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Office Insurance Quotation
To help us provide you with out best possible quotation, please complete as much of the following quotation form as you can.
Trading Name
Address 2
Address 3
Address 4
Years Trading
Claims/Losses in the last five years
Age of Building
Is the property a listed building
Construction of walls
Type of roof
If flat roof:  
Percentage of flat roof on property %
Type of flat roof
Please advise security as follows
Do you have 5 lever deadlocks on all final exit doors
If No then please advise the types of lock:-
Do you have window locks on all opening accessible windows
Type of Alarm
Is the alarm on an annual maintenance contract
Do you live on the premises
Do you do any repairs of maintenance to customers goods
Do you work away from your premises (other than collection & delivery)
If yes details of work away carried out
Sums Insured
Tenants Improvements
Loss of Rent
Fixtures & Fittings
Computer Equipment
Electronic Equipment
Business Interuption
Glass - Full Reinstatement
Public Liability amend if higher limit required
Product Liability amend if higher limit required

Employers Liability £10,000,000

In order to calculate the premiums for the Liability sections we will require the following information
Projected Approximate Annual Turnover
Projected Approximate Annual Wages Roll
Ever been declared bankrupt or insolvent?
Been convicted of any criminal offence, which is not 'Spent'?
Had any County Court Judgements entered in the last six years?
WestPennine Insurance Services Group is the trading name of WestPennine Insurance Consultants Limited. Registered Office 84 Church Street, Littleborough. OL15 8AU. Registered in England number 939318
Telephone 01706 378990 Fax 01706 371417
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