Business Insurance for Distributors, Factories, Manufacturers, Wholesalers, Warehouses and Industrial Units

Please Complete the Following Quotation Form :-

Name of Firm
Address

Full Business Description

Contact Name

Telephone (including STD code)

Mobile Phone
E-mail Address
 Fax Number
   


Existing Renewal Date:

Existing Insurer
   
 
   
Estimated Annual Turnover? Estimated Wages Per Annum?

 
   
Sums Insured  
 
Please Give Amount of Stock Cover Required?

Please Give Amount of Goods in Transit Cover Required?

   

 
   
Liability Cover  
Is Public and Products Liability cover required ? If Yes Please Select Limit of Indemnity Required
   
Is Employers Liability Cover Required ?  
   
Do You Export to North America ?  
   
Security  
Are the Premises Occupied Overnight?
If Yes by Whom?
   
Is There an Alarm at the Premises?
Is it NACOSS Approved?
Who Maintains the System? What is the Method of Signalling?
Does the Local Authority CCTV Protect the Premises?  

 
Claims Experience Any Additional Information
How Long Have you Been in Business? Please complete below
Any Claims Within the Last Five Years?
Please provide details