Let Property Enquiry

Landlords assumptions The following assumptions have been made before preparing your quote. Please read them carefully. ONLY CLICK THE CHECKBOX BELOW if you can agree with all assumptions. These assumptions, together with any other information you provide, will form the basis of the contract between the Insurer and you, the client. If you agree to a statement that is untrue or inaccurate in any way, the policy may not protect you in the event of a claim. Assumptions You must agree that none of the properties to be covered by the policy: • is in an area with any history of flooding • is wholly unoccupied. You must also agree that you have completed a fire risk assessment to comply with the requirements of the Regulatory Reform (Fire Safety) Order 2005 or the equivalent legislation in Scotland or Northern Ireland. Finally, you must also agree that neither you, a director or, a partner of the Business, or its Subsidiary Companies, has ever either personally or in any business capacity: • had any convictions or criminal offences which are not spent under the Rehabilitation of Offenders Act or has any prosecutions pending • been declared bankrupt or insolvent or been the subject of bankruptcy proceedings or insolvency proceedings • had a proposal refused or declined • had an insurance cancelled or renewal refused • had special terms imposed. *

First Name *

Surname *

Correspondence Home Number or Name *

Correspondence Post Code *

Email Address *

Telephone Number

Date Cover Required * +

Legal Trading Status *

Date Business Established or Landlord Experience * +

Have there been you had any losses or incidents giving rise to a claim in the last 5 years? *

No

Yes Yes

Is this company exempt from having an Employers' Reference Number *

Business Description *

Premises to be Insured Post Code *

Premises Number or Name *

Year Premises Built *

Year Premises Purchased *

Is the premises standard construction? *

Number of storeys where floor is of concrete construction *

Number of storeys where floor is of wooden construction *

Is the property is protected by a sprinkler installation? *

What is the occupancy status of this property? *

What is the type of property? *

What percentage of this premises is unoccupied? *

What is the residential occupancy type? *

Heating *

If Radiators (Hot Water) - Fuel type *

Buildings declared value. This is the cost of reinstating the property including professional fees and debris removal costs at the level of cost applying at the start of the period of insurance. *

Excess. This excess is for specified perils. Please refer to the quote summary and schedule for details of subsidence and flood excess levels. *

Do you require cover for accidental damage? *

Do you require cover for subsidence, landslip and heave? *

Has the property or any adjacent property ever suffered from, or does it show any visible signs of damage from subsidence, landslip or ground heave? *

Do you require cover for loss of rent? *

If Yes please advise total rent income annually *

Maximum indemnity period (months) *

Are there any interested parties? *

Select type of interested party (max 2) *

Please advise interested parties names.

Property Owners Liability indemnity limit *