| Telephone No.: |
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| Email Address: |
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| Is the building of standard construction? |
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| Is visitor access to the office controlled during business hours by either an access control system or manned reception? |
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| Are grilles, bars or shutters fitted to all easily accessible rear and side windows? |
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| Is the premises protected by an intruder alarm? |
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| If so, what type of alarm and method of signalling occurs when the alarm is activated? Is the alarm maintained under contract by an accredited maintenance company? |
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| Is there a police response? |
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| Is the proposer the sole occupant of the premises to be insured or shares the premises only with other offices, surgery’s, shops or private dwellings? |
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| Can the portion of any building occupied by the proposer be separately locked to prevent access? |
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| Has the premises suffered from, or show any visible signs of damage from subsidence, landslip or ground heave? |
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| Is the premises situated over made up ground, or underground workings of any sort or sited near a cliff? |
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| Is the premises to be insured in a good state of repair? |
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| Is the premises to be insured unoccupied? |
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| Buildings Sum Insured: |
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£ |
| Tenants Improvements Sum Insured: |
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£ |
| Fixtures and Fittings and All Other Contents Sum Insured including Business Records: |
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£ |
| Computer Equipment Sum Insured: |
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£ |
| Business Interruption Sum Insured Loss of Income: |
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£ |
| Is Public & Employers Liability cover required? |
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| If so, how much cover do you need? |
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| Annual Turnover: |
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£ |
| Annual Wage roll: |
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£ |
| Number of Principles/Proprietors/Directors: |
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| Number of Employees: |
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