Commercial Insurance Quote Your Name*Email Address Contact Telephone*ConstructionWallsBrick/ConcreteTimber/FibroOtherRoofTiledIronConcreteFloors GroundConcreteTimberFloors AboveTimberConcreteNot ApplicableNumber of Floors123Property OwnerYesNoYear BuiltFire ProtectionSprinklerYesNoFire ExtinguisherYesNoFire BlanketsYesNoSmoke AlarmsYesNoHose ReelsYesNoHydrantsYesNoSecurityDeadlocks all External Doors excluding Fire ExitsYesNoAre Ground Floor Windows fitted with security bars or key locks?YesNoSecurity PatrolYesNoRam Raid BarriersYesNoPadlocks on Roller DoorsYesNoSecurity LightingYesNoBurgular Alarm*YesNoTypeLocalBack to BaseDallerSecuritelAlarm Monitored by whomOther InformationAdjoining PremisesClaims History Last 5 Years - Include History of PrincipalsNo. of years in business at this locationElsewhereTrading Hours/DaysPublic/Product LiabilityNumber of EmployeesNumber of PrincipalsEstimated Annual Wages $Annual Turnover $Details of ProductDeep Frying Cooking on Premises?yesnoNo. of FryersLitre CapacityMaterial Loss & DamagePlease list the Replacement Value for your Assetts belowBuildingsContents (non stock)StockLoss of RentRemoval of DebrisOtherBusiness InterruptionGross Annual RevenueWages not includedAdditional Increased Cost of WorkingOutstanding AccountsIndemnity Period (months)OtherBurglaryStock - ex. Tobacco/LiquorStock - Tobacco/LiquorContentsElectronic EquipmentOtherMoneyIn TransitIn Premises - Business HoursIn Premises - After HoursIn Safe/StrongroomIn Private ResidenceGlassFrontage (e.g. Single, Double, Multi)Internal (Yes or No)ExternalIlluminated Signs (Yes or No)Broadform LiabilitySum Insured - Public LiabilitySum Insured - Products LiabilityWhat is 10 + 8 ? (answer correctly to submit the form)Spam SecurityNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.