DETAILS : |
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Contact Name: |
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Business/ Trading Name: |
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Risk Address: |
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Description of Business Trade: |
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Company Status: |
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Contact
Telephone: |
Mobile
Number: |
Fax
Number: |
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Email
Address: |
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How
do you wish us to contact you? |
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Current Insurer: |
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Renewal Date /Start Date: |
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Renewal Premium: |
£
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COVER REQUIRED
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Buildings (Reinstatement cost) (If Required): |
£
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Tenants Improvements/Fixtures & Fittings: |
£
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General Contents: |
£
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Computer Equipment/Electronic business machines: |
£
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General Stock: |
£
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Stock of Tobacco: |
£
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Wines & Spirits: |
£
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Is the property of standard construction eg. Brick/Stone/Slate/Tile |
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Are all final exit doors fitted with minimum of 5 lever mortice deadlock? |
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Are the premises occupied overnight eg manager living above? |
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Do you have a lottery terminal/ATM on site? |
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Any other cover required (please specify): |
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Is there an alarm?: |
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Type of Signaling?: |
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How long have you been trading?: |
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Treatment cover required? (hairdressers only) |
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Number of claims in the last 5 years?: |
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Value of Claims (if applicable): |
£
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Approximate Annual Turnover: |
£
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Standard cover includes:
Fire, Theft, Water Damage, Riot, Malicious Damage etc
Public, Products and Employers Liability
Money, Loss of Licence (if applicable)
Frozen Food
(if applicable)
Business Interruption
Goods In Transit
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