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Business Insurance Quotation Form
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Business Insurance Quotation Form
Name of the Insured
Nature of the Business
Address
Telephone Number
Email
Number of Years Operating
Turnover
Number of Employees
Wages Clerical
Wages Manual Work Away
Wages Other
Buildings Sum Insured
Computers Value
Other Contents
Tenants Improvements
Equipment off Premises
Business Interruption (Gross Profit)
Have you made any claims in the last 5 years
Yes
No
Ever had insurance cancelled
Yes
No
Have you ever had special terms applied?
Yes
No
Have you ever had cover/renewal refused?
Yes
No
Have you ever been declared bankrupt?
Yes
No
Are you sole occupier of premises?
Yes
No
Are premises of standard construction?
Yes
No
Are premises occupied regularly?
Yes
No
Is there any evidence of subsidence/landslip?
Yes
No
Any Convictions?
Yes
No
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All Rights Reserved | Insight Insurance Services
Insurance
Business Insurance
Commercial Property Insurance
Film Production Insurance
Camera & Sound Insurance
Professional Indemnity
Cyber Liability
Main Office
Insight Insurance Services Ltd
5-7 Museum Place
Cardiff
CF10 3BD
Phone: 02920 196546
For more information or a quote please get in touch
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Authorised and regulated by the Financial Conduct Authority with number 305965
Registered Address:
5-7 Museum Place
Cardiff
CF10 3BD
Company No: 04373630
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