Trading Details 1. Please provide full details of business, goods sold/ services and/or activities:
2. Do you hold, or have you previously held, Public Liability? —Please choose an option— Yes No
If yes, please provide the name and address of the insurer and the renewal date of the policy.
Name: Expiry Date:
3. Which of the following best describes your business.—Please choose an option— Craft Trader selling their own hand made crafts Artist selling their own art work Art Exhibition Artists/Muralists Exhibiting their own art work at gallery Event Trader only Display stand only Kiosk (Shopping Centres) Pop-up Shops(short term fix premises) Other
If other, please advise.
3(b). Do you trade at one location only or different locations throughout the year.
Trading from one location only Trading at all locations
If you attend just one location please provide the location
4. If attending a market/event, please provide name(s) of market/event(s) attended.
5. Cover required for. —Please choose an option— selling my work at markets/events displaying my work at various locations selling my goods online Supply of your products for re-sale to other 3rd parties Other I If other, Please give details.
5b. Will you be cooking or heating food, drinks or services involving heat. —Please choose an option— Yes No If yes, Please give details of equipment used.
6. Do you provide any additional services. 1. —Please choose an option— No Additional service Classes (please describe class activities below) Fixed premises (shop, pop-up shop,etc.. please provide the size of the shop/unit below) Web-sales (please provide the turnover in relation to sales online below) Polytunnels/garden area (please provide the size of the area below) Supply of your products for re-sale to other 3rd parties(please provide the turnover in relation to re-sale below) Demonstrations/ in-store sampling Other (please provide details below) 2. —Please choose an option— No Additional service Classes (please describe class activities below) Fixed premises (shop, pop-up shop,etc.. please provide the size of the shop/unit below) Web-sales (please provide the turnover in relation to sales online below) Polytunnels/garden area (please provide the size of the area below) Supply of your products for re-sale to other 3rd parties(please provide the turnover in relation to re-sale below) Demonstrations/ in-store sampling Other (please provide details below) 3. —Please choose an option— No Additional service Classes (please describe class activities below) Fixed premises (shop, pop-up shop,etc.. please provide the size of the shop/unit below) Web-sales (please provide the turnover in relation to sales online below) Polytunnels/garden area (please provide the size of the area below) Supply of your products for re-sale to other 3rd parties(please provide the turnover in relation to re-sale below) Demonstrations/ in-store sampling Other (please provide details below) 4. —Please choose an option— No Additional service Classes (please describe class activities below) Fixed premises (shop, pop-up shop,etc.. please provide the size of the shop/unit below) Web-sales (please provide the turnover in relation to sales online below) Polytunnels/garden area (please provide the size of the area below) Supply of your products for re-sale to other 3rd parties(please provide the turnover in relation to re-sale below) Demonstrations/ in-store sampling Other (please provide details below) If other additional services, please give details.
7. Please confirm the number of different locations/stalls operating at the same time. *
8. Length of cover required. —Please choose an option— Annual 12 months 6 weeks 4 weeks 5 days 3 days 2 days 1 day If you know the date you would like cover to be effected from, please advise. Please note cover cannot be back dated.
Declaration 9. Please confirm the cover required.
Public Liability —Please choose an option— Yes No
Products Liability – food and drink products only —Please choose an option— Yes No
Non-food product Liability for non-food products (available only with Public Liability)
Products Liability is available for other products. Please provide full details so this can be considered.
Employers Liability (not included in cost of Public Liability) —Please choose an option— Yes No
If yes, please state the maximum amount of employees/helpers at any one time. (cover is recommended).
10. Have you ever been convicted/ charged with a criminal offence (excluding motor)? —Please choose an option— Yes No If yes, please provide details.
11. Has any insurer ever declined a proposal, cancelled or refused renewal or required special terms on any of the insurances for which you are now proposing? —Please choose an option— Yes No If yes, please provide details.
12. Have you suffered any claim or loss (whether insured or not) in connection with Employers, Public or Products Liability over the last 3 years? —Please choose an option— Yes No If yes, please provide details.
Our limit of indemnity for Employers Liability is € 13,000,000.> Our limit of indemnity for Public or Products Liability is € 13,000,000.> Products Liability €13,000,000 automatically applies to food and drink.> Other products can be included where agreed by insurers.
I/we declare that the statements and particulars given in this proposal are, to the best of my/our knowledge and belief, true and complete and that this proposal will form the basis of my/our membership of IOMST.*Please Agree to Proceed
I/we confirm that I/we am/are giving my/our permission for the information we provided in this form to be used for the purposes set out in the Data Protection section https://www.iomst.ie/iomst-privacy-policy .
Please note that the details you are being asked to supply may be used to provide you with information about other products and services from third parties. The fact that you choose not to receive such information will not affect any aspect of the facilities that are provided to you now or in the future.
Please note: Your quotation will be sent via email to the email address supplied above, generally within an hour of receipt of your details (during business hours). Please ensure you check your email junk/spam folder in addition to your inbox for your quotation details. If you have not received any correspondence, please get in touch and we will resend.
Make sure you tick the, i/we buttons above to submit