Commercial Property Insurance

To obtain a public and employers liability insurance cover quote from us, either contact us direct or complete and submit the form below.

Company name:

Email:

Trading address:

Business description:

How long trading at these premises (years):

How long trading at other premises (years):

Please fully describe the construction of the following:

Walls:

Roof:

Floor:

Stairs:

If flat roof, please give percentage of the total roof area, construction and age:

How old are the buildings

How are premises heated

How many storeys in building:

Are premises single or multi-tenure:

If multi-tenure please give details of all tenants:

Type of area premises situated:
(residential/industrial etc).

Premises protected by alarm:

Yes No

Is it NACOSS approved and
under maintenance:

Yes No

Please give details of system and method of signalling:

Are premises protected by a smoke/fire alarm system:

Yes No

If yes then please give details:

Premises protected by sprinkler system:

Yes No

If yes, what edition:

Distance from full time fire station:

miles

Distance from full time police station:

miles

Details of water supply for Fire Brigade (eg. town mains, own water supply etc.)

Have there been any claims settled or not in the last 5 years?

Yes No

If yes, please give date and full description of loss, settlement figure and details of any remedial action.

Material Damage

Please indicate which cover required:

Fire:

Lightning:

Explosion:

Aircraft:

Earthquake:

Storm:

Flood:

Riot:

Strikes:

Impact:

Theft:

Malicious damage:

Accidental damage:

Sprinkler Leakage:

Subsidence:

Terrorism:

Buildings and/or tenants improvements £:

Plant machinery, fixtures and fittings, and all other content excluding computers £:

Computers:

Wines and Spirits:

Cigarettes and Tobacco:

Clothing:

Video and audio tapes, records, CD's and computer games:

Video, TV and HiFi equipment:

Other electrical equipment:
(Please specify)

All other stock:
(excluding frozen food)

Business Interruption

Is cover for this section required:

Yes No

Annual gross profit £:

Gross profit declaration linked:

Yes No

Increased cost of working £:

Rent receivable/payable £:

Indemnity period (months):

Perils insured will follow those perils selected under Material Damage. If you require different perils to be insured please advise seperately.

Extensions

Suppliers:

Yes No %

Customers:

Yes No %

Outworkers:

Yes No %

Contract sites:

Yes No %

Public Utilities:

Yes No

Denial of Access:

Yes No

Murder/Suicide:

Yes No

Book Debts

Is cover for this section required:

Yes No

Sum insured £:

Books and Records kept in a fire resistant safe:

Yes No

Are duplicate books and records kept away from the premises:

Yes No

Glass

Is cover for this section required:

Yes No

If yes, this section should be completed even if cover on the Building is on a 0 basis.

Internal glass including showcases, counter cases etc £:

Sanitary ware £:

External signs and blinds £:

Money

Is cover for this section required:

Yes No

During business hours and transit £:

In safe outside business hours:

Yes No

Please provide make and mode of safe:

Out of hours and out of safe £:

Estimated annual carryings £:

Personal accident/assurance:

Capital benefit £:

TTD weekly benefit:

Goods in Transit

Is cover for this section required:

Yes No

Transit by own vehicles - any one load £:

Number of own vehicles:

Transit by road carriers vehicles - any one load £:

Transit by rail - any one consignment £:

Transit by post - any one package £:

Estimated annual carrying:

Own vehicles £:

Carriers £:

All Risks

Is cover for this section required:

Yes No

Unspecified machines £:

Others please specify:
List types	List values

Note:

Cover for unattended vehicles will be excluded unless otherwise agreed.

Deterioration of Stock

Is cover for this section required:

Yes No

Total sum insured £:

Limit per cabinets/freezers £:

Age of cabinets/freezers:

Are the cabinets/freezers subject to an annual maintenance agreement:

Yes No

Liabilities

Is cover for this section required:

Yes No

Employers Liability

Estimated annual wages and salaries:

At your premises:

Away from your premises

Clerical and managerial who do not work manually £:

Woodworking machinists and their labourers £:

Labour only subcontractors eg. self-employed persons, labour hands £

Employees using welding, flame cutting equipment, blowlamps or other equipment for the application of heat £:

All others (please specify):

All others £:

Payments to bona-fide (supply and fix) subcontractors £:

Insured's own remuneration if working manually in the business £:

Public/Products Liability

Limit of indemnity required £:
(Please supply copy brochures if possible)

Estimated annual turnover:

UK: £

Europe: £

USA/Canada: £

Rest of World: £

Property Owners Liability

Is cover for this section required:

Yes No

Limit of indemnity required £:

Renewal date:

Quotation deadline:

Brokers name:

Contact name:

Phone number:

Fax number:

Holding insurer:

Target Premium:

Are you the holding broker for this business?:

Yes No

Your home may be repossessed if you do not keep up repayments on your mortgage. Be sure that you can afford the repayments before entering into a credit agreement.