pro-indemnity.co.uk Shop Quotes 1. Your Name:  Company Trading Title:  Type of Company: Sole TraderPartnershipLimited Company- 2. Address of your premises:  Post Code:            Telephone Number:  E-mail address:  Website address: 3. Description of Business: 4. Date Established: 5. Type of Premises: High StreetArcade locked at nightArcade with public access at nightIndoor shopping centre or marketOther-  If other, please give details:  Do your premises have lockable gates?:  Yes No 6. THE CONSTRUCTION OF PREMISES (eg: Brick walls, Mild steel roof)  Is there a partial or full flat roof?  Yes No  If "Yes" describe in detail: (construction, waterproofing, access, security...)  Type of heating at premises 7. THE LOCATION OF PREMISES: IndustrialMixed residential/commercialRuralOther-  If other, please give details:  Are there any rivers or watercourses near the premises?  Yes No  If "Yes" please give full details  Approximate distance from Police Station (Miles)  Approx distance from Fire Station (Miles) 8. SECURITY AND FIRE PRECAUTIONS    Are the premises fitted with -  Fire Alarm?  Yes No  Sprinklers?  Yes No  Fire Extinguishers?  Yes No  Are fire extinguishers inspected annually?  Yes No  Are door locks 5-lever mortise deadlock type?  Yes No (eg Chubb locks)  Are window locks fitted?  Yes No  Please give any other physical security details: 9. BURGLAR ALARM    Is there a burglar alarm under your sole control?  Yes No  If "Yes" please indicate type: Alarm to Police StationAlarm to Central Monitoring StationPrivate line to KeyholderBells only- 10. YOUR BUSINESS   Please provide a full description of your business: 11. INSURANCE HISTORY    Have you had any previous insurers?: Yes No  Name of current insurers (so that we don't approach them!)  Expiry date of current insurance  Current premium (if known) £  Have you ever been declined, cancelled, refused or special terms?: Yes No  If "Yes" please give full details  Have you had any claims?: Yes No  If "Yes" please give details - Date of claim: What happened? Total Payment: 12. SUMS INSURED    Buildings (including outbuildings): £  Stock in trade (excluding wines/spirits): £  If you have high risk stock (records, jewellery, clothes etc.) please give details, including approximate percentage of stock and value:    Fixtures & Fittings: £  All other contents: £  Computer Systems: £  Do you have an ATM in your premises?  (Note that if you DO have an ATM, you will need to fill out the ATM Questionnaire, available by clicking here.)  Yes No Note that the following are included automatically in quote : Loss of profits Employers Liability Public and Products Liability Glass breakage Money Goods in transit     If you live on the PREMISES, would you like a quote for Personal Contents?      Yes No Please supply me with an estimate within 105 working days. (We will attempt to meet the target, but please be aware that it does require our insurers to respond quickly as well!) Done   Please check your details, and when you are happy that all is correct, tick the 'Done' box and then click the Submit button above...