Client Details
Name of Policyholder  
   
   
Inception date:
Building No.:
Risk postcode:
Trade:
Trading experience: years
Claims
Has the risk been subject to any claims or incidents in the last 3 years?
If Yes please list information below
Year: Details of loss: Amount paid: Amount Outstanding:
Risk Location
Building Type:
Year Built:
Construction
Walls:


(If other please list)
Roof:


(If other please list with % flat if applicable)
Floors:

No. of Storeys

Is the Office located above Ground Floor?
Building Occupancy:
(If Multi Tenure, is Office self contained?)
Core Covers All Risk
Contents:
Computers:
Fixtures & Fittings:
Business Records:
Money in Safe During Buiness Hours/Transit:
In Safe Outside Business Hours:
Public Liability LOI:
Employers Liability LOI:
Optional Cover - Property
Buildings:
Is Subsistance Cover Required?
Property away from Premises: UK: Worldwide:
Optional Cover - Business Interuption
Loss of Income:
Indemnity Period:
Book Debts:
Additional Expenses:
Indemnity Period 36 Months
Optional Cover - Computers
Computer Breakdown:
Software Erasure:
Increased Cost of Working:
Indemnity Period :
Target Premium: £