Where
there are subsidiary companies a separate building
insurance quote should be obtained for each company.
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Please
enter details below as fully as possible to obtain
your buildings premises insurance quotation
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| Your
name. |
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| Company
name. |
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| Business
address including postcode. |
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| Contact
telephone number. |
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| Email
address. |
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| Which
industry classification best describes your business? |
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| Please
give an example of customers that you generally
deal with. |
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| A
brief description of manufacturing processes (if
applicable). |
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| Details
of products manufactured
(if applicable). |
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| Number
of years you have been trading? |
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| Renewal
date. |
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| Target
premium. |
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| Buildings
sum insured. |
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| Do
you require cover for subsidence? |
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| Glass
and signs |
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| Total
of plant and machinary, fixtures and fittings. |
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| Stock. |
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| Examples
of your stock. |
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| Amount
of non-Ferrous stock. |
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| Amount
of computer and electronic equippment. |
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| Would
you like to receive the Corporate Angels business
E-update? |
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The
premises that your are seeking cover for are
of standard construction i.e. built with brick,
stone or concrete walls and slate, tile, metal
or asbestos roofs and in what is considered
a good state of repair. |
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You
are the sole occupants and the premises are
self-contained |
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Any
flat roof area does not exceed 15% of total
roof area |
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The
premises are in an area free from flooding and
subsidence |
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You
have no adverse insurance, economic or personal
history |
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You
comply with the minimum levels of physical security
i.e. all external entry/exit doors are fitted
with 5 lever mortice deadlocks complying to
BS3621 & all accessible windows are either
barred, grilled or fitted with key operated
window locks. |
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There
are no other material facts that may affect
an insurers willingness to offer you cover |
PLEASE
INDICATE BELOW THAT YOU HAVE READ THE ABOVE AND YOU
ARE IN AGREEMENT WITH THE STATEMENT OF FACT |
| Yes
I am in agreement with the statement of fact above. |
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(please indicate by checking the box) |
| I
do not agree with the above statement and my reasons
for this are: |
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| Are
the premises protected by a N.A.C.O.S.S. approved
alarm? |
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| Is
police response operational? |
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| Are
the premises to be insured protected by CCTV. |
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| Please
indicate here any other security factors that you
deem applicable. |
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| Please
provide details of ALL and ANY losses you have suffered
or claims you have made in the last five years (please
advise date(s), cost(s) and circumstances. |
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| Any
additional information. |
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Great British Finance
Limited are authorised and regulated by the
Financial Services Authority (FSA). The FSA
does not regulate some forms of Mortgage, Inheritance
Tax Planning, Credit Cards, Personal Loans,
Deposit Accounts & Insurance. If you are
submitting an online request, we would advise
to read our KeyFacts statement, links are at
the top and bottom of this page. |
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