Quotation Request Eversure Musical Instrument Insurance EVERSURE Instrument Cover Performance Cover Your Details Your Claims Your Cover Cover Details HiddenCalcs EVERSURE Note: Remember to save changes and 'Update Rates' in the Matrix tab to apply any discounts or endorsements you have applied. Apply Internal DiscountCopy % value from 'Internal Discount' field in Matrix tab Apply Voucher CodeCode must match a valid code from lookup table Apply Underwriter LoadThis will apply any additional load requested by underwriters - must be a % Allow Automatic Claims Loading?Select 'No' to override rating file claims load n/a Yes No Apply Endorsement? n/a Yes No Instrument CoverDo you need cover for your instruments or accessories? n/a Yes No About Your InstrumentsPlease list your instruments for their replacement value as new, including the value of their direct accessories, such as cases, straps, bows, mouthpieces, mutes and similar items. Instrument TypeInstrument LocationInstrument Value - select - BrassWoodwindStringsDrums/PercussionPiano/OrganKeyboard/Electric PianoGuitar family - AcousticGuitar family - ElectricPA/DJ/Stage Equipment - select - Room OnlyUKWorldwide £ Do you need cover for other accessories? This section includes cover for items such as stands, clothing, harnesses, headphones, metronomes and similar, with a maximum individual value of £500. n/a Yes No How much cover do you need for accessories? £ Performance CoverDo you require Public Liability and Professional Indemnity cover?Public liability cover provides financial protection for claims made against you by a third party following personal injury or property damage resulting from your use of the insured items. Professional Indemnity provides cover towards any costs which you become legally liable to pay as a result of negligent services or advice provided by your musical group. Please read the policy wording for more information.If selected, this option will provide £10 million Public Liability and £2 million Professional Indemnity cover. YesNo What is the name of your musical group?By 'musical group' we mean the name of your band, orchestra, or other group. If you are a solo artist, please put your performer name. How many people do you need cover for? This is the total number in your group, inlcuding yourself. The policy is extended to include members of your musical group. - select - 1 2 3 4 5 6 7 8 9 10 11+ Do you require Personal Accident cover?For accidents which subsequently require dental treatment, or cause loss of limb, loss of sight, loss of hearing, your death or permanent total disablement.If selected, this will provide cover if you suffer an accident whilst using an insured item during a musical activity. YesNo How much personal accident cover do you require? - select - £25,000 £50,000 Your DetailsName -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Home Address UDPRN Organisation Line 1 Line 2 Town/City County Postcode Enter address manually or Enter address manually Use address lookup Date of Birth 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Your Eversure Account Email you will log in with this Forgot your password? Email enter again Password Password enter again Mobile phone number Home phone number Is your equipment stored at a different address? YesNo Insured LocationThis is where your instruments are usually stored UDPRN Organisation Line 1 Line 2 Town/City County Postcode Enter address manually or Enter address manually Use address lookup How did you hear about us? - select - Online searchEmail FacebookRecommendationExisting CustomerOther Do not edit - Source Do not edit - Source Detail Do not edit - Web Journey ID Your ClaimsHow many claims have you made on your specialist musical instrument insurance or home insurance in the past 3 years? - select - None 1 2 3+ Please list details of your previous claims below AmountDateClaim Type £ - select - Estimated In ActualClaimDatenonePast 1-3 yearsPast 12 months - select - Accidental damageAccidental lossBurglaryClaim with EversureFireFloodMalicious damagePublic LiabilityTheft away from home Your CoverWhen would you like your cover to start?You can select a date up to 30 days ahead. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Eligibility Criteria You have read and accept the Policy Wording, Product Information Document, Terms of Business and Privacy Policy. All items being insured are in full working order and you can provide evidence of ownership. The equipment is only accessible to the insured, immediate family and friends at the insured location. You will exercise all reasonable precautions for the safety of the insured property. Your primary residence is in the UK (England, Scotland, Wales and Northern Ireland). You have never had insurance cancelled, declined or refused or any special terms imposed. You have never been declared bankrupt or, if you have, this has now been discharged. You have no unspent criminal convictions or police cautions within the last 5 years or have any prosecutions pending. If you can no longer agree to one or more of these assumptions, either before commencement or during the term of the policy, then you shall notify Eversure Insurance immediately. Failure to notify us of any changes to these assumptions could invalidate your insurance. I agree that the above declarations are correct. YesNo Please explain why you are not able to agree to the above declarations Automatic RenewalYour policy will automatically renew at the expiry of this policy period, subject to payment being received within 14 days of the renewal date. We will contact you prior to your renewal date with your new price and inform you of any changes. You can stop your automatic renewal at any time by contacting us. Stay In TouchEvery now and then, we would like to share our latest products and promotions with you. Please let us know how you would like us to contact you by ticking below (select all that apply). Email Telephone SMS Post Cover Details Set Claim Load @ % £0.00 Set Underwriter Load @ % £0.00 Set Voucher Code @ % £0.00 Set Internal Discount @ % £0.00 Set Minimum Premium £ £0.00 Set Voucher Code @ % £0.00 Set InternalDiscount @ % £0.00 Set Voucher Code @ % £0.00 Set Internal Discount @ % £0.00 Total Premium (Net) £0.00 + IPT @ % £0.00 + Policy Fee £ £0.00 Total Premium £0.00 Total Commission £0.00 (Due From Broker) £0.00 HiddenCalcsPolicy Documents VersionMusic Wording V1.2 Music IPID V1.2 Eversure TOBA V5.1 RateVersion Performance Cover Level £ Personal Accident Cover: £ Highest Instrument Rate UMRN IGNORE IGNORE IGNORE IGNORE Brass Instruments Woodwind Instruments Sting Instruments Drums/Percussion Instruments Piano/Organ Instruments Keyboard/Electric Piano Instruments Guitar Acoustic Instruments Guitar Electric Instruments PA/DJ Instruments Voucher Codes Voucher Code % Voucher Code Start Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Voucher Code End Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Voucher Code Valid? n/a Yes No Voucher code supported by underwriter? n/a Yes No