*What is Your Business Name?
*Select Business Category —Please choose an option—Residential Landlord InsuranceCommercial Landlord InsuranceRent Guarantee & Legal Expense InsuranceLandlords Legal InsuranceHome Emergency CoverProperty Owners’ Liability CoverPortfolios of LET Property insuranceOther
If other please explain
*Title —Please choose an option—MrMrsMissMSProfessorDrSir
*First Name
*Last Name
*Main Contact Number
*Business Email Address
*Insurance Cover Start Date
*Select any of the following that apply to any proposer, director or partner of the Trade or Business or its Subsidiary Companies if they have ever, either personally or in any business capacity:
NoneHad any convictions or criminal offences which are not spent under the Rehabilitation of Offenders Act or has any prosecutions pending.Been declared bankrupt or insolvent or been the subject of bankruptcy proceedings or insolvency proceedings.Had a proposal refused or declined.
Had an insurance cancelled.Had a renewal refused.Had special terms imposed.Been the owner or director of, or partner in, any business, company or partnership had a county court judgement awarded against them.Been disqualified from holding company directorship.
Been served with a prohibition or improvement order under health and safety legislation.Been convicted of, charged (but not yet tried) with or officially cautioned for a breach of any Health and Safety or Welfare or Environmental Protection legislation.Been the subject of a recovery action by Customs and Excise or the Inland Revenue the Inland Revenue.
If yes any of above then could you please give more detail
Building Insurance YesNo
Do you own this Property YesNo
Year Built
Date of purchase
Address:
Building Declared value
Sum Insured
Is the property fully occupied?
If occupied then please confirm the occupency type i.e Private Let, HMO, Student , Local authority (DHSS) etc.
Loss of Rent —Please choose an option—YesNo
If yes Then please confim the Loss of Rent per year.
Any Bank interest to be noted if Yes then Please state the bank full address
Is the property is in a good state of repair?
Listed building: YesNo
Material facts: None of themBuilding roof is flat or partially flatThe business is not self contained with its own means of accessThe premises is closed for more than 3 consecutive monthsThe premises is in an area with a history of floodingThe property has walls or roofs constructed of composite panels
The property has walls or roofs containing combustible liningsThe property is erected on made up ground or has been underpinnedThe property is of non-standard construction (walls not built only of brick, stone, metal or concrete or roofed only with slates, tiles, metal or concrete)The property is unoccupied, or has not been used in the last 30 days
The property or adjacent property has suffered from, or shows any visible signs of damage from subsidence, landslip or ground heaveThe proposer is not the sole occupant (if other than offices or private dwellings)There are trees or shrubs which are more than 5 metres in height and within 10 metres of the propertyThere is an ATM on the premises
Total number of storeys:
Number of storeys where floor is of wooden construction:
Risk Management: Intruder alarm—Please choose an option—YesNo
Risk management features:Current IEE electrical certificateSprinklers
Do you want to add another property +
Covers Requested: Contingencies: Accidental DamageAll RisksStandard Fire & Specified PerilsSubsidence Ground Heave LandslipTheft
Contents: Contents Sum Insurance
Public Liability YesNo
Limit of Indemnity —Please choose an option—£1000000£2000000£5000000£5000000+
Additional Information
Property Owner's Liability YesNo
Legal Expenses YesNo
Limit of Indemnity —Please choose an option—£50000£100000£250000
Terrorism Cover SelectedYesNo
Claims History Any Claim in last 5 yearsYesNo
Please send us any documents that may help to get a quote (You can send us any insurance schedules or business documents)
Please provide any information you would like for your business/trade or profession.
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