Experts in Sport, Dance and Leisure insurance
  • Tel: 01905 612336

Quote Form

If you need help with this form or require a quote for a league / county, please give us a call - 01905 612336.



 


 


 



 


 
6: What date do you require cover to start (can not be back-dated)

 
7: Has any Insurer declined to insure the Club, imposed special terms, cancelled or refused to renew your Insurance?



 
8: Have any injuries been sustained whilst playing football or training during the past 3 years by any member of your Club?



 
9: Have there been any liability claims made against you during the last 5 years whether insured or not?



 


 

Team Personal Accident Insurance

Adult Teams



 

  x


 

 = 


 

A

Junior Small Teams (7 players or less) aged 5-16



 

  x


 

 = 


 

B

Junior Large Teams (8 players or more) aged 5-16



 

  x


 

 = 


 

B

Combined Public Liability & Employers Liability

Public Liability


 

D
Employers Liability for unpaid volunteers - free if you take Public Liability


 

E
Employers Liability if you have 1-5 paid employees


 

E
Optional Legal Expenses Insurance (delete if not required)

 
F
Mann Broadbent Policy Documentation Fee

 
G
Total (minimum £50)

 

Declaration / Warranty - I / we declare that

  1. All teams of the Club have been included and that any other teams formed afterwards will be proposed for inclusion immediately. Teams for Weekdays, Saturdays & Sundays are considered as separate teams if they are registered as separate teams with our County FA.
  2. The Club does not engage players whose full-time occupation is that of playing Football / Indoor Football and where registered Part-Time Contract Players are employed by the Club these will be declared to the Insurers.
  3. To the best of my / our knowledge and belief all the foregoing particulars are true and I / we agree that this proposal and declaration shall be the basis of a contract of insurance to be expressed in the usual terms of the policy by Insurers under the Mann Broadbent scheme.
  4. I / we understand that no liability shall attach until the application shall have been accepted by the Insurers and that the Insurers reserve the right to apply special terms and investigate claims.

 

Yes, I declare above.

 
           

"Just a few lines to congratulate all at Mann Broadbent on your fabulous claims service , it makes my job easier believe me. Keep up the great work!"

Jeff Jones, Senior Partner, Lawson D Jones

The Somerset Cricket League contacted a number insurance providers when it decided that every club MUST have Public Liability cover if it was to be a member of the League. We looked at a selection...

Ray Hancock, Hon. Secretary, Somerset Cricket League

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Mann Broadbent have always gone to great lengths to look after the insurance needs of the Worcestershire FA and have provided an excellent service for over 20 years.

Mervyn Leggett, Vice - President, The Football Association

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I am continually impressed and greatly appreciated the prompt and very efficient service we always receive from Mann Broadbent in dealing with the Public Liability/ Personal Accident, ...

Les Todd, Vice President, Northumberland FA

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Mann Broadbent have gone to great lengths to understand the insurance requirements of Last Man Stands Franchise holders in the United Kingdom ...

Wayne Greve, Last Man Stands

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We moved all our insurance business to Mann Broadbent earlier this year and have found the service to be exemplary with the highest of professionalism at all times ...

Mike Pegg, National President, English Petanque Association

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Sutcliffe Insurance Brokers Ltd t/a Mann Broadbent is authorised and regulated by the Financial Conduct Authority 306068
2 Foundry Street, Worcester, WR1 2BJ tel:01905 612336 | Registered in England No 1167560
If you cannot settle your complaint with us, eligible complainants may be entitled to refer it to the Financial Ombudsman Service for an independent assessment.
The FOS Consumer Helpline is on 0800 023 4567 and their address is: Financial Ombudsman Service, Exchange Tower, London E14 9SR.
Website: www.financial-ombudsman.org.uk/
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