Form - Pony Club Incident Report Form - for Branches

Disclaimer

The services outlined in this website are not intended to identify all hazards that may exist or to be an exhaustive review of all possibilities or eventualities. Any recommendations for risk improvement would be purely advisory and the decision and responsibility for implementation rests with the policyholder.

About Liberty

Liberty Specialty Markets is the trading name for: Liberty Managing Agency Limited (LMAL) for and on behalf of the Lloyd’s underwriting members of Lloyd’s syndicate 4472 (Syndicate 4472); Liberty Mutual Insurance Europe Plc (LMIE); Liberty Specialty Services Limited (LSSL); Liberty Specialty Markets Europe Sarl (LSME) and Liberty Specialty Markets MENA Limited (LSMM). LMAL, LMIE and LSSL are each registered in England and Wales (company numbers 3003606, 01088268 and 04845458 respectively), whose registered office is at 20 Fenchurch Street, London EC3M 3AW. LMAL and LMIE are authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority (FCA) and the PRA (reference numbers 204945 and 202205 respectively). LSME is incorporated under the laws of the Grand Duchy of Luxembourg (company number B216199), whose registered office is at 32-36 boulevard d’Avranches, L-1160 Luxembourg. LSME is licensed by the Luxembourg Minister of Finance as an insurance and reinsurance agency with authority to enter into contracts of insurance and reinsurance on behalf of LMIE and Syndicate 4472, which is managed by LMAL. LSME is supervised by the Commissariat aux Assurances. LSMM is a company registered in the Dubai International Finance Centre (DIFC Licence No 1794), whose registered office is at Unit 408, Level 4, Gate Village Building 5, DIFC, PO Box 506574, Dubai, UAE. LSMM is regulated by the Dubai Financial Services Authority (firm reference F002783). LSSL is an Appointed Representative of LMAL and LMIE. LSSL and LSMM are both authorised service company coverholders, with authority to enter into contracts of insurance on behalf of Syndicate 4472, which is managed by LMAL. LSSL and LSMM have authority to enter into contracts of insurance on behalf of LMIE. LMAL, LMIE, LSSL, LSME and LSMM are all part of the Liberty Mutual Insurance group of companies. When we offer insurance products to you (the policyholder) we will make sure we tell you which insurer in our group will underwrite the policy.