Computer All Risks Quote

Insurance2day Insurance Services Ltd are authorised and regulated by the Financial Services Authority and are members of:

Company Name:

Contact Name (inc Title):

Business Address:

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Nature of Business:

Number of Years Trading:

Renewal Date:

Target Premium (£):

COVER REQUIRED

Fixed Computer Equipment - inc software - (£):

Portable Computer Equipment - inc software - (£):

Details of Any Apples Macs:

Optional Extensions:

Increased Costs of Working (£):

Reinstatement of Data (£):

STATEMENT OF FACT

1. The premises in which the equipment will be kept are of standard construction i.e. built with brick, stone or concrete walls and slate, tile, metal or asbestos roofs and in a good state of repair, of sole occupancy and self-contained

2. You have not suffered any losses or made any property insurance claims the last five years

3. You comply with the minimum levels of physical security i.e. all external entry/exit doors are fitted with 5 lever mortice deadlocks complying to BS3621 & all accessible windows are fitted with key operated window locks.

4. You have no adverse insurance, economic or personal history

5. There are no other material facts that may affect an insurers willingness to offer you cover

If you agree with the above statements please tick here:

If you do not agree with any of the above statements please tick here and give full details below:

Comments

ADDITIONAL INFORMATION

Are the premises protected by a N.A.C.O.S.S. approved alarm?

Please detail any other security factors:

Any Additional Information/Comments:

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