Commercial Combined Quotation form
Insured or company name:
Company status:
Risk Address:
House Number:
Street:
Town:
County:
Postcode:
Occupation:
Business:
Business Established:
Date of cover
In Order to Calculate the Premium we will require the following Information about your company. If this is a new venture or you have not been trading for a full year, please estimate the figures requested from your company projections or your business plan. If you are unsure please contact one of our specialists today:
Buildings Cover Required
If Yes Ask for sum insured
If Yes Is Subsidence Cover Required
Trade Contents
Stock
Computor / Office Contents
Tenants Inmprovements
Turnover of the Company
MONEY
In a locked safe when closed for business:
Not in safe when closed for business :
Any Other Loss :
EMPLOYERS LIABILITY
Annual Clerical Wage Roll:
Annual Manual Wages on own premises:
Annual Manual Wages away from own premises:
PUBLIC/PRODUCTS LIABILITY:
Estimate: Annual Turnover For Manual Work -
- away from the Insured Premises:
GOODS IN TRANSIT
Limit per own vehicle:
Professional Carriers Limit:
YOUR PREMISES:
Security: Burglar Alarm:
If Yes is it....:
Fire: Alarm:
Fire: Sprinklers:
Method of heating:
HEALTH AND SAFETY
Do you have a written Health & Safety - :
- Policy in Place:
When was this Last reviewed:
Do You Provide Staff Inductions and Training:
Is this recorded:
Do You carry out Health and Safety Risk:
Assessments for staff:
CLAIMS
Have you have any Claims in the Last 5 Years:
If Yes...Date of claim:
Type of claim:
Approx amount claimed: