Office Insurance

Contents Cover (enter "0" if not required)

Tenants Improvements Sum Insured

Computers (not stock) Sum Insured

Other Electronic Equipment Sum Insured

Documents Sum Insured

Shop Front Sum Insured

Fixtures & Fittings Sum Insured

Additional Cover

Is Money cover required? No Yes If yes, what Sum Insured

Are the premises protected by a NACOSS approved ALARM? No Yes

Is your alarm connected to a central station No Yes

Does the alarm have REDCARE No Yes

Is Buildings cover required? No Yes If yes, what Sum Insured

The standard cover is Fire and Perils, do you wish to extend cover to include Accidental Damage? No Yes

What year was the property built

Is the property of standard construction No Yes If no, please provide details at the end.

s there any flat roof No Yes If yes, what percentage and what construction

Is Business Interruption required? No Yes If yes,confirm annual Gross Fees

Is Outstanding Debit Balances cover required? No Yes If yes, please state the Sum Insured

Public Liability level of indemnity required £1,000,000 £2,000,000

Is there any work away from premises No Yes If yes, provide full details at the end.

Is your property shared No Yes

If yes, give details of type of business it is shared with and is your portion of the building self contained No Yes

Additional Details

Who are your present insurers

What is your present premium

Have you or any director or partner incurred any loss, destruction, or damage or made any claim or had any claim made against you in the last 5 years? No Yes

Does any other business occupy or operate from these buildings? No Yes

Are any External Doors NOT secured by 5 lever mortice deadlocks conforming to BS3621? No Yes

Are any Accessible Windows NOT secured by key operated windows locks? No Yes

If you have answered YES to any of the above, please give FULL details in the box below:

Final Questions

Have you been convicted of, or in the course of being charged with, any offence (excluding driving offences) No Yes

Have you been declared bankrupt or been a director of any company that went into liquidation No Yes

Have you had any insurance declined, cancelled, refused or had any special terms applied by any Insurer for the risks proposed No Yes

If you have answered "Yes" to any of the three questions above, please provide full details in the additional information section below.

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