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Policy Summary - Towergate Insurance

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Care Concept<br />

<strong>Insurance</strong> for Care Homes<br />

Pioneers in Care Home <strong>Insurance</strong>.<br />

Established since 1982.<br />

<strong>Policy</strong> <strong>Summary</strong> Document<br />

1


Care Concept policy summary<br />

This information is a summary of the Care Concept policy. The summary highlights the main features and<br />

exclusions to help you decide if the policy meets your needs. It does not contain all the terms and conditions<br />

that may apply, this information can be found in the policy document. A copy of the policy will be sent to you<br />

after you have taken out the insurance but is available beforehand from us or your advisor on request. When<br />

you take out cover with us we will issue you with a schedule and document details the cover you have<br />

chosen.<br />

<strong>Insurance</strong> Providers<br />

Sections 1,2, 4 to 6 and 9 to 12 is underwritten by Allianz <strong>Insurance</strong> plc - 57 Ladymead,<br />

Guildford, Surrey, GU1 1DB.<br />

Sections 3 and 13 is underwritten by Allianz Engineering, Haslemere Road, Liphook,<br />

Hampshire GU30 7UN.<br />

Section 7 Legal Expenses underwritten by Brit <strong>Insurance</strong> Ltd, 55 Bishopsgate, London<br />

EC2N 3AS and administered by Abbey Legal Protection, a trading division of Abbey<br />

Protection Group Limited.<br />

Section 8 <strong>Towergate</strong> Assist Loss Recovery is fully underwritten by certain underwriters at<br />

rence 330451 and administered by Lorega<br />

Limited, 8th & 9th Floor, 36/38 Leadenhall Street, London EC3A 1AT.<br />

Duration of Contract<br />

The standard duration of this non-investment insurance contract is 12 months from the start date on your<br />

policy schedule.<br />

<strong>Insurance</strong> Cover<br />

Covers available for Contents, Business Interruption, Engineering Breakdown, Money and Assault, Loss of<br />

Registration, Public/Products/Employers Liabilities, Medical Malpractice, Legal Expenses, Loss Recovery,<br />

ings, Personal Accident, Employee Dishonesty and<br />

Engineering Inspection.<br />

2<br />

2


Section 1 – Contents<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Extensive basis of cover as standard.<br />

Covers a range of insured events such as fire, theft,<br />

malicious damage, storm, escape of Water and Impact.<br />

Accidental damage included as standard<br />

Increased by index-linking until settlement of the claim, but<br />

you must ensure sums insured are adequate at the outset.<br />

In addition to the business contents, allow fully for the<br />

household contents of any resident proprietor and/or staff.<br />

Wide cover for property in the grounds of the premises<br />

Plus<br />

in the<br />

UK.<br />

Glass<br />

Covers accidental damage to all glass, sanitary fixtures &<br />

signs.<br />

You select the sum insured, which is the most we will pay.<br />

If your sum insured is inadequate any claim payment will be<br />

reduced in proportion to the amount of under-insurance<br />

Excluding theft, malicious persons, storm or flood in respect of<br />

moveable property left in the open (but this exclusion does not<br />

apply in the grounds in respect of the first £1,000 of each claim, or<br />

<br />

Excluding theft from unattended vehicles unless the vehicle is<br />

locked, the property hidden from view and there is evidence of a<br />

forced entry.<br />

Limits<br />

In the grounds:-<br />

£10,000 for fixed floodlighting, security equipment, signs and<br />

nameplates<br />

<br />

Outside the premises/anywhere in the UK;-<br />

£5,000 any one period of insurance<br />

£1,000 each business contents item<br />

£250 each personal effects item<br />

£500 each person for personal effects<br />

3<br />

3


Section 2 – Business Interruption<br />

4<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Covers your trading losses which follow a damage claim<br />

under the Contents section and or Buildings sections.<br />

You will be asked to provide your estimated gross revenue<br />

which should represent your fee income which you<br />

anticipate will be earned by the business during the 12<br />

months corresponding with the forthcoming period of<br />

insurance. We will also require this information prior to<br />

each renewal.<br />

Extensions include:-<br />

Infectious disease<br />

Additional accommodation expenses<br />

Following insured damage, covers the costs & expenses in<br />

accommodation for residents and resident<br />

employees/proprietor and family<br />

Additional sheltered housing expenditure<br />

Covers you if you are legally responsible for the cost of<br />

reimbursing sheltered housing tenants following insured<br />

damage.<br />

Human infectious disease food poisoning<br />

defective sanitation and vermin<br />

Covers your loss of revenue if restrictions (not necessarily<br />

rity<br />

Excursions<br />

Covers your loss of revenue following a road traffic<br />

accident in which residents are killed<br />

Lifts and stair lifts<br />

Covers your revenue and additional expenses following<br />

sudden and unforeseen damage, to lifts and stair lifts.<br />

Suppliers and off-site storage<br />

For example, covers your additional costs should a major<br />

supplier of equipment or medical supplies suffer a<br />

significant fire as a consequence of which you have to use<br />

alternative suppliers.<br />

Includes off-site storage facilities.<br />

Limit<br />

The most we will pay is up to 133.3% of the estimated gross<br />

revenue.<br />

If you have not supplied us with an up-to-date estimate of your<br />

gross revenue, the most we will pay will be the sum insured shown<br />

on the schedule.<br />

A human infectious or contagious disease manifested by any<br />

person while at the premises<br />

Limit all claims in any one period of insurance £250,000<br />

Maximum Indemnity period 3 months<br />

Limit £25,000<br />

Limit £25,000<br />

Excluding losses occurring over 3 months after the event begins<br />

Limit £25,000 any one incident<br />

Limit £5,000 any one incident<br />

Limit £25,000 any one incident<br />

4


Section 3 – Engineering Breakdown and Business Interruption<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Cover One a – Engineering Material Damage<br />

Cover for sudden and unforeseen damage, including<br />

Breakdown, Explosion, Collapse and accidental damage<br />

on Plant and Machinery and Pressure Plant<br />

Plant and Machinery includes a range of items used in<br />

connection with the Business which operate under<br />

electrical and/or mechanical power<br />

Pressure Plant includes boiler plant, plant subject to<br />

internal steam pressure, plant used to contain fluids under<br />

pressure or vacuum and associated piping.<br />

The main extensions are:<br />

Expediting Costs<br />

Hazardous Substances<br />

Legal liability cover for loss or damage to Hired In Plant<br />

including continuing hire charges<br />

Claims Preparation Cost<br />

Fuel Storage Tanks Loss of Contents and the cost<br />

incurred in cleaning up the spilled contents<br />

Avoidance of Impending Damage<br />

Additional work necessary to comply with European<br />

Union legislation<br />

The Limit of Liability for this section is £1,000,000 for Plant and<br />

Machinery and £1,000,000 for Pressure Plant.<br />

Losses will be settled on a reinstatement basis with the exception of<br />

Insured Property:<br />

used for the generation of electricity (other than standby<br />

reciprocating engine and generator sets up to one mega watt per<br />

<br />

glass lined vessels<br />

used mainly outdoors or installed outdoors unless used in<br />

connection with the supply of mains gas water or electricity<br />

that is obsolete in which case the cost of repair or replacement of<br />

an equivalent item of equipment in current production will be paid<br />

up to £20,000<br />

up to £10,000<br />

up to £5,000. The terms of the hiring agreement must be no more<br />

onerous than the Model Conditions for hiring of plant approved by<br />

the Construction Plant-Hire Association. If the hire charges exceed<br />

£1,000 then the Insured shall declare the hire charges paid and an<br />

additional premium will be due.<br />

up to £2,500<br />

up to 10,000<br />

up to £5,000<br />

up to £15,000<br />

The main exclusions are:<br />

excess of £250.<br />

Insured Events covered under other sections of this policy<br />

Damage as a result of the direct application of tools or during<br />

maintenance servicing or faulty workmanship during repairs.<br />

wear tear, gradual deterioration or scratching.<br />

Safety devices and expendable items such as cutters, bits, tools,<br />

moulds etc.<br />

Damage to property arising from multiple lifting operations.<br />

vessels, crafts, vehicles, devices, rigs or platforms or equipment<br />

mounted thereon.<br />

Damage to any item arising during its installation or testing.<br />

Damage caused by deliberate overloading or overload testing<br />

unless in accordance with BS7121.<br />

Terrorism and E Risks.<br />

5<br />

5


Section 3 – Engineering Breakdown and Business Interruption (Cont)<br />

6<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Cover One b – Engineering Material Damage<br />

Cover for Breakdown of Computer Equipment and<br />

Electronic Equipment.<br />

The main extensions are:<br />

The recompilation of Computer Media from other records<br />

and repurchase of proprietary software<br />

Breakdown of Computer Equipment and Auxiliary<br />

Equipment whilst in Transit<br />

Cover Two – Engineering Business Interruption<br />

Cover for any Financial Loss suffered following loss or<br />

damage insured under Cover One a or b<br />

The Limit of Liability for this section is £250,000 for Computer<br />

Equipment and £115,000 for Electronic Equipment.<br />

Losses will be settled on a Reinstatement basis.<br />

There is a Special Condition requiring the Insured to back up data<br />

records and where possible store off site with duplicate copies of<br />

software programs.<br />

There is also a Special Condition stating that the amount paid for<br />

loss or damage to tubes and intermediate image carriers will reduce<br />

depending on the estimated running life of the items.<br />

up to £25,000 and Special Condition 1 – Duplicate Records must be<br />

complied with.<br />

up to £25,000 anywhere in the European Union or the European<br />

Free Trade Association including the Isle of Man and the Channel<br />

Islands<br />

The main exclusions are:<br />

Excess of £250.<br />

Insured Events covered under Section 1 of the Care Concept<br />

<strong>Policy</strong>.<br />

Costs recoverable under a maintenance agreement.<br />

Incorrect storage of Computer Media.<br />

The value of data.<br />

Programming errors or design defects.<br />

The Limit of Liability for this section is £30,000<br />

Financial Loss is covered in three ways:<br />

Reduction in anticipated Revenue<br />

The increase in the cost of working in diminishing the reduction of<br />

Revenue<br />

The loss resulting from being unable to trace an Outstanding Debit<br />

Balance.<br />

There is a Special Condition requiring a record to be kept at the end<br />

of each month of the total amount outstanding in ea<br />

accounts at that time.<br />

The main exclusions are:<br />

Time exclusion of 48 hours.<br />

Insured Events covered under Section 1 of the Care Concept <strong>Policy</strong><br />

<br />

Other consequential loss such as penalties for delay.<br />

Newly installed plant until tested and/or commissioned and used<br />

without problems for one calendar month.<br />

6


Section 4 – Money (inc Personal Injury Assault)<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Insured up to the following limits shown.<br />

Increased limits are available on request.<br />

Unauthorised use of credit, cheque guarantee,<br />

and cash cards.<br />

Covers any cards used in connection with the business<br />

Identity theft<br />

Reasonable and necessary costs of protecting an<br />

for the<br />

purpose of obtaining credit- occur. In addition to<br />

protecting the business, includes the proprietor and/or any<br />

director, partner or resident employee at the premises in<br />

their individual capacity.<br />

Assault Extension<br />

Automatically included. Cover for injuries to the <br />

staff and volunteers arising from assault whilst working for<br />

the business<br />

Limits<br />

Non-negotiable money e.g. cheques £250,000.<br />

In attended building at the premises £5,000.<br />

Excluding in excess of £500 of money (other than non-negotiable<br />

nless<br />

contained in a locked safe with the key held in the personal custody<br />

of an authorised key-holder.<br />

In transit & in bank night safe £5,000.<br />

In any unattended building on the premises whilst contained in a<br />

locked safe £1,500.<br />

In any unattended buildings on premises £500.<br />

£300 all claims any one period of insurance<br />

£1,000 all claims any one period of insurance<br />

Costs must be agreed with us in advance.<br />

Limits<br />

s of limbs or eyes.<br />

£250 per week for temporary total disablement.<br />

£15 per week for temporary partial disablement.<br />

£20 a day for hospital benefit, maximum £200.<br />

£200 for emergency dental treatment.<br />

£500 for personal effects.<br />

7<br />

7


Section 5 – Loss of Registration<br />

8<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

This section covers the reduction in the value of the<br />

business following the cancellation of the registration<br />

Limit £100,000<br />

<br />

Excluding any cause in your direct control<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Covers the legal liability of the policyholder for accidents to<br />

or illness of employees sustained in the course of their<br />

employment.<br />

As required by law we will supply a Certificate of <strong>Insurance</strong><br />

which should be displayed in a prominent place and after<br />

iability<br />

<br />

Public and Products Liability<br />

Covers the legal liability of the policyholder for accidental<br />

bodily injury to persons other than employees, or for<br />

damage to their property.<br />

The standard policy does not contain an abuse exclusion<br />

Malpractice Liability<br />

Covers the legal liability of the policyholder as proprietor of<br />

the home for accidental injury or illness, incurred in<br />

connection with treatment given. Also provides a personal<br />

<br />

in an individual capacity.<br />

Personal liability<br />

All employees are covered for their personal liability whilst<br />

temporarily outside the UK in connection with your<br />

business<br />

Residents, resident employees, and resident<br />

proprietor and family<br />

Their personal liability is included at all times, both within<br />

the UK and, for up to 60 days in any one period of<br />

insurance, elsewhere in the world.<br />

Limit £10,000,000 any one claim including legal costs and expenses<br />

The standard indemnity limit is £5,000,000. Higher limits available<br />

on request.<br />

Costs and expenses payable in addition.<br />

£5,000,000 any one occurrence<br />

Costs and expenses payable in addition.<br />

The policy does not provide a personal professional indemnity for<br />

any medical practitioner e.g. doctor<br />

£2,000,000 any one event<br />

£2,000,000 any one event<br />

8


Section 7 – Legal Expenses<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

<strong>Insurance</strong> Cover This is a claims made insurance which covers claims notified within<br />

the Period of <strong>Insurance</strong>. The <strong>Insurance</strong> indemnifies You for Legal<br />

Costs, Professional Costs and Awards of Compensation as shown<br />

in the <strong>Policy</strong> Benefit table below.<br />

Indemnity Limits Sections A to F, H to K - £250,000 Any One Claim<br />

Section G - £50,000 Any One Claim<br />

Section L - £1,500 Any One Claim<br />

All Sections - £500,000 in the Aggregate<br />

Territorial Limits The United Kingdom of Great Britain, Northern Ireland , the Channel<br />

Islands and the Isle of Man<br />

Excess Covers 1,3,4,5 & 6 - £250 Any One Claim<br />

Cover 2 - £1000 or 10% of all Legal Expenses whichever is the<br />

greater<br />

All other covers – Nil<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Cover 1. Employment Disputes<br />

Defence of disputes with prospective employees,<br />

employees or ex-employees concerning their contract of<br />

employment, or any employment related legislation and<br />

indemnity for awards of compensation, all providing You<br />

have followed the advice of the<br />

Legal Advice Line:<br />

Prior to carrying out a disciplinary procedure.<br />

Prior to dismissal of an employee.<br />

Prior to instituting a redundancy programme and prior to<br />

making an employee redundant.<br />

Prior to notifying an employee of their intended retirement<br />

date or retiring an employee.<br />

Upon notification of a grievance.<br />

Upon notification of a complaint of discrimination.<br />

Prior to any adverse variation, or proposed adverse<br />

variation of the terms and conditions of employment<br />

(including hours, time, place of work, demotion or reduction<br />

<br />

Immediately an employee walks out.<br />

Upon receipt of an appeal by an employee of a disciplinary<br />

or grievance decision.<br />

Cover 2. Statutory Licence<br />

An appeal against the suspension, revocation, imposed<br />

alteration of, or refusal to renew a Statutory Licence<br />

Cover 3. Criminal Prosecution<br />

Defence of criminal prosecutions and appeals against<br />

Improvement Notices under the Health and Safety at Work<br />

Act or the Food Safety Act<br />

Disciplinary or internal hearings by authorities regulating you.<br />

Where alteration or refusal to renew follows an Act of Parliament.<br />

Costs incurred to comply with an order.<br />

Driving Licences.<br />

Arising from HMRC Investigations.<br />

Allegations of offences against the person or dishonesty.<br />

Allegations of speeding or driving whilst under the influence of<br />

alcohol or drugs or allegations of non-endorseable road traffic<br />

offences.<br />

9<br />

9


10<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Cover 4. Contract Disputes<br />

Disputes with suppliers and customers concerning a<br />

contract for the sale, or supply of goods or services,<br />

provided:<br />

The amount in dispute exceeds £500.<br />

If the dispute relates to monies owed to You, You notify the<br />

designated debt collection service within 30 days and<br />

agree to instruct them on a no win no fee basis.<br />

Legal Expenses incurred in the pursuit of any claim or legal<br />

proceedings shall be limited to 75% of the amount in<br />

dispute.<br />

If the dispute relates to a construction contract the work is<br />

carried out to Your property and the work is incidental to<br />

Your normal business activity.<br />

Cover 5. Property Disputes<br />

Pursuit or defence of disputes over:<br />

Possession of Your property.<br />

The terms of Your tenancy agreement.<br />

Alleged negligence, damage or nuisance to Your property.<br />

Cover 6. Tax Protection<br />

Expert representation for Your business in the event of<br />

either an in-depth tax or an aspect investigation, a VAT<br />

tribunal, or an Employer Compliance dispute.<br />

Cover 7. Data Protection<br />

Defence of claims arising out of an application or appeal<br />

under the Data Protection Act and payment of<br />

compensation awards made against You under the Act.<br />

Cover 8. Personal Injury<br />

Pursuit of claims for compensation following a personal<br />

injury.<br />

Contracts where the rights or liabilities are incurred through an<br />

agent.<br />

Employment contracts.<br />

Contracts governed by the Consumer Credit Act 1974.<br />

Contracts for the use of Your property.<br />

Payment of rent, tax or service charges.<br />

Planning or building regulations.<br />

Renewal of Your tenancy agreement.<br />

A contract relating to Your property (other than a tenancy<br />

<br />

Technical or routine treatment matters.<br />

Defence of a criminal prosecution.<br />

Taxation proceedings arising out of negligent misstatements or<br />

omissions by You or a lack of reasonable care in keeping Your<br />

business books and records.<br />

Investigations solely into earlier accounts of records.<br />

Where Corporation Tax and Income Tax Self Assessment Returns<br />

are submitted outside statutory time limits.<br />

Preparation or correction of a Self Assessment return.<br />

Investigations by the Special Civil Investigations or Criminal<br />

Investigations Office of HMRC.<br />

Disputes concerning Working Families Tax Credit, National<br />

Minimum Wage, IR35 legislation<br />

Where the Anti Avoidance Intelligence Unit of HMRC are involved.<br />

10


<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Cover 9. Wrongful Arrest Defence<br />

Defence of claims alleging wrongful arrest or malicious<br />

prosecution.<br />

Cover 10. Jury Service Allowance<br />

To pay the amount You are liable to pay employees when<br />

they attend on jury service.<br />

Cover 11. Pension Trustee Defence<br />

Defending claims against You in Your capacity as a trustee<br />

of a pension fund for the benefit of Your employees.<br />

Cover 12. Arrest Assistance<br />

Representation of You at a Police Interview under Caution<br />

prior to a criminal prosecution.<br />

Advice<br />

<strong>Policy</strong>holders will have unlimited free access to the Legal<br />

Advice Line for specialist UK advice covering::<br />

Commercial Law<br />

Employment Law<br />

Scottish Law<br />

Health and Safety<br />

Taxation<br />

VAT Enquiries<br />

Section 8- <strong>Towergate</strong> Assist Loss Recovery <strong>Insurance</strong><br />

Allegations made by employees or ex-employees.<br />

Limited to £100 a day and £1,000 any one claim.<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Loss Recovery <strong>Insurance</strong> policy is fully underwritten by<br />

certain Underwriters at Lloyds under Binding Authority<br />

ces<br />

Authority.<br />

Loss Recovery <strong>Insurance</strong> provides you with the services<br />

of a qualified insurance expert, to prepare and negotiate<br />

usiness<br />

interruption claims dependent upon the relevant sections of<br />

your commercial insurance policy being current at the time<br />

of loss.<br />

Our qualified insurance expert will:<br />

i. Provide the services for eligible claims under your<br />

commercial insurance policy likely to exceed £5,000 or the<br />

policy excess whichever is the greater.<br />

ii. Provide initial telephone advice on all claims.<br />

iii. Provide personal visits on all qualifying claims.<br />

iv. Arrange interim payments from your insurers where<br />

necessary.<br />

v. Attend meetings with insurers and handle all<br />

correspondence.<br />

vi. Organize temporary premises and equipment,<br />

surveyors, valuers and builders as required.<br />

vii. Prepare and present your claim to your insurers and<br />

negotiate the best possible settlement to which you are<br />

entitled.<br />

Loss Recovery <strong>Insurance</strong> excludes claims in respect of personal<br />

injury, liability, marine, aviation, motor, personal property or injury,<br />

subsidence, landslip or heave claims, uninsured losses, civil<br />

proceedings and any claim outside mainland UK.<br />

The cover arranged is for claims consultant fees in respect of<br />

eligible claims within the terms and conditions of the policy that are<br />

likely to exceed £5,000 or the policy excess whichever is the greater<br />

value. It is important for you to note that all claims must be reported<br />

to your broker within 15 days of its occurrence to enable you to<br />

receive the benefits of your Loss Recovery <strong>Insurance</strong> policy.<br />

Please see section 3, 4 and 5 of the policy wording for full details.<br />

11<br />

11


12<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

<br />

Covers a range of insured events such as fire, malicious<br />

damage, storm, escape of water, impact and accidental<br />

damage.<br />

Includes subsidence automatically.<br />

Sum insured increased by index-linking until settlement of<br />

the claim, but you must ensure sums insured are adequate<br />

at the outset.<br />

Public authorities – including undamaged<br />

portions<br />

To comply with building or other regulations under law<br />

including those arising from Care Standards legislation<br />

following a fire or other insured event.<br />

Glass<br />

Covers accidental damage to all glass, sanitary fixtures &<br />

signs.<br />

Extensions and renovations<br />

Minor building works extension - For some formal<br />

building contracts such as the JCT Minor Building Contract,<br />

upon your notification we can activate this policy extension.<br />

It provides you with the cover you need to comply with your<br />

uilding<br />

contract and includes your obligation to insure both the<br />

new works and the existing premises n the joint names of<br />

yourself and the contractor.<br />

Excluding properties that have already suffered from subsidence,<br />

unless accepted by us, and damage resulting from structural<br />

alterations.<br />

You select the sum insured, which is the most we will pay.<br />

Excluding requirements in place before the damage occurred.<br />

You must tell us about these as they are a material fact which may<br />

change<br />

our view of the risk to be insured. In most cases we can continue to<br />

offer cover but we may ask for additional protections to be put into<br />

irs or<br />

redecorating that does not involve the use of scaffolding.<br />

Limit £100,000 for the new works and site materials.<br />

The policy sums insured will apply in respect of the existing building<br />

and contents.<br />

12


Section 10 – Personal Belongings<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

For the resident proprietor and his family, this section offers<br />

full accidental loss or damage cover for clothing and<br />

personal effects anywhere in the UK.<br />

Combines with the cover provided under Contents (for<br />

<br />

to provide a comprehensive personal lines coverage for the<br />

resident proprietor and family.<br />

Sums insured<br />

Increased by index-linking until settlement of the claim, but<br />

you must ensure the sum insured is enough to cover the<br />

maximum amount of such property you and your family are<br />

likely to take away from the home at any one time e.g. on<br />

a family holiday.<br />

Section 11 – Personal Accident<br />

Excluding theft from unattended vehicles unless the vehicle is<br />

locked, the property hidden from view and there is evidence of a<br />

forced entry.<br />

The sum insured will be the most we will pay.<br />

£250 any one cycle and excluding theft unless securely locked or<br />

inside a building<br />

Claims for clothing will be subject to a deduction for wear and tear<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

You can insure yourself or your permanent employees<br />

against accidental injuries whilst working for the business<br />

or, for full-time staff only, 24 hours-a- day.<br />

Section 12 – Employee Dishonesty<br />

You can choose the amount of cover required, from one unit which<br />

gives a capital benefit (for death, permanent total<br />

of £2,500 to 10 units which give a capital benefit of £25,000.<br />

Excluding certain hazardous sports or activities.<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

Covers loss of your money or contents by the dishonesty of<br />

employees. Includes the costs of professional auditors to<br />

substantiate the amount of your claim.<br />

£25,000 any one period of insurance.<br />

In the case of multiple policies covering theft by the same<br />

employee, £50,000 in total.<br />

Excluding losses where you have not followed these minimum<br />

precautions:-<br />

- You must obtain written references for employees with<br />

responsibility for money or stock for the 12 months prior<br />

to their employment with you. References must be from<br />

their former employers, and you must keep the<br />

references for us to inspect in the event of a claim.<br />

- Professional auditors must undertake at least one full<br />

audit per annum.<br />

- All stock must be independently and physically checked<br />

at least annually.<br />

- Cash takings must be independently reconciled with<br />

receipts and stamped bank paying-in slips at least<br />

weekly.<br />

13<br />

13


Section 13 – Engineering Inspection<br />

14<br />

<strong>Policy</strong> Benefit Significant Exclusions & Limitations<br />

The Inspection service is provided by Allianz Engineering<br />

Inspection Services Ltd.<br />

Significant features on a general basis<br />

INDEMNITY LIMITS<br />

As described in each section, above.<br />

Conditions apply clarifying the responsibilities of both parties in<br />

ensuring that the Inspection Service is undertaken in a safe and<br />

timely manner.<br />

Termination, Confidentiality and Complaints conditions apply.<br />

Allianz Engineering Inspection Services Ltd also confirm that their<br />

liability under contract is limited to £25,000,000.<br />

SETTLING CLAIMS<br />

For material loss or damage claims we will repair the damage or replace the property or we will pay you the<br />

cost of doing so. For other claims we will pay you the amount of your loss as covered under the terms of the<br />

section.<br />

EXCESSES<br />

• Section 1 – Subsidence £1000. All other claims £150<br />

• Section 3 – £250<br />

• Section 7 – variable as shown above<br />

• Section 9 – Subsidence £1000. All other claims £150<br />

• Section 10 – £50<br />

• Section 12 – £250<br />

• Sections 2, 4, 5, 6 11, 13 – nil<br />

Significant exclusions and limitations that apply on a general basis<br />

• Excluding war and similar risks<br />

• Excluding terrorism<br />

• Excluding computer date-recognition problems, computer viruses and<br />

hacking<br />

• You may not be covered under this policy if you fail to tell us about any<br />

significant changes to the premises or your business<br />

• You must tell us if the premises become unoccupied<br />

• We may not pay your claim for fire if you fail to maintain the fire<br />

extinguishers at the premises, or fail to comply with regulations on the<br />

cleaning and maintaining of frying and cooking equipment. Filters and<br />

ducting must be cleaned as necessary (at least annu<br />

carry out inspections at least monthly.<br />

14


Your Right to Complain<br />

Our aim is to get it right, first time, every time. If we make a mistake, we will try to put it right promptly.<br />

Any enquiry or complaint you have regarding your <strong>Insurance</strong>, Inspection Contract or Breakdown cover should<br />

be addressed to the following:<br />

The Managing Director,<strong>Towergate</strong> Patrick, Britannic House, 230 Burlington Road, New Malden, Surrey KT3 4NW<br />

Tel: 020 8336 0099<br />

Fax: 020 8336 0755<br />

Email: complaintstowergatepatrick@towergate.co.uk<br />

Alternatively where your query does not relate to the sale of your policy you can contact the insurer:<br />

For Sections 1,2,4,5,6,9,10,11,12<br />

Customer Satisfaction Manager, Allianz <strong>Insurance</strong> plc, 57 Ladymead, Guildford, Surrey, GU1 1DB<br />

Tel: 01483 552438<br />

Email: acccsm@allianz.co.uk :<br />

Other than Section 3 Engineering Breakdown or Section 13 Engineering Inspection when you can contact<br />

Customer Satisfaction Manager, Allianz Engineering, Head Office, Haslemere Road, Liphook, Hampshire, GU30 7UN<br />

Tel: 01428 722407<br />

Fax: 01428 724824<br />

Email: customer.satisfaction@allianzengineering.co.uk<br />

For Section 7<br />

The Customer Services Manager, Abbey Legal Protection, Minories House, 2-5 Minories, London EC3N 1BJ<br />

Tel: 0870 600 1480<br />

Fax: 0870 600 1481<br />

For Section 8<br />

Scheme Administrator (Lorega)<br />

8th and 9th Floors, 36/38 Leadenhall Street, London EC3A 1AT<br />

Tel at 020 7767 3070<br />

In respect of Cover 8, if you remain dissatisfied and wish to make a complaint, you can do so at any time by<br />

referring the matter to :<br />

Services, One Lime Street, London EC3M 7HA<br />

Tel: 020 7327 5693<br />

Fax: 020 7327 5225<br />

Email: complaints@lloyds.com<br />

• We will acknowledge all complaints within 5 working days.<br />

• All complaints will be investigated independently at a senior level within <strong>Towergate</strong> Patrick and/or<br />

Allianz <strong>Insurance</strong> plc.<br />

• We will aim to respond formally to your complaint within 4 weeks but we shall endeavour to report<br />

back within 10 working days whenever possible.<br />

• If after 4 weeks we have not completed our investigation we will write to you to tell you of the progress<br />

of the investigation. We will then write to you again within 8 weeks of receiving your complaint with<br />

our response, or inform you of the progress being made.<br />

• If you are not satisfied with our response, or we have not completed our investigation after 8 weeks,<br />

we will inform you of your right to take your complaint to:-<br />

The Financial Ombudsman Service, South Quay Plaza, 183 Marsh Wall, London, E14 9SR<br />

This Complaints Procedure or referral to the Financial Ombudsman Service does not affect your legal<br />

rights.<br />

15<br />

15


<strong>Towergate</strong> Patrick is a trading name of <strong>Towergate</strong> Underwriting Group Limited.<br />

<strong>Towergate</strong> Patrick is a trading name of <strong>Towergate</strong> Underwriting Group Limited.<br />

Registered Office: <strong>Towergate</strong> House, Eclipse Park, Sittingbourne Road,<br />

Registered Office: <strong>Towergate</strong> House, Eclipse Park, Sittingbourne Road,<br />

Maidstone,<br />

Maidstone,<br />

ME14<br />

ME14<br />

3EN.<br />

3EN.<br />

Registered<br />

Registered<br />

in<br />

in<br />

England<br />

England<br />

no.<br />

no.<br />

4043759.<br />

4043759.<br />

Authorised and and regulated by by the the Financial Services Authority. 16<br />

6258/129/PS/07.11

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