Hot Food & Tea/Coffee Traders

Personal Details

Name in Full:
*

Trading Name:

Company Name:

Address:
*

Phone/Mobile:
*

Date of Birth:
*

Email:
*

Where did you hear about us: *
---From a FriendI was a memberOnlinePart of a GroupEvent OrganisersOther

If not mentioned above, please provide were you heard about us.

Trading Details

1. Please provide full details of food sold/ services provided: *

2. Do you hold, or have you previously held, Public Liability? * ---YesNo

If yes, please give 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.---Market/Event/Street Trader at any/all locationsMarket and/or Event and/or Street Trader at one location only (please provide location below Question:4)Event Caterers (no food stall or unit, Private events only)Other *

If other, please advise.

Photo of unit - Required for hot food traders & ice-cream vans.
(Please note: If the photo size is in excess of 2MB, the form will not send. Please resize or email directly to info@iomst.ie)

4. If attending a market/event, please provide name(s) of market/event(s) attended.

5. Cover required for selling. ---Tea, Coffee, Soup, Hot chocolate onlyHot-Dogs OnlyHot Food - no deep fryingHot foodOther *
If other, Please give details.

Coffee MachineBurcoGrills’FryersGeorge FormanToasterGas pizza ovenElectric OvenHobHot PlatesBan marieCharcoal BBQElectric BBQGas BBQRice cookerOther (Please advise)

5b. Other please advise,

6. Do you require any additional cover.
1. ---Cooking Classes (please describe class activities below)Prep Kitchen (please provide the location below)Online sales (please provide the turnover in relation to sales online 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 samplingSale of your products from your property (please provide the address below)Other (please provide details below)
2. ---Cooking Classes (please describe class activities below)Prep Kitchen (please provide the location below)Online sales (please provide the turnover in relation to sales online 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 samplingSale of your products from your property (please provide the address below)Other (please provide details below)
3. ---Cooking Classes (please describe class activities below)Prep Kitchen (please provide the location below)Online sales (please provide the turnover in relation to sales online 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 samplingSale of your products from your property (please provide the address below)Other (please provide details below)
4. ---Cooking Classes (please describe class activities below)Prep Kitchen (please provide the location below)Online sales (please provide the turnover in relation to sales online 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 samplingSale of your products from your property (please provide the address below)Other (please provide details below)
Details.

7. Please advise the number of stalls/units/location(s) operated by you at any one time. *

(Please advise the maximum number of stalls /units you have per Trading Day)
If you are trading/ catering in two locations at the same time, this would be considered as 2 stalls/units or 2 locations at any one time.

8. 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 ---YesNo

Products Liability - Applies to food and drink products only ---YesNo

(available only with Public Liability) N.B. In respect of food units please provide a photograph with your proposal.

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) ---YesNo

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)?
---YesNo *
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?
---YesNo *
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?
---YesNo *
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.