Commercial
quotation
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Proposer Details: |
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| Title | |
| First Name | |
| Surname | |
| Date of Birth | |
| Marital Status | |
| Occupation | |
| NIE / DNI Number | |
| PostCode | |
| Full Address | |
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Details of insured
(if different from the policyholder) |
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| Company Name | |
| Tax No. | |
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When is the insurance
to start from (dd/mm/yyyy) |
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Do you have any Credit: |
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Mortgages
(Names of companies) |
|
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Loans/Credit Cards
(Names of companies) |
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Shop / Office Details: |
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| Address | |
| Town / City | |
| Postcode | |
| Type of Establishment | |
| Activity of the business: | |
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Cover Details: |
|
|
Basic cover (fire and
miscellaneous damage) |
|
| Basic Legal Cover | |
| Emergency call out option | |
| Water damage | |
| Third party public liability | |
| Operation public liability | |
| Employers public liability | |
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Finished product / works
public liability (contents only) |
|
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Overall indemnity limit for
all public liability cover |
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Communities please state the
corresponding capital amount if the business activity is regulated under special autonomous |
|
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Stolen cash kept in safe
€1,500 minimum |
|
| Stolen cash amount | |
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Stolen not in safe
€600 minimum |
|
| Stolen cash amount not in safe | |
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Cash with minimum security
transportation providers |
|
|
Minimum security providers
cash amount |
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| Breakages | |
| Euros per day | |
|
Personal Accident (only with
contents) |
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| Indemnity limit per insured | |
| Number of assured | |
| Electrical Damage | |
| Food Spoilage | |
|
Food Value (only with stock
cover) |
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| Cosmetic damage to premises | |
| Additional Legal cover required | |
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Capital Amounts Insured: |
|
| Buildings | |
| First loss building insurance | |
| Furnishings € | |
| Machinery € | |
| Total Capital € | |
| Permanent Stock € | |
| Average Stock € | |
| Maximum Stock € | |
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Claims and Convictions: |
|
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Any accidents or losses, whether
there was a claim or not and regardless of blame, in the last 5 years? |
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| Home Owner | |
| How many business vehicles? | |
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The insurance is established with an automatic adjustment clause and cover for value as new is deemed to apply unless the applicant expressly declares otherwise.