Please Complete the Quick Quote Form Below For A Quotation
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Contact Name (inc Title): |
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| Contact Number: |
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| E-mail Address: |
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| Renewal Date: |
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| Target Premium: |
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Property Details |
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| Risk Address: |
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| Postcode: |
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| Approx. Date Property Built: |
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| Property Type: |
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| Details if Other: |
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| Who is the Property Used By? |
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| Frequency of Use: |
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Cover Required |
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| Buildings Sum Insured: |
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| Property Owners Liability: |
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| Optional Extras: |
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| Contents Sums Insured: |
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| Employers' Liability: |
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Additional Information: |
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| Are the premises listed? |
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| Is any proportion of the premises roof flat? |
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| Self-contained (i.e. no shared facilities) with own lockable entrance? |
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| In a good state of repair? |
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| Constructed of brick, stone or concrete and roofed with slates, tiles, concrete or rigid metal? |
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| In an area free from subsidence, ground heave, slip etc |
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| In an area free from flooding |
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| Additional Information: |
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MINIMUM LEVELS OF PHYSICAL SECURITY:
All external entry/exit doors must be fitted with at least 5 lever mortice deadlocks & all accessible windows must be fitted with key operated window locks.
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Claims/Losses
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| Please details of ALL and ANY losses you have suffered or claims you have made in the last five years (please advise date(s), cost(s) and circumstances: |
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Have you ever had an insurance policy cancelled or special terms imposed? |
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| Any additional information/comments: |
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Thank you for completing your details -
please press the submit button for a quotation. |
