Commercial & Industrial Combined Insurance Quotes - Rowett Insurance Brokers

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Commercial & Industrial Combined Insurance

A policy combining numerous covers for all types of business large and small. Covers include, business interruption, stock, buildings liabilities etc. Excellent rates can be obtained through various insurers.

Please complete the quotation request below or click here if you would like a consultant to call you.

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Commercial & Industrial Insurance - Quotation Request
Proposer's name
Contact name
E-mail address
Company or trading name
Business address
Postcode
Telephone No
Fax No (optional)
Correspondence address (if different from the above)
Postcode
Are you an existing Rowett Insurance client?	Yes No
About the business
Please give details of:
Trade or business at your premises
Work or services undertaken away from your premises
Manufactured products
Other products sold or supplied
Insurance required from	to
Buildings & Contents Cover
please give values for the following:-
Insured Item(s)	Declared value (£)
Buildings
Contents
Stock
Electronic Business Eqpt
Computers
Other property (please give a description and value)
Description	Declared value (£)



Buildings & Contents - General Questions
Are the premises:-
Built of brick, stone or concrete and roofed with slates, tiles, concrete, metal, asbestos or sheets or slabs composed entirely of incombustible mineral ingredients and plastic roof lights?		Yes	No
In a good state of repair and will be so maintained?		Yes	No
In a position or area likely to be subject to flooding or where flooding has occured?		Yes	No
Has the electrical installation been inspected by a qualified engineer during the past 5 years?		Yes	No
Are you the sole occupier of the premises?		Yes	No
Are the premises protected by an intruder alarm?		Yes	No
if yes please state the name of the installer
and the method of signalling
Questions regarding subsidence
Do you wish to extend your cover to include subsidence?		Yes	No
if 'yes' please complete the following questions, if 'no' please click here
Has the property or any adjacent property previously suffered damage from subsidence?		Yes	No
Are there any visible signs of cracking?		Yes	No
Is the property erected on made up ground?		Yes	No
Business Interruption and Loss of Accounts Receivable
Please state estimated gross profit
The standard indemnity period is 12 months, do you wish to increase this by 24 months		Yes	No
Loss of accounts receivable is automatically included for a sum insured up to £10,000. If this amount is inadequate please state the extra amount of cover you require
Customers and Suppliers Extensions
Cover for an interruption to your business following an insured loss at a customers or suppliers is covered up to £10,000. If you wish to extend this please provide details below.
Name of customer		Amount required (£)


Name of supplier		Amount required (£)


Liability Cover
Employers Liability (please state limit required)
Please give estimated annual wages, salaries and other earnings for the next 12 months
Description of employees		Estimate (£)
Clerical Staff (including commercial travellers and managerial employees who do not engage in manual labour)
Woodworking machinists and their labourers (employees whose work with woodworking machinery is restricted to the use of lathes, fret-saws, boring machines, sanding machines and mechanically driven portable hand tools (other than pendulum and swing saws) may be included under 'other employees'
Work carried out at a height of more than 10 metres above ground or floor level
All other employees working on own premises
Description of work undertaken		Estimate (£)

All other employees working away from own premises
Description of work undertaken		Estimate (£)

Public/Product Liability
Please state limit required
Wages of all your employees (including working principals, directors, partners, etc)
Description		Estimate (£)
working on your premises
working away from your premises and involving the use of heat
working away from your premises and not involving the use of heat
Other payments		Estimate (£)
Payments to sub-contractors working away from your own premises
Charges for plant/equipment hired in
Turnover of your business for sales and/or services		Estimate (£)
within the UK
within the USA and Canada
Elsewhere in the World
Liability Section - General Questions
Has any prosecution, prohibition notice or improvement order been placed on the company under any health and safety legislation during the past 5 years?		Yes	No
Do you or any of your employees operate fixed powered woodworking machinery?		Yes	No
if Yes' please state the number of machines in operation at any one time
Does your trade or business involve the discharge of effluent, fumes or anything of a noxious nature?		Yes	No
Do you work on or in aircraft operational areas, water-borne craft, offrshore or in nuclear installations, petrochemical works or power stations?		Yes	No
Do you undertake to provide design specification, formula or advice
(a) in connection with your product?		Yes	No
(b) separately for a fee?		Yes	No
Do you import materials, components or products from outside the European Community?		Yes	No
Do you have a system in force for checking quality control?		Yes	No
Are any products intended for installation in or to form part of an aircraft, water-borne craft, offshore installations, nuclear installations, petrochemical works or power stations?		Yes	No
Do you enter into any contracts or agreements which may affect your liability under statute or common law?		Yes	No
Goods in Transit (optional cover)
Do you require this cover?		Yes	No
if 'yes' please complete the section below, if 'no' please click here
Please state the type of property carried
Please state the number of vehicles and sums insured per vehicle and trailer
No of vehicles
Sum Insured per vehicle
Sum Insured per trailer
General Information
How long has the business been established?	years
Have you or any of your partners or directors either personally or in connection with any business which you/they have been involved:
Previously held insurance for any of the covers to which this Proposal relates at these premises or elsewhere?		Yes	No
Held any insurance (in respect of the covers to which this Proposal relates) which has subsequently been:
i) declined?		Yes	No
ii) terminated?		Yes	No
iii) refused renewal?		Yes	No
iv) subject to special terms?		Yes	No
if 'yes'please give details
Ever been convicted or charged (but not yet tried) with a criminal offence other than a motoring offence?		Yes	No
Ever been declared bankrupt or are the subject of any current bankruptcy proceedings or any voluntary or mandatory insolvency or winding up procedures?		Yes	No
Are any additlonal interests to be endorsed on the policy?		Yes	No
if 'yes' please give details
Has there been any incidents in the last five years which have, or could have given rise to any claims under this section?		Yes	No
if yes, please give full details in the box below including dates, details of claims, any monies paid and outstanding

Insurance required from
Renewal Date of present insurance (if applicable)
Preferred Payment Method

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Head Office: 1 Southview House, Enterprise Park, Carclaze, St Austell, PL25 4EJ
Tel: 0500 401 226 - Email:

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