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greensure questionnaire

Contact Information
Club Name	Contact Name (required)
Club Address	Contact Address (if different)
Club Tel/Fax	Contact Tel/Fax (required)
Club Email Address	Contact Email Address
Club Website Address	Contact's Position within Club - - - Select - - - Secretary Chairperson Treasurer President Captain Other

Premises
Clubhouse (Roof) - - - Select - - - Slate Tile Metal Felt on Timber Portion Flat 0% Felt on Timber Portion Flat 25% Felt on Timber Portion Flat 50% Felt on Timber Portion Flat 100%	Clubhouse (Walls) - - - Select - - - Stone Brick Timber Brick/Timber	Clubhouse (Floor) - - - Select - - - Concrete Timber
Outbuilding 1 (Roof) - - - Select - - - Slate Tile Metal Felt on Timber Portion Flat 0% Felt on Timber Portion Flat 25% Felt on Timber Portion Flat 50% Felt on Timber Portion Flat 100%	Outbuilding 1 (Walls) - - - Select - - - Stone Brick Timber Brick/Timber	Outbuilding 1 (Floor) - - - Select - - - Concrete Timber
Outbuilding 2 (Roof) - - - Select - - - Slate Tile Metal Felt on Timber Portion Flat 0% Felt on Timber Portion Flat 25% Felt on Timber Portion Flat 50% Felt on Timber Portion Flat 100%	Outbuilding 2 (Walls) - - - Select - - - Stone Brick Timber Brick/Timber	Outbuilding 2 (Floor) - - - Select - - - Concrete Timber
Outbuilding 3 (Roof) - - - Select - - - Slate Tile Metal Felt on Timber Portion Flat 0% Felt on Timber Portion Flat 25% Felt on Timber Portion Flat 50% Felt on Timber Portion Flat 100%	Outbuilding 3 (Walls) - - - Select - - - Stone Brick Timber Brick/Timber	Outbuilding 3 (Floor) - - - Select - - - Concrete Timber

Security
Intruder Alarm	- - - Select - - - Bells Only Central Station
Signalling	- - - Select - - - Digicom Overground Digicom Underground Redcare Recare GSM Other
NACOSS/SSAIB Approved Installer	Yes No
Is the alarm on an annual maintenance contract	Yes No
Details of other security measures	Roller Shutter Grilles Window Bars CCTV
Do you have a safe installed?	Yes No
Details of any non bowling activities undertaken at the premises

Sums Insured
Clubhouse and Outbuildings	Wines/Spirits/Tobacco
Contents and Fixtures (Clubhouse)	Other Stock inc Beers
Contents of outbuilding	Cups/Trophies/Pictures
Money limit in gaming machines	Computers
Money limit during open hours	Public Liability Limit
Money limit in transit	Employers Liability Limit
Money limit in Safe overnight	Number of PLAYING Members
Annual Wages	Number of SOCIAL Members
Annual Revenue	Number of Greens 1 2

Claim Details
Circumstances of Claim 1 - - - Select - - - Fire Malicious Damage Theft Glass Storm Water Damage	Year of Claim 1 - - - Select - - - 2002 2003 2004 2005 2006	Amount of Claim 1
Circumstances of Claim 2 - - - Select - - - Fire Malicious Damage Theft Glass Storm Water Damage	Year of Claim 2 - - - Select - - - 2002 2003 2004 2005 2006	Amount of Claim 2
Circumstances of Claim 3 - - - Select - - - Fire Malicious Damage Theft Glass Storm Water Damage	Year of Claim 3 - - - Select - - - 2002 2003 2004 2005 2006	Amount of Claim 3

Current Details
Current Insurer
Renewal date
Current annual Premium

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