Name of Property Owner
Contact Name
Contact Number
Email Address
Property Address including Postcode
Current Policy Renewal Date
Type of Property
Year of Build
How many years have you owned the property?
When did the property first become unoccupied?
What are your plans for the property?
Is any structural or demolition work planned?
Construction of Walls
Construction of Roof
Number of Concrete Floors
Number of Wooden Floors
Methods of Heating (please include all types that may be used)
Buildings Reinstatement Value
Buildings Noted Interest (if any)
Landlords Contents Value
Annual Rent
Loss of Rent Indemnity Period
Choose
12 Months
24 Months
36 Months
Other
N/A
Property Owners Liability
Choose
£1,000,000
£2,000,000
£5,000,000
Other
N/A
Employers Liability
Choose
£10,000,000
Other
N/A
Details of Employees (nature of work undertaken and estimated annual payments to employees, labour only subcontractors etc)
Details of Any Other Covers
Standard Acceptance Criteria:
(a) Standard construction (walls built solely of brick, stone or concrete and roofed with slate, tile, metal or concrete)
(b) No composite panels and/or combustible linings
(c) No flat roof areas
(d) No basements or cellars
(e) No high risk adjoining or neighbouring premises
(f) Not built before 1900
(g) Not listed
(h) Not dual tenure, multi tenure and/or sub-let
(i) Heated solely by fixed mains gas/electric heating systems
(j) No portable heaters and/or open fires, wood burners etc
(k) Separated from adjoining premises with full fire-wall separation
(l) Maintained in a good state of repair
(m) Not in an area with a known history of subsidence; where there have been previous issues with subsidence, heave or landslip; in close proximity to trees; where there are visible cracks; and/or built on made up ground
(n) Not within 250 metres of a river, canal, lake, tidal waterway, sea or other body of water
(o) Not within a floodplain or an area previously affected by flood
(p) Have a current, satisfactory Electrical Installation Condition Report (EICR)
(q) Have a current Gas Safe certificate
(r) Have not been subject to any claims/losses in the past 5 years
(s) No unattended fork lift truck charging (unless within an area at least two metres clear of any combustible materials)
(t) No unattended processes
(u) No hazardous processes, including storage of chemicals or other hazardous materials
Do you agree with all of the Standard Acceptance Criteria above?
Choose
Yes , I agree with all of the Standard Acceptance Criteria
No (please provide details below)
DetaiIs of all and any elements of the Standard Acceptance Criteria you are unable to agree with:
Details of any Claims/Losses in the past 5 years (at this property or any others) or factors that may affect an insurer's willingness to offer cover
If you have any other comments, please include below:
SUBMIT FOR QUOTES
