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Contact Butchers Insurance
mobi
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Contact Butchers Insurance
Name of Policyholder
*
Risk Address including postcode
*
Contact Number
*
Your Email Address
*
Please confirm Renewal / Inception date
Occupation
*
Please select an option
Butcher
Number of years trading
*
Please select an option
Please advise
Not purchased started
Less than a year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
Over 10 years
What describes your location
*
Please select an option
High Street
Arcade
Business Park
Covered Shopping Centre
Domestic Premises
Market
Market Hall
Parade
Precinct
Industrial Unit
Warehouse
Shared Premises with Domestic Flats
Shared Premises with other business
When was the Building built
*
Please select an option
Please advise
1980 - Present
1951 - 1980
1901 - 1950
1801 - 1900
1701 - 1800
Pre 1700
Please provide the number of flats
Please confirm the Tenancy of the flats
Lease Holder
Working Professional
Asylum Seekers
Care and Support
Holiday Home
Local Authority
Retired
Second Home
Student
Unemployed
Unemployed with Benefits
Working with Benefits
Please confirm the Commercial tenancy of the premises
Building or Tenants Improvement sum insured
Contents sum insured
*
Stock sum insured
*
When your premises is closed or left unattended, it is protected by an intruder alarm, installed and maintained by an industry-approved vendor
Yes
No
The type of alarm that protects your business is:
Bells Only (Audible) - sounds an external bell immediately on activation.
Digital Communicator (Digicom) - remote signalling connected to an alarm company central station via a telephone line.
Digital Dialler - remote signalling that can send a pre-recorded message to a specified location on activation.
Dual Com - remote signalling that combines the use of telephone line and radio signalling.
Dual Com Plus - as per Dual Com, however, this may also encompass wireless signalling technologies.
PAKNET - remote signalling connected to an alarm company central station via radio signalling.
Redcare (Classic) - remote signalling connected to an alarm company central station via a telephone line, constantly monitored by the exchange.
Redcare GSM - as per REDCARE, however it uses a dual monitored signal path using the GSM wireless network.
Other
Number of Employees
Employee Wage Roll
What is your estimated turnover for this year
*
What is your estimated gross profit
*
Indemnity Period (Months)
12
18
24
36
48
Property Owners Limit of Indemnity
£2,000,000
£5,000,000
Is following information is correct?
Yes
No
1) The premises are not a Listed Building
1) Are the premises listed
Not Listed
Grade 1 Listed Building
Grade 2 Listed Building
Grade A Listed Building
Grade B Listed Building
Grade B2 Listed Building
Grade C(s) Listed Building
Preservation Order
2) Your premises will not be left unoccupied or unused for more than 45 consecutive days(excluding Covid-19 enforced closures)
Yes
No
3) The heating is fixed heating
3) Please confirm the type of heating at the premises
None
Fire - Open
Fixed Heater
Hot Air
Oil Heater
Portable Heaters
Pressure Jet Heaters
Radiant Panel Heater
Radiators Panel Heater
Radiators - Oil Filled
Stove
Waste Oil Heater
Extracted Sawdust fuelled heating
other
Please confirm the type of fixed heating - fuel type
Bottled Gas
Electricity
Gas
Heating Oil
LPG
Natural Gas
Paraffin
Solid Fuel
Waste Oil
Wood
other
4) The proposer, director or partner of the Trade or Business or its Subsidiary Companies has never personally or in any business capacity:
- been convictions of a 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 - had a renewal refused - had special terms imposed
Yes
No
5) There has been no losses or incidents giving rise to a claim in the last 5 years
Yes
No
Please confirm number of claims
0
1
2
3
4
5
More than 5
Claim 1 - date of loss
Please confirm type of claim
Please Confirm
Fire
Theft
Glass
Public Liability - Slips Trips and Falls
Employers Liability
Impact
Loss of money (theft)
Business interruption
Please confirm loss amount
Claim 2 - date of loss
Please confirm type of claim
Please Confirm
Fire
Theft
Glass
Public Liability - Slips Trips and Falls
Employers Liability
Impact
Loss of money (theft)
Business interruption
Please confirm loss amount
Claim 3 - date of loss
Please confirm type of claim
Please Confirm
Fire
Theft
Glass
Public Liability - Slips Trips and Falls
Employers Liability
Impact
Loss of money (theft)
Business interruption
Please confirm loss amount
Claim 4 - date of loss
Please confirm type of claim
Please Confirm
Fire
Theft
Glass
Public Liability - Slips Trips and Falls
Employers Liability
Impact
Loss of money (theft)
Business interruption
Please confirm loss amount
Claim 5 - date of loss
Please confirm type of claim
Please Confirm
Fire
Theft
Glass
Public Liability - Slips Trips and Falls
Employers Liability
Impact
Loss of money (theft)
Business interruption
Please confirm loss amount
6) The premises are not in an area with a history of flooding
Yes
No
7) The property is of standard construction, the walls are built of brick, stone or concrete and the roof is slate, tile or concrete with 0% of flat roof
Yes
No
Wall
Asbestos
Brick
Brick / Timber Frame
Concrete
Flint
Glass
Metal
Slate
Stone
Tile
Timber
Other
Roof construction
Asbestos
Concrete
corrugated Iron
Felt on Timber
Glass
Metal
Shingle
Slate
Tile
Timber
Woodwork
Thatch - Fibre
Thatch Reed
Other
% of the roof which is a flat roof
0%
0% - 5%
5% - 10%
10% - 15%
15% - 20%
20% - 25%
25% - 30%
30% - 35%
35% - 40%
40% - 50%
50% - 60%
60% - 70%
70% - 80%
80% - 90%
90% - 100%
8) The property and adjacent property have not suffered or shown any visible signs of damage from subsidence, landslip or ground heave
Yes
No
Any additional information you would like to provide
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