Shop/Retail Insurance Quote


Business Name:
Contact Name (inc Title):
Business Address:
Postcode:
Contact Number:
E-mail Address:
Type of Shop:
Number of Years Trading:
Renewal Date:
Target Premium (£):
COVER REQUIRED
Buildings Sum Insured (£):
Is Subsidence Cover Required?
Glass & Signs (£):
Tenants Improvements (£):
Fixtures, Fittings & Trade Contents (£):
General Stock (£):
High Risk Stock (if applicable)
Alcohol (£):
Cigarettes/Tobacco (£):
Designer Goods (£):
Leather Goods (£):
Electrical Goods (£):
Other (give details) (£):
Computer & Electronic Equipment (£):
STANDARD POLICY COVER - Please give details of any additional cover required
Stock In Transit - Standard Cover: £1,500
Frozen Food - Standard Cover: £1,000
Money Cover - Standard Cover: £2,000
Business Interruptions Cover - Standard Cover: £100,000
Loss of Licence Cover - Standard Cover: £100,000
Public Liability - Standard Cover: £1,000,000
Employers Liability - Standard Cover: £10,000,000
Any Other Cover Required:
ADDITIONAL INFORMATION
Estimated Annual Turnover (£):
Details of any Work Away from the premises:
Details of anyone living on/above the premises:
Are the premises protected by a N.A.C.O.S.S. approved alarm?
Is Police Response Operational?
Are the premises protected by CCTV?
Please detail any other security factors:
Details of ALL and ANY claims or losses in the last five years:
STATEMENT OF FACT

1. The premises 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

2. You are the sole occupants and the premises are self-contained

3. Any flat roof area does not exceed 15% of total roof area

4. The buildings are not Grade I or II listed

5. The premises are in an area free from flooding and subsidence

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

7. 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 either barred, grilled or fitted with key operated window locks.

8. You do not have a cash machine i.e. ATM on the premises

9. 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
Thank you for completing your details - please press the submit button for a quotation.