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

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

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