On-Line Shop Insurance Quotation Header

For UK Customers Only

Please insert your details here and one of our shop insurance business advisers will contact you shortly.

This form is designed for quotes for combined shop buildings and contents insurance or shop contents insurance only. If you require cover for buildings cover only, please go to the commercial landlords buildings insurance page. For any other type of commercial insurance, please return to our business insurance page or our home page.

If you have any problems with completing this form, please phone us on 08453 455 855 for assistance.

Proposers/Company Details

Proposers Name
(incl. partners names if partnership):
Trading Name:
Trading Status:
Business Address:
Business Postcode:
Postal Address:
(if different from above)
Daytime Telephone No.
E-Mail Address:

General Information

Have you, or any other partner or director ever
been convicted of or charged with any criminal offence?		Yes     No
Have you, or any other partner or director
ever been declared bankrupt or insolvent?		Yes     No
Has any insurer ever refused, declined, cancelled
or imposed special terms in respect of your shop insurance?		Yes     No
Full details of goods sold/supplied:
(please describe as fully as possible)
Please state the number of years
trading under current management: 		 years
If a new venture, please state the number
of years previous experience (if applicable):		 years

Construction
Construction of Walls (e.g. brick, stone, etc.):
Construction of Roof (e.g. tile, slate, flat, etc.):
(If flat, state if 'felt/bitumen' or 'concrete')
Percentage of Flat Roof (if applicable)%
Age of Flat Roof (if applicable) years
Construction of Floor (e.g. concrete, wooden, etc.)
What year were the premises built?
Are the premises of listed construction?
(e.g. Grade I, Grade II, etc.)
Distance from nearest water, river, etc.:

Security
Are all your external doors fitted with a minimum
of 5 lever mortise deadlocks which comply with
BS3621(look for the British Standard Kitemark)?		Yes     No
Are all opening windows, fanlights and
skylights fitted with key operated window locks?		Yes     No
Are all accessible windows protected
be either solid steel bars or grilles?		Yes     No
Are all shop front windows
protected by metal roller shutters?		Yes     No
Are your premises situated within a street
level Local Authority Council CCTV area? 		Yes     No
Are the premises located
within an enclosed shopping centre?		Yes     No
Are your premises protected by
an annually maintained intruder alarm?
If yes, is the alarm NACOSS/NSI approved?
Type of intruder alarm signalling:
Please provide details of
any other security arrangements:
Does anybody reside at the premises overnight?
If Yes, please provide details of occupant:
(e.g. proprietor, manager, family member, etc.)
Is there an A.T.M. (cash machine) on the premises?

Occupancy
Are you the sole occupant(s) of the
business premises you occupy?:
If No, please provide details of other occupants:
Is your portion of the premises self-
contained with their own means of access:
If No, please provide details:
Are any parts of the
building at present unoccupied?
If yes, please provide details:

Claims Experience/History
Have you or any other director or partner (in this
or any other trading name) suffered any loss or had
any claims made against you in the last 5 years?
If yes, please provide claim details:
(i.e. date of claim, circumstances
of claim, amount claimed, etc.)
Has the property ever suffered
from subsidence or flood damage?
If yes, please provide details:
(e.g. type of damage, date of
damage, amount of damage, etc.)

Premises where cooking is carried out
Do you use Deep Fat Frying Equipment?
If yes, please state type:
(e.g. Tabletop, Freestanding, Full Frying Range, etc.)
If a full frying range, please state
No. of Ranges, Manufacturer(s) and Age(s):
Is the frying equipment fitted with a thermostat designed to
prevent the temperature of oils/fat from rising above 205°C?		Yes     No

Cover

Cover Type
Standard cover is for Fire, Theft and Special Perils.Fire, Theft & Special Perils
Do you wish to extend your cover to include
accidental damage for an additional premium?      
Do you wish to extend your cover to include
cover for terrorism for an additional premium?

Buildings/Tenants Improvements (if required)
Buildings Sum Insured including outbuildings,
rebuilding architects' fees, removal of debris, etc:
Do you require subsidence cover for your buildings?Yes     No
If you are a tenant, do you require cover for
the improvements you have made to the property?
N/A     Yes     No
If yes, please state the sum insured:
Contents
Shop Front Glass Sum Insured (£'s):
Electronic Business Equipment (e.g. tills, etc.) (£'s):
Fixtures & Fittings / Contents Sum Insured (£'s):
Stock
Total Stock Sum Insured Required (£'s):
Within the Total Stock Sum Insured stated above, please state the value of any stock you sell which falls into any of the following categories:-
Tobacco, Cigarettes & Cigars:
Wines and Spirits:
Camera's (other than camcorders and binoculars):
Clothing incl. babywear, sports and leisure wear:
Computing hardware and
software including video games:
Pre-recorded audio and video tapes,
cassettes, CD's, and DVD's:
Electrical goods, tools and
appliances other than radio, television,
audio and video equipment and mobile phones:
Radio's, TV's, audio and DVD players
and recorders including video camera's:
Jewellery, watches, fine china or
crystal ormaments, gold and silver articles:
Mobile telephones including carphones:
Refrigerated Stock Cover (if required)
Freezer Contents Sum Insured:
(deterioration of frozen food)
Total Number of Refrigeration Units:
Goods In Transit (if required)
Goods In Transit Sum Insured:
Money
Money during business hours (£2,500 std. cover):

Business Interruption

Do you require Business Interruption cover?
If yes, state the Gross Profit of your business (£'s):
Do you require cover for Loss of Book Debts?
If yes, please indicate the maximum
amount of Gross Fees and Debit
Balances outstanding at any one time (£'s):

Public/Employers Liability Cover

Public / Product Liability Limit Of Indemnity:
(£1 Million automatically included)
Employers' Liability Limit of Indemnity:
(£10 Million automatically included)		£10,000,000
Please state the total number of employees:
Please state your estimated annual turnover (£'s):

Additional Covers

If there is any other type of cover that you
wish to include, or if you are aware
of any information that could affect the
acceptance of the risk, please provide
details:

Details Of Current / Previous Policies

Current annual premium:
This may help us to get you a better quote
Current insurer:
Renewal date/date cover required: (dd/mm/yyyy)

Request Quotation

Disclosure
Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Shop Insurance Quotation button to send your quotation details to us.