Business Insurance

We understand that every business is unique, we dont assume that your insurance needs are the same as a business that’s a completely different size and shape. Thats why working with you to cover the details is the most effective way to build an insurance package to suit your business. Select from a range of comprehensive insurance options:

• Business interruption
• Fire and other damage
• Glass and breakage
• Accident damage
• Personal income insurance
• Public and products liability insurance
• Burglary
• Machinery insurance
• General or portable property
• Fraud and dishonesty
• Tax audit
• Goods in transit
• Equipment breakdown
• Commercial motor vehicle insurance
• Motor fleet insurance
• Voluntary workers personal accident insurance

Once you know where you stand you can get on with doing what you do best, running your business. It’s quick and easy to get a quote for a comprehensive range of cover options for your business.

Business Details

Business Name

Business Address

Type of Business

Number of Staff

Annual Wages Paid ($)

Gross Turnover / Annum ($)

Building occupied by

Please SelectProposerTenantProposer and Tenant

Period occupied by proposer:

Period in this type of business

Details

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Fire Insurance Details

Age of Building

Building has been rewired (if over 40 years old)

Please SelectYesNo

Height of Building Mtrs

Approx Areasq.Meters

Condition of Builiding

Value of Contents($)

Single Sprinklers

Please SelectYesNo

Dual Sprinklers

Please SelectYesNo

Water Hydrant

Please SelectYesNo

Extinguishers

Please SelectYesNo

Vats

Please SelectYesNo

Goods in open air

Please SelectYesNo

Customers work in progress

Please SelectYesNo

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Seasonal Stock

Cover Amount

Period Required(ie.Dec to March)

Extra cost of re-installment

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Premises Details

Walls- Block/Brick

Please SelectYesNo

Timber

Please SelectYesNo

Iron

Please SelectYesNo

Fibro

Please SelectYesNo

Other

Please SelectPatrols24 Security Gaurd

Roof

Please SelectIronTiles

Roof Other

Floors

Please SelectConcreteTimber

Floors Other

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Burglary Insurance Details

Alarm

Please SelectMonitoredLocalNo Alarm

Alarm Connection

Please SelectLandlineSecuritelDialler

Sensors-Infra Red

Please SelectYesNo

Sensors-Glass Breakage Detector

Please SelectYesNo

Deadlocks- All Doors

Please SelectYesNo

Deadlocks - Other

Other

Please SelectPatrols24 Security Gaurd

Made a claim in the last 5 years

Please SelectYesNo

Have you ever had any insurance canceled or declined

Please SelectYesNo

Have you ever been charged or convicted of any criminal offence or declared bankrupt?

Please SelectYesNo

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Insurance Amounts

Building

Stock($)

Other Contents($)

Removal of Debris($)

Loss of rent($)

Rewriting of records($)

Insurable gross profit($)

Increased cost of working($)

Claims preparation costs($)

Accounts / Loss of debtors($)

Burglary_Stock($)

Tobacco / Cigarettes($)

All other contents($)

Theft without forcible entry($)

Money-In Transit($)

Business Hours($)

Outside Business hours($)

Seasonal Cover($)

Locked Safe($)

Residence($)

Safes / Strongrooms($)

Glass-External

Please SelectYesNo

Glass-Internal

Please SelectYesNo

Illuminated and Neon Signs($)

Liability-Public($)

Products($)

General Property($)

Computers - Hardware($)

Data Media($)

Inc. Costs($)

Software($)

Machinery-Unspecified($)

Specified Items($)

Boiler / Pressure Vessels require certification

Please SelectYesNo

Food Spoilage($)

Goods in Transit($)

Fidelity Insurance - Number of Staff

Amount of Cover($)

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Contact Details

Your Full Name

Daytime Phone Number

Your Email Address

Your Facsimile Number

Your Postal Address