SHOP 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:	If other, please state:
6. Does your premises have own lockable entrance:	Yes No
7. THE CONSTRUCTION OF PREMISES (ie: Brick walls, Mild steel roof)
7.1 Is there a full / partial flat roof	Yes No
If "Yes" describe in detail:
7.2 Type of heating at premises:
8. THE LOCATION OF PREMISES:
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 Please provide a full description of your business:
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 the following:
12. INSURANCE HISTORY
12.1 Have you had any 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:

13. SUMS INSURED
	SUM INSURED
Buildings (including outbuildings):	£
Stock in trade (exc wines/spirits and cig/tobacco):	£
If you have high risk stock (records, jewellery, clothes etc.) Please specify here and the percentage:	£ %
Fixtures & Fittings:	£
Frozen food	£ Age of the freezer:
Wines and Spirits	£
Cigarettes and Tobacco:	£
All other contents:	£
Computer Systems:	£
Do you require Accidental Damage to apply on contents?	Yes No
Do you require Accidental Damage to apply on buildings?	Yes No
Do you require shop front (glass) cover?	Yes No
INCLUDED AUTOMATICALLY IN QUOTE
14. LOSS OF PROFITS
15. EMPLOYERS LIABILITY
16. PUBLIC AND PRODUCTS LIABILITY
17. GLASS BREAKAGE
18. MONEY
19. GOODS IN TRANSIT


If you live on the PREMISES & would like a Quote for Personal Contents, please advise	Yes No
Do you want a Quote in:	24 hrs working 3 Days working 5 Days working