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Commercial Combined Quotation

If you have any questions, or would prefer to speak directly with one of our commercial insurance specialists, please call 01962 774421.

General Details
Name*
First Last
Company Name
Primary Phone Number*
Email Address*
Correspondence Address
Address Line 1* Address Line 2 Town or City* County* Postcode*
When do you need the insurance to start from?
DD slash MM slash YYYY
Please briefly describe the nature of your business;
Public Liability
Do you require Public Liability?
- Yes
- No
What is your projected annual turnover?
What limit of Public Liability do you require?
- £1 million
- £2 million
- £5 million
- £10 million
Do you have written Risk Assessments in place?
- Yes
- No
Do you have a Health & Safety policy in place?
- Yes
- No
Employers Liability
This includes any volunteers or casual labour.
Do you require Employers Liability?
- Yes
- No
Estimated Annual Manual Wages?
Estimated Annual Clerical Wages?
Commercial property and contents
Do you require buildings cover?
- Yes
- No
What is the total reinstatement value for your building?
This figure should include debris removal costs, design fees and construction.
Do you require contents cover?
- Yes
- No
What is the total replacement value for furniture, fixture and fittings?
Do you require cover for any IT equipment?
- Yes
- No
What is the total replacement value for all IT equipment?
Additional Lines of Cover
Do you require Business Interruption cover?
- Yes
- No
- I would like more information
Do you require Money Cover?
- Yes
- No
- I would like more information
Do you require Employee Dishonesty cover?
- Yes
- No
- I would like more information
Claims and Additional Information
Has the proposed Policyholder(s) ever had any claims or incidents?
- Yes
- No
Please provide further information about the claim/incident.
Has the proposed Policyholder(s) ever had any criminal convictions?
- Yes
- No
Please provide further information about the criminal conviction.
Has the proposed Policyholder(s) had any insurance declined, cancelled or any special terms imposed?
- Yes
- No
Please provide further details of why the insurance was declined, cancelled or had special terms imposed.

CoverMarque Ltd is authorised and regulated by the Financial Conduct Authority FRN: 310705 - Registered Office: The Boundary, Coxford Down, Winchester, Hampshire, SO21 3BD; Company Registration Number: 04806646 - Managing Director: Nick Drew B.A. Hons (Dunelm) - Company Secretary: Professor Bridget Drew OBE BSC PHD C.Biol F.I.Biol F.R.A.g.s.

Commercial Combined Quotation

Commercial Combined Quotation

General Details

Public Liability

Employers Liability

Commercial property and contents

Additional Lines of Cover

Claims and Additional Information

Covermarque Limited

Contact Details