Playbus Operator’s Insurance Quote

Playbus Insurance Quotation Form

If you have any questions, or would prefer to speak directly with one of our Playbus Insurance Advisors, please call 01962 774421.

GENERAL DETAILS
Your Name*
First Last
Company Name
What is your Company type?*
Primary Phone Number*
Alternate Phone Number
Correspondence Address*
Address Line 1* Address Line 2 Town / City* County* Postcode* Country
Primary Email Address*
Alternate Email Address
When do you need the insurance to start from?
Please leave blank for ASAP
DD slash MM slash YYYY
When was your company first set up?
DD slash MM slash YYYY
Is the bus single or double decker?*
- Single decker
- Double decker
Where is the bus kept when not in use i.e. locked compound, private residence, public parking etc
Road Risks
Do you require cover for Road Risks*
- Yes
- No
What is the address of where the bus will be kept overnight?
Same as Correspondence Address?

Address Line 1 Address Line 2 Town / City County Postcode Country
Date of purchase of the bus*
DD slash MM slash YYYY
Details of Playbus*
Year Make Model Reg Number Total Value of Bus Value of Fixtures & Fittings GVW (Gross Vehicle Weight) Cyclinder Capacity
Annual mileage
How many years NCB (No Claims Bonus) do you have?*
Do you want to protect you NCB?*
- Yes
- No
What is the bus transmission type?
- Manual
- Automatic
- Enhanced Automatic
Number of axles?
Is the bus right-hand or left-hand drive?
- Right-hand Drive
- Left-hand Drive
What is the bus fuel type?*
- Diesel
- Petrol
Radius of operation
- Less than 100 miles within the UK
- Greater than 100 miles
Do you do any work in the EU?
- Yes
- No
What security if any does the bus have?
Is the bus fitted with a camera?
- Yes
- No
How many seats does the bus have (including the drivers seat)?*
Any livery i.e. sign writing or artwork?
Are you the registered owner of the bus?
- Yes
- No
If NO, please provide name of the registered owner?
What is your relationship to the proposer?
What level of cover do you require?
Details of named drivers*
First Name Surname Date of Birth Marital Status Occupation Date Driving Test Passed Driving Licence Number
Does your licence entitle you to drive a Playbus?
- Yes
- No
Have any of the drivers had any County Court Judgements, Motoring Offences or Motoring Accidents?
- Yes
- No
Please give further of any County Court Judgements, Motoring Offences or Motoring Accidents?
Name of Driver Date of Conviction Penalty Points Fine Details of Offence
Public Liability
Do you require Public Liability?
- Yes
- No
Public Liability Indemnity Limit
- £1m
- £2m
- £5m
- £10m
What is your estimated Annual Turnover?
Maximum number of children allowed on the bus at any one time?
Do you operate outside of the UK?
- Yes
- No
Do you operate any other play equipment that is NOT fixed to the bus and not otherwise insured?
- Yes
- No
EMPLOYERS LIABILITY
Do you require Employers Liability Insurance?*
This includes any volunteers or casual labour.
- Yes
- No
What is the total number of employees/volunteers?*
Estimated annual clerical wages?
Estimated annual manual wages?
Do you have a Health & Safety and Risk Assessment Policy in place?*
- Yes
- No
CLAIMS AND OTHER INFORMATION
Has the proposed Policyholder(s) ever had any claims or incidents?*
- No
- Yes
Please provide further information about the claim/incident including date of loss*
Has the proposed Policyholder(s) ever had any criminal convictions?*
- No
- Yes
Please give details of conviction(s) including date
Has the proposed Policyholder(s) had any insurance declined, cancelled or any special terms imposed?*
- No
- Yes
Please provide further details of why insurance was declined, cancelled or why special terms were imposed:
Has the proposed Policyholder or their Director(S) ever received a County Court Judgement, Debt Relief Order, been declared bankrupt or become insolvent or been a director in a business that has been subject to a winding up order?*
- No
- Yes
Please provide further details of any County Court Judgement, Debt Relief, bankruptcy etc
Other Information
Please detail any other information which you feel might be relevant.
How did you hear about CoverMarque?*
Online Directory*
- The Showman's Show
- Open Air Business
- KITSHIFT
- Standout
Advert*
- StandOut Magazine
- HEN Magazine
- Open Air Magazine
Social Media*
- Facebook
- LinkedIn
- Twitter
- Instagram
- TikTok
Other*
Please confirm where you heard about CoverMarque Limited
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Playbus Operator’s Insurance Quote

Playbus Insurance Quotation Form

GENERAL DETAILS

Road Risks

Public Liability

EMPLOYERS LIABILITY

CLAIMS AND OTHER INFORMATION

Wind Gust Checker

Covermarque

Contact Details

Year	Make	Model	Reg Number	Total Value of Bus	Value of Fixtures & Fittings	GVW (Gross Vehicle Weight)	Cyclinder Capacity

First Name	Surname	Date of Birth	Marital Status	Occupation	Date Driving Test Passed	Driving Licence Number

Name of Driver	Date of Conviction	Penalty Points	Fine	Details of Offence