Seico Insurance Consultants

Commerical Combined Insurance

Thank you for using the commerical combined insurance quotation form. After submitting this form, you will be contacted by us with the most competitive for your policy within the next 24 hours. Different companies have different terms and conditions so it is important to check the quotes you recieve.

About You Client Name:
Trading name (if applicable):
Postal Address:
Post Code:
Risk Address (if different):
Risk Post Code:
Contact Name and Number:
E-mail Address:
Business Description (exact work being undertaken) if applicable:
Type of Property (factory/warehouse/shop/office)
Date Business Established if applicable:
Security: Alarm / Shutters / Window Locks / Security Bolts
If Alarmed - Naccoss / Bells Only / Redcare Central Station / Digicom
Are Fire Extinuishers annually checked by qualified personnel	yes no
Claims - Any claims suffered in the last 5 years. If yes please give suitable details Present Insurer: Renewal Date: Current Premium payable:	yes no
Company Turnover £
Annual Wageroll £
Construction of Walls
Construction of Roof
Contruction and Number of Floors
Age of Building
Single/Multi Tenure - if Multi Tenure please describe trades of other tenants

Cover
Cover required
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 is
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 %

Preferred Method of Payment:	Cheque Credit Card Direct Debt