Business Insurance Quote

Quote Form

Please take 50 seconds to complete the following form to receive a tailored quotation for your business insurance.

Required fields are marked with * | View Terms of Business

• For Office Use:
  
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• Your Details

• Proposer *
  
• Address *
  
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• Telephone
  
• Mobile
  
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• Business Description *
  
• Website
  
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• Current Insurer *
  
• Current Broker *
  
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• Renewal Date *
  
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• Property Details

• Cover Required
• Fire Only *
  ---YesNo
• Fire / Perils *
  ---YesNo
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• MDAR* *
  ---YesNo
• Theft* *
  ---YesNo
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• Glass* *
  ---YesNo
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• Building Construction *
  
• Walls *
  
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• Roof (Any Portion Flat?) *
  
• Floor *
  
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• Heating *
  
• Year Built *
  
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• Security

• File Alarm *
  ------ N/A ---YesNo
• Fire Extinguishers *
  ------ N/A ---YesNo
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• Sprinklers *
  ------ N/A ---YesNo
• CCTV *
  ------ N/A ---YesNo
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• Alarm *
  ------ N/A ---YesNo
• Alarm Linked To Monitoring Station? *
  ------ N/A ---YesNo
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• Other: Shutters/Grills/Fencing *
  
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• Employers Liability

• Clerical/Admin/Management

• Number
  
• Wages
  
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• Manual

• Number
  
• Wages
  
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• Drivers

• Number
  
• Wages
  
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• Property Repairs

• Number
  
• Wages
  
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• Other

• Number
  
• Wages
  
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• Public / Products Liability

• Limit of Indemnity
  € 2,600,00
• Projected Turnover (Euro)
  
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• Money

• Annual Cash Carryings (Euro)
  
• In the premises outside of opening hours in a safe
  
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• In bank night safe until banks at risk (Euro)
  
• In transit or in premises during opening hours
  
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• Make and Model of Safe
  
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• Business Interruption

• Gross Profit (Euro)
  
• State whether 12/18/24 months
  ------ N/A ---12 Months18 Months24 Months
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• ICOW (Euro)
  
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• Sums Insured

• Buildings (Euro)
  
• Fixtures & Fittings (Euro)
  
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• Computers all risks in the form of 10 (Euro)
  
• Notebooks & 2 iPads (Euro)
  
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• Stock (Euro)
  
• F.B.C (Euro)
  
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• Glass (Euro)
  
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• Other Details

• Where Did You Hear About Us?*
• ---GoogleFrom an EventFacebookWord of MouthNewsletterNewspaperReferralText CampaignShowStaff ReferralOther
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• PLEASE NOTE: QUOTE ONLY VALID FOR 30 DAYS
• I confirm that the following Assumptions are correct:
  
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