| Title |
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Forename |
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| Surname |
A value is required.Minimum number of characters not met. |
Marital Status |
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| Date of Birth |
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E-mail address |
A value is required.Invalid format. |
| Contact Phone |
A value is required.Invalid format. |
Mobile Phone |
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| Address |
|
Town |
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| County |
|
Post Code |
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| Best quote so far? £ |
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Renewal/Start Date Required |
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| Have you ever been refused insurance, had a policy cancelled or any special terms imposed? |
Please select a valid item. |
| Have you any CCJ's, bankruptcy orders, previous insolvent companies or criminal convictions? |
Please select a valid item. |
| Risk Address |
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Risk Postcode |
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| Year Built (approx.) |
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What kind of property is it? (shop, warehouse etc. |
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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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| How many businesses occupy the premises? |
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What sort of businesses are they? |
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| What rebuild cost do you want to insure for? |
£
|
Do you require legal cover? |
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| Any
previous buildings claims or uninsured
losses? |
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If yes, please give claim details: |
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| Any subsidence, heave or landslip history? |
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Is subsidence cover required? |
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| Is
the property within 200m (220yds) of any water? |
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Any previous flooding history? |
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| It is assumed that there is no portable heating used on the premises and that it has a current electrical safety certificate |
| Are
there any trees or large shrubs within 10m (33ft) of the
property? |
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Is
the property near cliffs, quarries, mines or anything of that
nature? |
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| Minimum Security: 5 lever mortise locks on all exit doors and lockable (or non opening) windows |
| Does
the property meet minimum security levels? |
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Does the property have an alarm? |
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| If there is an alarm, is there a maintenance contract in place? |
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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 there internal access between commercial premises & flat(s)? |
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It is assumed the property is tidy, in a good state of repair, and has a smoke or fire alarm.
Also that any food waste (from food businesses) is removed from the premises daily |