| * Proposer |
A value is required. |
* Business name |
A value is required. |
| Date of Birth |
|
* E-mail address |
A value is required.Invalid format. |
| * Contact Phone |
A value is required.Invalid format. |
Alternative Phone |
|
| Business Address |
|
Town |
|
| County |
|
* Post Code |
A value is required. |
| Best quote so far? £ |
|
Renewal/Start Date Required |
|
| * Have you ever been refused insurance, had a policy cancelled or any special terms imposed? |
|
| * Have you any CCJ's, bankruptcy orders, previous insolvent companies or criminal convictions? |
|
| Is the business Limited? |
|
Do you work from home? |
|
| Does
the property meet minimum security requirements?* |
|
Is the property brick or stone with a
slate or tile roof? |
|
*Minium security - at least 5 lever mortice locks on external doors
& all accessible opening windows are lockable |
Does the property have any flat roof area? |
|
| Does the premises have a burglar alarm? |
|
Does the premises have a fire alarm? |
|
Does the property have any other security?
(Bars, grilles, CCTV etc.) |
|
Is there any residential accommodation? |
|
| Is any work done away from the premises? |
|
Is any work or delivery done outside the UK? |
|
| What is your estimated Annual Turnover? £ |
|
Buildings £ |
|
| How many manual staff do you have? |
|
General Stock £ |
|
| What is your manual wagebill (excluding drivers)? |
per annum |
Fixtures & Fittings £ |
|
| What is your manual wagebill for drivers? |
per annum |
Electronic Office Equipment (Computers/Tills etc.) |
|
| How many clerical staff do you have? |
|
Other Contents £ |
|
| What is your clerical wagebill? |
per annum |
Business Machinery & Equipment £ |
|
| How many sub contractors do you use? |
per annum |
Public Liability |
|
| How much do you spend on sub contractors? |
per annum |
Goods in Transit per vehicle £ |
|
| How much do you spend on Bona Fide sub contractor companies? |
per annum |
No., of vehicles |
|
| Have there been any previous claims? |
|
Glass Cover £ |
|
| Best rate obtained so far? |
|
Renewal/Start Date Required |
|