| * Proposer |
A value is required. |
* Business name |
A value is required. |
| Date of Birth |
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* E-mail address |
A value is required.Invalid format. |
| * Contact Phone |
A value is required.Invalid format. |
Alternative Phone |
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| Business Address |
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Town |
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| County |
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* Post Code |
A value is required. |
| Best quote so far? £ |
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Renewal/Start Date Required |
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| Does the property meet minimum security requirements? |
Please make a selection. |
*Minium security - at least 5 lever mortice locks on external doors & all accessible opening windows are key lockable - what is a 5 lever mortice lock? (and other security questions) |
| Does the property have an alarm? |
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Is there any CCTV? |
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| Are there any grilles or shutters? |
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Any other security? |
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| Is the property Standard Construction? |
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Standard Construction: brick, stone or concrete walls, with a slate or tile roof |
| Does
the property have any flat roof area? |
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If yes, what is the flat part made of: e.g. felt on timber |
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| How many storeys high is the building? |
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Is
the property Listed? |
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| Is there a flat above the commercial presmises? |
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Who are the flats occupied by? |
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Please indicate you agree with the following assumptions
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- The premises are in a good state of repair and will be maintained as such.
- There are no trees or large shrubs over 3m (10ft) high, within 7m (21ft) of the property.
- The premises are more than 200m (220 yds) from any water course.
- The premises and the surrounding area have no previous flooding history.
- The premises are heated only by low pressure hot water apparatus, or fixed gas or electrical appliances with no portable heating appliances.
- The premises or adjacent premises have not suffered from, nor do they show any visible signs of damage from subsidence, landslip or ground heave.
- The premises are not situated close to a cliff, quarry or other excavation, or any rivers, streams, lakes or reservoirs, and are not situated in an area with a history of flooding.
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| Any
previous claims or uninsured
losses? |
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If yes, please give claim details: |
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| How long have you been trading here? |
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What is your annual estimated turnover? £ |
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What treatments do you offer? Please list them all |
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What treatment equipment do you have, and how many? e.g. 3 x Floatation Tanks, 2 x Hydrotherapy baths, 1 x Jacuzzi, Laser/IPL Machines, Sauna, Solaria, Spa Bath, Steam Bath/Cabinets, Sun lamps, Toning Tables, UV Tanning beds/booths, etc.
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| Total Treatment Equipment value? £ |
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Other electronic equipment value? e.g. PC's, photocopiers etc. |
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| How many treatment staff do you have? |
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Do you require Treatment Risk? |
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| Public Liability Cover? |
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Employer's Liaiblity Cover is provided as standard at an amount of £10m |
| Stock Amount £ |
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Other Contents £ |
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| Fixtures & Fittings £ |
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Is legal cover required? |
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| Is buildings cover required? |
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If so how much? |
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| Any other special requirements? |
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Policy renewal or start date |
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