Commercial Quotation Form

Name:
Trading Name:
Address:
Email:
Telephone:
Type of business:
Renewal Date:
Current premium:
Construction of property:
Year of build:
Construction of: Roof Walls
Security Details
Alarm:
Shutters:
Local CCTV:
Covers required
Buildings cover: Yes No
Buildings sum insured:
Tenants improvements cover: Yes No
Tenants improvements sum insured:
Stock: Yes No
Non-frozen:
Frozen:
Alcohol/Tobacco:
How many freezers:
Contents cover: Yes No
Contents sum insured:
Fixtures & Fittings: Yes No
Fixtures & Fittings sum insured:
Business Interruption cover: Yes No
Period of cover:
Public liability cover: Yes No
Cover required: £1m £2m £5m
Employers liability: Yes No
Number of employees:
Any additional covers: Yes No
Details of additional covers required:
Image Verification Code: