Vehicle Insurance Scheme for Players and Officials of Leeds Rhinos & Leeds Tykes

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Elaine Lyons
8 years ago
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1 Vehicle Insurance Scheme for Players and Officials of Leeds Rhinos & Leeds Tykes A facility has been established via Caunce O'Hara Insurance Brokers, which allows any Player or Official of the Club to add their own vehicle to a specific motor fleet policy arranged on your behalf. Caunce O Hara arranges similar programs for the PRA, Sale Sharks, Bradford Bulls, Wigan Warriors, Hull Sharks, St Helens and handles motor insurance arrangements for Executives at Premier Rugby. As long as you are a Player or Official employed or contracted to the Club then you are able to join the Scheme and the annual insurance premium is calculated as follows: Obtain your individual insurance group for your make and model of vehicle by accessing and using the matrix below you can calculate exactly what your premium is going to be. Car Insurance Group Band Annual Premium 1 to 7 A plus 5% Insurance Premium Tax 8 to 12 B 1, plus 5% Insurance Premium Tax 13 to 15 C 1, plus 5% Insurance Premium Tax 16 to 19 * D 2, plus 5% Insurance Premium Tax 20 * E 2, plus 5% Insurance Premium Tax * Excluding Drivers Under 25 Years of Age Unless Named & Approved / Additional Security Requirements May Apply (Referral to Underwriters May Be Required) Please te Handling Fees of are applicable on Every Transaction and are in addition to the Prices Quoted. The Policy runs for 12 months effective from 13 th December 2005 but don t worry if your car insurance is not due for renewal, you can add your vehicle at any time to the policy during the next 12 months and only pay for the insurance period applicable. Quarter % of the Annual Premium Quarter % of the Annual Premium Quarter % of the Annual Premium Quarter % of the Annual Premium You can delete your vehicle at any time during the Policy Period and receive a refund for the insurance period applicable as follows: Quarter 1 50% of the Annual Premium Quarter % of the Annual Premium Quarter 2 25% of the Annual Premium Quarter 4 0% of the Annual Premium Please te Refunds Can Take up to 6 months to process as adjustments are only processed by Insurers upon expiry of each quarter. Comprehensive Cover Anybody Can Drive Your Vehicle With Your Permission subject to the Excesses Below Accidental Damage Excess 500 if Driver is Over 25 Years of Age 650 if Driver is Over 21 Years of Age 750 if Driver is Under 21 Years of Age Fire & Theft Excess 500 Windscreen Cover is excluded Instalments available if cover arranged for longer than 6 Months. THIS POLICY WILL NOT BE VALID IF THE INSURED PERSON CEASES TO BE A PLAYER OR OFFICIAL EMPLOYED OR CONTRACTED TO LEEDS RHINOS OR LEEDS TYKES In order to arrange instant cover please contact Caunce O'Hara on with your vehicle details or complete the Application Form below and submit to us with your payment.

Caunce O Hara arranges similar programs for the PRA, Sale Sharks, Bradford Bulls, Wigan Warriors, Hull Sharks, St Helens and handles motor insurance arrangements for Executives at Premier Rugby.

2 Leeds Rugby Motor Facility Application Form Name Address Postcode Date of Birth Country of Licence Issue Date Licence Obtained Details of any Convictions in the last 5 years (Please Enclose Copy of Licence) Details of any Accidents in the last 5 years Have you had any insurance declined, cancelled, renewal refused or been required to pay an increased premium or had special conditions imposed by any motor insurer? If, give details Vehicle Engine Size cc Registration Value

the last 5 years Have you had any insurance declined, cancelled, renewal refused or been required to pay an increased

3 Leeds Rugby Motor Facility Application Form Is the vehicle owned by you and registered in your name or hired to you under a hire purchase, leasing or contract hire agreement? If, give details Is the vehicle registered and permanently based in the United Kingdom? If, give details Will your vehicle carry goods of an explosive, inflammable, corrosive or toxic nature? If, give details Will your vehicle operate airside or in close proximity of aircraft? If, give details Has any vehicle(s) been altered in any way from the manufacturer s specification? If, give details

If, give details Will your vehicle carry goods of an explosive, inflammable, corrosive or toxic nature?

4 Leeds Rugby Motor Facility Application Form Insurance Group Obtained from parkers.co.uk Annual Premium Date Cover Required From (Cover cannot be backdated - if needed urgently then please telephone the office otherwise cover will begin from the date the application is received by Caunce O Hara & Co Ltd) Premium Band Quarter % of Annual Premium Applicable Premium Payable + Commission Fee = Total Payable IMPORTANT NOTES PLEASE READ CAREFULLY Before signing and dating the declaration, please read these notes very carefully. MATERIAL INFORMATION OR FACTS From the answers you have given to the questions we will usually be able to give your proposal adequate assessment. However, there may be other material information or facts known to you which could influence our assessment and acceptance of the risk which has not been catered for, either fully or in part, by the questions. It is extremely important that you disclose all material information and facts (that is any information or facts which could influence our assessment and acceptance of your proposal.) FAILURE TO DO SO COULD INVALIDATE THE INSURANCE. If you are in doubt as to whether or not any information or fact is material, then it should be disclosed to us - on a separate sheet if necessary. YOUR OWN RECORD OF INFORMATION AND FACTS SUPPLIED You should keep your own record (including copies of letters) of all information and facts supplied to us for the purpose of entering into this contract. ACCURACY OF ANSWERS PLEASE CHECK ALL YOUR ANSWERS TO THE QUESTIONS, PARTICULARLY IF THE PROPOSAL FORM HAS NOT BEEN COMPLETED IN YOUR OWN HAND. Only when you are satisfied that all the questions have been truthfully answered should you sign and date the Declaration.

Caunce O Hara & Co Ltd) Premium Band Quarter % of Annual Premium Applicable Premium Payable + Commission Fee = Total Payable 25.

5 Declaration I declare that to the best of my knowledge and belief (having made all reasonable enquiries) the above statements are true, complete and that no material information or fact has been withheld or suppressed. I agree this proposal shall be the basis of the contract with Groupama Insurance Company Limited. If any answers have been written by another person then for that purpose such person shall be regarded as my agent and not the agent of Groupama Insurance Company Limited. to be bound by the terms of the policy. I understand the liability of Groupama Insurance Company Limited does not commence until this proposal has been accepted by them. Groupama Insurance Company Limited reserves the right to decline any proposal. For Data Protection Act Purposes I understand that the information on this form and data provided by other means throughout the period of insurance may be passed to the Motor Insurers Information Centre and/or the Association of British Insurers and/or Insurance Database Services. Information may be added to the Motor Insurance Database and/or the Motor Insurance Anti-Fraud and Theft Register and/or the Claims and Underwriting Exchange Register. I understand that personal data provided will be used for insurance administration and for the same purpose may be passed to selected third parties and reinsurers. I consent to the processing of personal data, including sensitive data about me and other persons who may be insured under this policy. I understand that all personal data supplied by me must be accurate and that I have the specific consent of those other persons insured to disclose their personal data. I understand duty of disclosure applies to all persons covered The duty of disclosure specified in this proposal continues to apply during the period of insurance and to any claim made. Groupama Insurance Company Limited reserves the right to request further or more detailed information as they deem it relevant. Telephone calls may be recorded. Proposer s Signature Date

If any answers have been written by another person then for that purpose such person shall be regarded as my agent and not the agent of Groupama Insurance Company Limited.

6 Payment Method Cheque Credit / Debit Card Instalments Credit / Debit Card Details Card Type (Eg Visa / Mastercard) Card Number (Across the Middle) Valid From Date Valid To Date Issue Card Security Cardholder s Name Instalment Details (Only Available if at least 6 months of the Policy Insurance Period Remains) Bank / Building Society Name Bank / Building Society Address Account Holder s Name Postcode Account Number Sort Code - - A Separate Credit Instalment Application Form will be sent to you to check and sign in order to finalise the Instalment Facility.

Policy Insurance Period Remains) Bank / Building Society Name Bank / Building Society Address Account Holder s Name Postcode Account Number

Autovan Commercial Motor Insurance Proposal form

Autovan Commercial Motor Insurance Proposal form Agent s name Agent s number Policy number te: Please use BLOCK CAPITALS and tick YES or NO where appropriate. Please initial any alterations. A. Proposer