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Shop And Retailer Insurance Quotation
To help us provide you with out best possible quotation, please complete as much of the following quotation form as you can.

More information about this quotation
Trading Name
Address 2
Address 3
Address 4
Occupation/Trade e.g. Grocers
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
About your business
Do you do any deep fat frying
If fat fry:  
Which type of frying
Do you do any repairs of maintenance to customers goods
Do you work away from your premises (other than collection & delivery)
If work away:  
Details of work away carried out
Do you retail any second hand goods
Sums Insured Section (Please amend if you require a higher limit)
Tenants Improvements
Loss or Rent
Fixtures & Fittings
General Stock
Cigarettes & Tobbaco
Wines & Spirits
Frozen Food amend if higher limit required
Business interruption amend if higher limit required
Loss of Licence
Glass Full Reinstatement
Money Section (Please amend if you require a higher limit)
Standard cover in transit
Standard cover on premises during business hours
Standard cover in locked safe out of business hours
Standard cover £250 out of business hours not in locked safe
Standard cover 250 in the private dwelling of insured, employee or director
Goods in transit amend if higher limit required
Public 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
Number of Employees
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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