Shop Insurance Quotes

For UK Customers Only

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

This form is designed for shop insurance quotes only. Cover can include shop contents, buildings (optional), public and employers liability, stock, freezer stock, business interruption, money, goods in transit, etc.

Proposers/Company Details

Proposers Name(s) (incl. all partners names if partnership):
Limited Company Name (if applicable):
Trading Name:
Trading Status:
Shop Address:
Shop Postcode:
Correspondence 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
If yes, please provide details: (i.e. date of conviction, type of conviction, length of custodial sentence, etc.)
Have you, or any other partner or director ever been declared bankrupt or insolvent?	Yes No
If yes, please provide details: (i.e. date of bankruptcy/insolvency, amount of bankruptcy/insolvency, whether discharged, etc.)
Has any insurer ever refused, declined, cancelled or imposed special terms in respect of your shop insurance?	Yes No
If yes, please provide details: (i.e. name of insurer, reason for refusal/special terms, etc.)
Business Details
Full details of goods sold/supplied at your shop: (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 of Shop Premises
Construction of walls (e.g. brick, stone, etc.):
Construction of roof (e.g. tile, slate, concrete, felt, etc.):
Is there any flat roof?	Yes No
If yes, please confirm percentage flat roof:	%
Please confirm the type of flat roof (e.g. 'felt on timber' or 'concrete', etc.)
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 (BS3621) or equivalent and all accessible windows 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 the 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?	Yes No
If yes, is the alarm NACOSS/NSI approved?	Yes No Not Sure
Type of intruder alarm signalling:
Please provide details of any other security arrangements: (e.g. own internal cctv, fire alarm, etc.)
Does anybody reside at the premises overnight?	Yes No
If Yes, please provide details of the occupant: (e.g. proprietor, manager, family member, etc.)
Is there an A.T.M. (cash machine) on the premises?	Yes No

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

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?	Yes No
If yes, please provide claim details: (i.e. date of claim, circumstances of claim, amount claimed, etc.)	Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Unfortunately, we will be unable to provide a quotation if you have had more than 3 claims.
Has the property ever suffered from subsidence or flood damage?	Yes No
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?	Yes No
If yes, please confirm the type: (e.g. Tabletop, Freestanding, Full Frying Range, etc.)
If a full frying range, please state No. of Ranges, Manufacturer(s) and Age(s):	No. of Ranges: Manufacturer(s): Age of Range(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.
Do you wish to extend your cover to include accidental damage for an additional premium?	Yes No
Do you wish to extend your cover to include cover for terrorism for an additional premium?	Yes No

Buildings (if required)
Buildings Sum Insured including outbuildings, rebuilding architects' fees, removal of debris, etc:
Do you require subsidence cover for your buildings?	Yes No
Tenants Improvements (if required)
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):
Does your stock include any tobacco/cigarettes/cigars, wines/spirits, Videos/Tapes/DVDs/CDs, camera's, clothing, computers, electrical goods, electronics, jewellery/watches or mobile phones?	Yes No
If yes, within the total stock sum insured indicated above, please state the value of this stock below:
Tobacco, Cigarettes & Cigars:
Wines and Spirits:
Videos, Tapes, DVD's and CD's:
Camera's (other than camcorders and binoculars):
Clothing incl. babywear, sports and leisure wear:
Computers:
Electrical goods other than electronic equipment and mobile phones:
Electronic equipment:
Jewellery and watches:
Mobile telephones:
Refrigerated Stock Cover (if required)
Freezer Contents Sum Insured: (deterioration of frozen food)
Goods In Transit (if required)
Goods In Transit Sum Insured (own vehicles):
Money
Money during business hours/in transit to bank: (Please amend if greater cover is required)
Money outside business hours in locked safe: (Please amend if greater cover is required)

Business Interruption

Do you require Business Interruption cover?	Yes No
If yes, please confirm your Annual Gross Profit (£s):
Do you require cover for Loss of Liquor Licence	Yes No
If yes, please provide a sum insured (£s):
Do you require cover for Loss of Book Debts?	Yes No
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: (£2 Million automatically included)
Employers' Liability Limit of Indemnity: (£10 Million automatically included)
Please confirm the total number of employees:
Please confirm your estimated annual turnover (£s):

Additional Covers / Information

If there is any other 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/previous 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.

Superquote.com is an introducer appointed representative of Midlands Insurance Services who are authorised and regulated by the Financial Services Authority. FSA Number: 306382.