RSA Office Insurance - Issue Cover Request | Insurance2day Insurance Services Ltd

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RSA Office Insurance - Issue Cover Request

Thank you for your interest in our Royal & Sun Alliance office insurance scheme, to enable cover to be issued please complete your details below:

Company Name:

Contact Name - Title & Surname:

Contact Name – First Name:

Business Address:

Postcode:

Contact Number:

E-mail Address:

Nature of Business:

Are The Premises Occupied Solely As Offices?

If NO, Please Give Details:

Does the Office Contain an Atrium?

3 Years Claims Experience - please give full details of all claims and losses irrespective of whether a claim has been made i.e. date, circumstances and payments made/outstanding

Name of Current Insurer (if applicable):

If You Are Currently Insured, is any Long Term Agreement/Undertaking in Force?

COVER REQUIRED

OFFICE INSURANCE PREMIUMS The insurance premiums below are based on the total contents sum insured however the cover provided includes contents, business interruption, loss of money and liabilities as detailed below - additional cover is available on request.
Total Contents Sum Insured	Total Annual Premium (Premium + IPT @ 5% + Fee)
up to £7,500	£219.05 + £10.95 IPT + £20 Fee = £250
up to £10,000	£257.14 + £12.86 IPT + £20 Fee = £290
up to £15,000	£304.76 + £15.24 IPT + £20 Fee = £340
up to £20,000	£376.19 + £18.81 IPT + £20 Fee = £415
up to £30,000	£490.48 + £24.52 IPT + £20 Fee = £535
up to £40,000	£638.10 + £31.90 IPT + £20 Fee = £690
up to £50,000	£780.95 + £39.05 IPT + £20 Fee = £840
over £50,000	Please refer

Please Select the Level of Cover You Require

Details of Any Other Cover Required:

Method of Payment

If Other, please give details

Inception Date:

Any Additional Information/Comments:

Thank you for completing your details - please press the submit button to request cover