Proposer's Name
Contact Name
Address
Postcode Telephone
Email
Business Description
No of Years In Business Number of Employees
Renewal Date Renewal Premium
Construction of the premises.
Other occupants if yes
Approved Alarm Signalling
Address of Property if different
Property Sums Insured
Buildings £
Loss of rent £
Stock (ex non ferrous metals) £
Stock of non-ferrous metals £
Contents (ex Computers) £
Computer Equipment £
Tenants Improvements £
Deterioration of Frozen Stock £
Residual Computer Breakdown (additional costs) £
Construction of the premises.
Claims Experience
Date Cause Amount
Turnover £ Number of properties
 Non Specific Cover Detail and Sums Insured
Business Interruption (Automatic Cover Twice Trade Contents) £
Business Interruption Indemnity Period   Months
Book Debts £
Clerical and Sales Wages £
All Other Employee Wages £
Manual Work Away Wages (ex bona-fide sub-contractors £
Payments to bon-fide sub-contractors £
Heat Work Away £
% of manual work relating to heat work away   %
Goods in Transit £
All Risks
Description of Items Europe or Worldwide Sum Insured
Contractors All Risks Insurance (Contract Works Insurance)  
Maximum Value any one contract
Maximum Contract Period
Hired in Plant - please provide annual hire charges
Own plant, tools, equipment and temporary buildings
Employees tools and personal effects
Legal Expenses
Contract Cover