Commercial Combined proposal form

A single policy bringing together property, stock, machinery, business interruption, liability and money. Suited to manufacturers, wholesalers and larger commercial operations.

Fields marked * are required. Anything you're unsure about, leave blank and we'll pick it up with you.

About the business

Your name

Business name

Correspondence address

Contact number

Email address

Business description

The premises

Premises address

Do you own or lease the premises?

Year built

Wall construction

Roof construction

Is the building listed?

Any history of flood?

Any history of subsidence?

Security in place

The business

Annual turnover

Number of employees

Annual wageroll

Number of premises

Do you export?

Any exports to USA or Canada?

Percentage of turnover from exports

Cover required

Buildings sum insured

Machinery & plant sum insured

Stock sum insured

Contents & fixtures sum insured

Business interruption sum insured

Indemnity period required

Public liability limit

Products liability limit

Employers liability required?

Goods in transit required?

Engineering inspection required?

Claims & current policy

Any claims in the last 5 years?

Claims details

Date, type and amount of each claim

Current insurer

Renewal date

Expiring premium

Is there anything else we should know?

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