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Where there are subsidiary companies a separate quote should be obtained for each company.

Please enter details below as fully as possible to obtain your quotation
GENERAL DETAILS

Your name.

Company name.

Business address including postcode.

Contact telephone number.

Email address.

BUSINESS DETAILS

Which industry classification best describes your business?

Please give an example of customers that you generally deal with.

A brief description of manufacturing processes (if applicable).

Details of products manufactured
(if applicable).

Number of years you have been trading?

Renewal date.

Target premium.

THE TYPE OF COVER YOU REQUIRE

Buildings sum insured.

Do you require cover for subsidence?

Glass and signs

Total of plant and machinary, fixtures and fittings.

Stock.

Examples of your stock.

Amount of non-Ferrous stock.

Amount of computer and electronic equippment.

Would you like to receive the Corporate Angels business E-update?

STATEMENT OF FACT

	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.
	You are the sole occupants and the premises are self-contained
	Any flat roof area does not exceed 15% of total roof area
	The premises are in an area free from flooding and subsidence
	You have no adverse insurance, economic or personal history
	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.
	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 ARE IN AGREEMENT WITH THE STATEMENT

Yes I am in agreement with the statement of fact above.

I do not agree with the above statement and my reasons for this are:

ADDITIONAL INFORMATION

All of our quotations for insurance are provided by an approved independent intermediary business partner. Our approved independent intermediary business partners provide free independent advice and quotes to ensure you receive the very best price and service for your business insurance. All of our quotations are supplied free from any obligation.