Business (Commercial) Insurance Quote
A. Contact Details
B. Business Details
1. Business Address :
2. Type of Business:
3. Number of Staff
4. Annual Wages Paid:
5. Gross Turnover / Annum
6. Building occupied by
SELECT Proposer Tenant Proposer and Tenant
7. Period occupied by proposer
Years
8. Period in this type of business
C. Premises Details
1. Age of Building
2. Building has been rewired (if over 40 years old) Select Yes No
3. Height of Building
Meters
4. Approx. Area
5. Condition of Builiding
sq. Meters
6. Walls
7. Roof
8. Floors
D. Fire Protection
1. Single Sprinklers Select Yes No 2h. Dual Sprinklers Select Yes No 2. Water Hydrant Select Yes No 2j. Extinguishers Select Yes No
3. Vats (deep frying):
Select Deep Fryers Thermo Controlled
4. Alarm
Select Monitored Local No Alarm
5. Alarm Connection
Select Landline Securitel Dialler
6. Other
E. Claim Experience
1. Made any claim in the last 5 years Select Yes No
2. Details :
3. Have you ever had any insurance canceled or declined Select Yes No
4. Have you ever been charged or convicted of any criminal offence or declared bankrupt? Select Yes No
F . Insurance Amounts
Fire Insurance
1. Building
JD
2. Stock
3. Other Contents
4. Removal of Debris
5. Loss of rent
6. Rewriting of records
Business Interruption
1. Insurable gross profit
2. Increased cost of working
3. Claims preparation costs
4. Accounts / Loss of debtors
Burglary
1. Tobacco / Cigarettes
2. other contents
Money
1. In Transit
2. Locked Safe
3. Residence
4. Safes / Strongrooms
Glass
6w. External Select Yes No
6x. Internal Select Yes No
1. Illuminated and Neon Signs
Liability
2. Public
2. Products
General property
7b. General Property
Computers
1. Hardware
2. Data Media
3. Inc. Costs
4. Software
Machinery
1. Unspecified
2. Specified Items
3. Deterioration Of Stock
Goods in Transit
1. Goods in Transit
Fidelity Insurance
1. Number of Staff
2. Amount of Cover
E. REMARKS
