Drama Club Insurance - Dance Group Insurance - Performance Insurance - Amateur Operatics Insurance - Panto Insurance - Stage Safe has the solution for you!