Local Council Insurance Enquiry Form
Please complete the enquiry form below and click submit or alternatively click back and download a PDF copy which you can fax or post to us at your convenience. If you have any queries please call us for assistance on 023 8026 9009
  • Council Details

  • Buildings

    Space is provided for up to three properties. If you require cover for more than three locations please provide details separately
  • Use of Premises (e.g. pavilion, toilet block, bus shelter etc)
  • Use of Premises (e.g. pavilion, toilet block, bus shelter etc)
  • Use of Premises (e.g. pavilion, toilet block, bus shelter etc)
  • i.e. Brick or Stone Walls & Slate or Tile Roof, with a flat roof of no more than 20% of the total roof area.
  • If you have answered Yes to any of these points then please provide details at the bottom of this form
  • Property in the Open

    Please forward a copy of your asset register if you have one available
  • Cover is included for Property Owners Liability only. If you require cover for damage, please confirm the sum insured or area
  • Items used away from the Premises

  • e.g. Laptops, portable electronics etc
  • e.g. Defibrillators
  • Please specify items at the end of the form
  • Indemnity Limits

    Public Liability and Employers Liability are automatically included for a limit of £10m
  • Additional Cover

  • If so please provide details
  • If so please provide details
  • The policy automatically includes the following covers, if a higher limit is required, please provide details.

    • Contents - £5,000
    • Money - £3,000
    • Personal Assault £10,000
    • Book Debts £50,000
    • Hirers’ Liability £2million
    • Loss of Income for the sum insured shown with an indemnity limit of 12 months
    • Computer/Machinery Breakdown £100,000
    • Glass, Blinds, Signs £5,000
    • Libel & Slander
  • Accepted Responsibilities

    • Allotments
    • Burial Grounds, Cemeteries, Churchyards & Crematoria
    • Bus Shelters
    • Bye-Laws - power to make bye-laws concerning swimming pools, cycle parks, mortuaries & pleasure grounds
    • Clocks – public clocks provided must be maintained
    • Community Centres, Conference Centres, Halls & Public Buildings
    • Drainage – of ditches & ponds
    • Entertainment & the Arts
    • Footpaths
    • General Spending – on anything deemed to benefit the community not covered by other specified responsibilities
    • Gifts
    • Highways – lighting, parking places, right to enter into discussions on new roads and road widening, consent to divert or discontinue highway, traffic signs & other notices, tree planting & verge maintenance
    • Land – acquisition & sale of
    • Legal Proceedings – power to prosecute & defend any legal proceedings in the interests of the community, power to take part in any public enquiry
    • Litter – provision of litter bins & support anti-litter campaigns
    • Planning – to be notified of & display for residents any planning applications for the area. Any comments submitted to the planning authority by the parish council must be taken into account
    • Public conveniences – provision & maintenance of public toilets
    • Recreation – provision of recreation grounds, public walkways, pleasure grounds, open spaces, village greens, playing fields & boating ponds (excluding playgrounds unless requested)
    • Rights of Way – footpath & bridleway maintenance
    • Public Seats
    • Signs – danger signs, place names & bus stop signs
    • Tourism – financial contributions to any local tourist organisations allowed
    • Traffic Calming
    • War Memorials
    • Water Supply – power to utilise stream, well or spring water & provide facilities for general use.
  • Previous Insurance

  • / /
  • / /
    So that we may ensure your quotation is sent to you in good time.
  • If so, please provide details, dates and approximate costs of any incidents

    Our terms and conditions can be read on our website at www.norrisandfisher.com/terms

    Norris and Fisher (Insurance Brokers) Ltd complies with the requirements of the Data Protection Act (DPA) 1998 and General Data Protection Regulations (GDPR) 2018. This Act places legal obligations upon Norris and Fisher (Insurance Brokers) Ltd in respect of the way we collect, review, distribute and store personal data.

    In order to assess your application and help us reach a decision, we need to process relevant personal details. By signing this form, you are giving your consent for Norris and Fisher (Insurance Brokers) Ltd to do this.