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- Is the risk address the same as the correspondence address?*
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Format: 00000 000000.
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- Date of birth*
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- Annual renewal date (if applicable)
- Is a joint policy required?*
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- Date of birth*
- Please select your business activities below:*
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- Is your livery yard BHS approved?*
- From what date is cover required?*
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- Do you own or lease the premises?*
- If lease, do you have a written contract in place with the landlord to stipulate who is responsible for fences/hedges etc?
- Do you do any work outside of the UK?*
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- Do you require public liability cover for your own horses under this policy? Please note, if they are covered elsewhere, please select No.*
- Do you require Care, Custody and Control cover for any third party horse in your care?*
- If yes, please state the maximum value of any one horse: (Please note: a maximum limit of £100,000 applies in insurance year)*
- If you have DIY liveries, do you provide any assistance to owners? i.e. turning out, feeding, etc.
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- Do you have any public rights of way running through your premises?
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- Are paths fenced off preventing the public from accessing any horses?
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- Are paths adequately signposted the make members of the public aware of grazing horses?
- Are there any show(s) held on site attended by the general public?
- Are there any show(s) held on site open to existing livery clients only?
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- If cover is for a single show, please state the date of the event:
- Do you hire out facilities? (e.g. ménage)*
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- Do you offer any freelance instruction?*
- If yes, do you hold an instructor's qualification?
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- Are you an accredited trainer?
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- Do you provide any horses for teaching purposes?
- Do you require cover for a riding or carriage driving club?
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- Do you require cover for horse transportation?
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- Do you operate vehicles 7.5 tonnes & over?
- Do you hold a valid VOSA Operators Licence?
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- Is the centre a sanctuary only with no riding?
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- Please tick the appropriate height of the course:
- Is a Jump Cross course used for schooling and/or training?
- Is a Jump Cross course used for competitions?
- Please state countries in which you work:
- Are you BE approved?
- Do you provide advice only for a fee? i.e. where you do not continue to complete the build element
- Do you have a written Health & Safety policy with risk assessments in place?*
- Do you have an Accident Report Book?*
- Does this get updated if an accident arises?
- Are your electrical installations checked and maintained in accordance with current Health & Safety regulations?*
- Do you require employers' liability?*
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- Do you have written staff induction/training records?
- Will Personal Protective Equipment (PPE) be provided?
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- Will the PPE be checked regularly with written records of the checks kept?
- Has any insurer in respect of any of the risks to which this proposal refers, declined to insure you, cancelled or refused to renew your insurance or imposed special terms?*
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- Have there been any losses suffered, or events occurred which might have resulted in a claim, whether or not claimed for, during the last five years, in respect of any of the activities for which cover is required?*
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- Have you or any of your officers, business partners or directors, ever been convicted of any criminal offence other than a driving offence or have any non-motoring prosecutions pending? You only need tell us about any convictions that are unspent under the Rehabilitation of Offenders Act 1974*
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- Have you or any of your officers, business partners or directors, ever been declared bankrupt or insolvent?*
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- Have you or any of your officers, business partners or directors, ever been investigated or convicted under the Fraud Act 2006, or equivalent legislation?*
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- How would you prefer to be contacted by Cliverton?*
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- Would you like to receive news and updates from Cliverton?*
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- Should be Empty: