Hotel & Resort Insurance

Transcription

1 You give guests their peace of mind, let us do the same for you. HNBGI offers a specialized insurance package for the hospitality industry. If you run a small, medium or even a large hotel chain, our insurance coverage could be the ideal policy for you. Our insurance cover intends to offer you financial peace of mind. They are easy to arrange, hassle free and tailor made to meet the specific needs of your establishment. A fully owned subsidiary of HNB Assurance PLC HNB General Insurance Ltd (PB 5167) 10, Sri Uttarananda Mawatha, Colombo 03. Tel: (24 hours) E mail: info@hnbgeneral.com Web: Hotel & Resort Insurance

2 Hotel & Resort Insurance proposal form General information applicable to all sections in the cover 01. Name of the proposer Postal Address Contact number Business registration number/nic number Risk Address Period of insurance: From p.m, to p.m 07. Occupation (hotel, villa, rest house) Financial institution (If Mortgage) Have you ever taken Insurance cover against perils proposed in respect of this insurance? If so give details Is any premium outstanding to any insurer in Sri Lanka in respect of the risk or part of the risk proposed? Have you suffered loss or damage by any peril now proposed insurance within the last 5 years? If so, Please give details Has any insurer ever declined your proposal, refused to renew or cancelled your policy, or required an increased premium or imposed special terms? Are there any other circumstances, which appear to increase the risk of loss by any of the perils proposed for insurance? If so, please give details Are there any rivers, canals, reservoirs or other water courses close by?. 15. Do you have fire protection device? Will the premises be left unoccupied after business hours? If between which hours?. 17. Will the premises be guarded by watchers/security guards? If by how many?. Section A - (Material damage for Building & Contents) 18. Property to be insured; Sum to be insured (LKR) 1. On the Building 2. On fixtures, fitting and furniture therein

3 3. On goods in freezer 4. Other Stocks consisting of On fixed glass 6. On Machinery, equipment, utensils 7. On Jewelry and other valuables including Money held in trust or for which the insured is responsible whilst in security locked safes 8. Guest & Customers Personal Effects per room/ in aggregate 9. On Refrigerator Plant 10. Landscaping 11. Property in open 12. Any other, please provide your details TOTAL Is the policy to be on reinstatement value basis? (Applying to building, machinery, fittings, equipment, furniture and tools but not to stock in trades, food stuffs, packing material, merchandise and the like) 20. Perils to be covered; Please select 1. SRCC 2. Malicious Damage 3. Terrorism 4. Explosion 5. Impact Damage 6. Aircraft Damage 7. Electrical Extra 8. BOT 9. Cyclone, Storm and Tempest 10. Burglary 11. Flood 12. Earthquake 13. Other Specific Natural Perils i.e. Tsunami, Tidal-wave, volcanic, Hurricane, Typhoon and Tornado 14. Any other perils, Please state SECTION B (Legal Liability) Amount of indemnity required Rs.... Any one event Rs.... In Aggregate 1. Are premises licensed for sale of wines, Sprits & Beer 2. Are there any facilities provided for the guests for Outdoor games and recreation 3. Do you maintain lockers for the safe keeping of insured guests 4. Do you desire the policy extended to include legal liability for: a. Damage to property by fire or explosion? b. Injury or illness due to Food or drink poisoning? c. Defective sanitary arrangements d. Lifts, elevators and swimming pool e. Any other, please specify Do you undertake any services for the guests & visitors...

4 SECTION C (Money) 01. Particulars of the transits From To Distance (km). of trips per month Highest amount in transit at any one time 02. Estimated total amount in transit annually Rs Money in safe/ vault Rs Number of permanent employees accompanying money: How is the transit made: Do you want extend the cover against: SRCC Terrorism SECTION D - Fixed Glass and Sign Boards Description of Glass Size/ Dimensions Replacement Value 01. Description of shutters used to protect the glass:... SECTION E - Deterioration of Stock Details of Cold-Storage house 01. In operation... months in the year 02. Date of last Check and replacement? Alternate storage If so give name(s) and address (es) of alternate cold-storage house(s) Address... Distance... Km, Percentage of goods which can be stored % Period... months Have these facilities been used in earlier instances? / 04. Particulars of the goods store Type and grade of goods stored Number of Chambers Sum to be insured

5 SECTION F Machinery Breakdown (Compulsory cover if Deterioration of Stock cover required) 01. What arrangements are made for and who carries out the regular maintenance / inspection of the machinery? Date of last thorough examination of machinery. Who carried out the examination? Is the last statutory report / certificate up-to-date and satisfactory? Specification of items to be insured. Item Description of Items Please give full and exact description of all equipment. Including Name of manufacturer, type, serial number, voltage. Power input, Etc. In the case of outdoor lines, indicate length and method of Laying. Year of manufacture Remarks Give particulars of any part of the equipment to be insured which has had a breakdown or failure during the last three years and shows any signs of repair. in the case of mobile equipment, state means and frequency of transport, areas of Operation and distances. Please state if picture or admitted tubes are built in. Replacement value Please state current cost of replacing the equipment by new equipment of the same kind plus freight charges, customs duties, costs of Erection, package material. Refrigerator plant 01. Can the cold-storage rooms be entered and inspected while in use? / 02. Is the condition of the goods checked during storage? / 03. Control and Alarm systems available / 04. What is the method of routine meter readings... SECTION G Electronic Equipment 01. Is all the equipment to be insured new (If not, which items of the specification are second-hand)? 02. Is the equipment maintained in accordance with the manufacturers instructions? 03. Are dangerous materials used in the vicinity? Specification of Items to be insured Item. Description of Items Please give full and exact description of all equipment. Including Name of manufacturer, type, serial number, voltage. Power input, Etc. In the case of outdoor lines, indicate length and method of Laying. Year of manufacture Remarks Give particulars of any part of the equipment to be insured which has had a breakdown or failure during the last three years and shows any signs of repair. in the case of mobile equipment, state means and frequency of transport, areas of Operation and distances. Please state if picture or admitted tubes are built in. Replacement value Please state current cost of replacing the equipment by new equipment of the same kind plus freight charges, customs duties, costs of Erection, package material.

6 SECTION H - Workmen s Compensation 01. Estimated annual earning: Category Salary Per Month, Per Employee Count Estimated Annual Earning 01. Are the premises in a good state of repair and accordance with statuary requirements and/or local authority requirements? 02. Will boilers, steam containers and other pressure vessels, lifts, hoists and cranes and all other machinery be regularly inspected and maintained according to statuary requirements? 03. Have you included all workmen under your employment in the above schedule? SECTION I - Personal Accident 01. Person(s) to be Insured - details: Name Age Profession/Category Limit/ Sum Insured Do you want extend the cover against : SRCC: Terrorism : Motor Cycling: / / / 01. Are there any circumstances connected to the members occupation, pastime or habits of life that render you particularly liable to injury or sickness? 02. Do any member intent to undertake air Travel other than as a fare paying Passenger? 03. Any physical defects or Infirmity or sickness or disease of any kind? If yes, state nature. DECLARATION I/ We hereby confirm and agree that: a. All information and particulars given are true and complete, and that no information has been withheld which might influence the Company s decision regarding this insurance b. To the best of my knowledge and belief the information given is true in every respect and if any question has been answered by another person, he/she acted as my/our agent for such purpose. c. This proposal shall form the basis of contract with HNB General Insurance Limited. d. Immediate notice shall be given to the Company of any alteration in the circumstances described herein.... PROPOSER S SIGNATURE... DATE