commercial combined insurance

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Date Established:
Risk Address (if different):
Type of Property: Factory Warehouse Shop Office
Business Description (exact work being undertaken):
Security: Alarm Shutters Window Locks Security Bolts
If Alarmed: Naccoss Bells Only Redcare Central Station Digicom
Claims - Any claims suffered in the last 5 years. If yes please give suitable details: Yes No
Renewal Date:
Company Turnover:£
Annual Wageroll:£
Single/Multi Tenure - if Multi Tenure please describe trades of other tenants Single Tenure Multi Tenure
Multi Tenure Description:
Cover
Cover required Fire & Special Perils Commercial All Risks Theft
Buildings or Tenants Improvement:£
Business Machines/Computers (not stock)£
Other Contents (desks, furnishings etc)£
General Stock£
Stock of Wines/Spirits£
Stock of Tobacco/Cigarettes£
Machinery & Plant£
Business Interruption
Estimated Gross Profit£
Estimated Gross revenue£
Rent receivable£
Goods In Transit
Any one transit by own vehicle£
Number of own vehicles£
Estimated annual sending by carriers£
Limit any one consignment£
Limit any one package£
Employers Liability
Clerical/Managerial wageroll£
Woodworking Machinists wageroll£
All other manual workers wageroll£
Labour only sub-contractors wageroll£
Bona Fide sub-contractors wageroll£
Public & Products Liability
Limit of indemnity require £1m, £2m or other£
Estimated Turnover for the next 12 months£
United Kingdom£
Exports to European Community£
Exports to the rest of the World (ex USA/Canada)£
Exports to USA/Canada£
Use of heat away from premises as percentage of turnover%

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