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HOTEL QUOTES
1. Name of Proposer and Trading Title:
2. Address of the premises:
Post Code:
Tel. Number:
e-mail (if you have any):
3. Description of Business:
4. Date Established:
5. Type of premises:
Factory
Warehouse
Unit
Other
If other, please state:
6. Does your premises have it's own lockable entrance:
Yes
No
7. THE CONSTRUCTION OF PREMISES
(ie: Brick walls, Mild steel roof)
7.1 Is there a partial / full flat roof
Yes
No
If "Yes" describe in detail:
7.2 Type of heating at premises:
8. THE LOCATION OF PREMISES:
Industrial
Mixed residential/commercial
Rural
Other
8.1 If other, please state:
8.2 Approx distance from Police Station (Miles):
Approx distance from Fire Station (Miles):
9. YOUR BUSINESS :
9.1 Do you have a liquor license?
Yes
No
9.2 Do you have an entertainment license?
Yes
No
9.3 Do you have a deep fat or basket fryer?
Yes
No
9.4 How many rooms do you have?
9.5 Do you have any facilities for children (play area)?
Yes
No
If “Yes” please describe in details:
10. SECURITY AND FIRE PRECAUTIONS
FIRE
10.1 Are the premises fitted with a:
Fire alarm : Yes
No
Sprinklers: Yes
No
Fire Extinguishers: Yes
No
10.2 Are there any rivers or watercourses near the premises
Yes
No
If "Yes" please give full details
10.3 Physical Security:
11. BURGLAR ALARM
11.1. Is there a burglar alarm under your sole control
Yes
No
If "Yes" please state:
to Police Station
to Central Monitoring Station
Private line to yourselves
Bells only
12. INSURANCE HISTORY
12.1 Have you got previous insurers:
Yes
No
12.2 Have you ever been declined, cancelled, refused or special terms:
Yes
No
If "Yes" please give full details
12.3 Have you had any claims:
Yes
No
If "Yes" please state here:
Date of claim:
What happened:
Total Payment:
1.
2.
3.
4.
13. SUMS INSURED
SUM INSURED
Buildings (including outbuildings):
£
Stock in trade:
£
Stock in trust (customers goods):
£
Plant Machinery:
£
Fixtures & Fittings:
£
Frozen food
£
Age of the freezer:
All other contents:
£
Computer Systems:
£
Loss of rent (12 or 24 months)
Yes
No
Do you require Accidental Damage to apply on contents?
Yes
No
Do you require Accidental Damage to apply on buildings?
Yes
No
14. LOSS OF PROFITS
Gross Profit:
£
Auditors Fees:
£
15. EMPLOYERS LIABILITY (Please give estimated wages)
Salesmen, Reps and Drivers:
£
Clerical and Admin Wages:
£
Employees using woodworking machinery:
£
Employees using metalworking machinery:
£
All other employees:
£
16. PUBLIC AND PRODUCTS LIABILITY
Estimated turnover:
£
Of which work away:
£
Do you use heat away?
Yes
No
If "Yes" details must be given here:
17. GLASS BREAKAGE
Value of Glass
£
18. MONEY
Estimated annual carryings:
£
Limit required in safe:
£
Limit required on premises during business hours:
£
Limit required in transit:
£
Any other money required (detail)
19. BELONGS OUTSIDE PREMISES
Description:
Sum Insured
1
£
2
£
3
£
Geographical Limit:
Premises
UK and EUROPE
20. GOODS IN TRANSIT
Limit required any one vehicles:
£
Numbers of vehicles:
Estimated annual carryings:
£
Do you want a Quote in:
24 hrs working
3 Days working
5 Days working
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