Business Name:
Contact Name - Title & Surname:
Contact Name - First Name:
Business Address:
Postcode:
Contact Number:
E-mail Address:
Business Description :
If Other, please give details
Details of all and any Beauty Treatments Undertaken (e.g. waxing, electrolysis etc):
Number of Hairdressers/Barbers:
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 (£):
Computer & Electronic Equipment (£):
STANDARD POLICY COVER (Please give details of any additional cover required)
Stock In Transit - Standard Cover: £1,500
Money Cover - Standard Cover: £2,000
Business Interruptions 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
Comments