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| I confirm that I have read the FloriGuard website
privacy statement
(tick box) |
| I confirm that I have read the FloriGuard Capacity and Services information
(tick box) |
| I agree to receiving marketing information from
Bridge Insurance Brokers Ltd or from selected business partners
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| Name: |
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| Trading name: |
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| 1st line of address: |
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| Postcode: |
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| Are you a member of the British Florist Association? |
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| Contact Telephone Number |
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| Email Address |
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| Number of years trading |
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Are the Premises of standard construction?
(i.e Brick/Stone walls with Tile/Slate pitched roof) |
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Is the building solely occupied by you as a florist?
(If you use market stalls, please contact our office) |
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| Is the property free from Flood, Ground Heave, Landslip
and Subsidence, having never been underpinned? |
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| Do you require Terrorism Cover? |
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| Are the premises protected by an operational intruder alarm? |
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| If yes, please provide details: |
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| Are the premises occupied overnight? |
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| Are the premises covered by a 24 hour town centre CCTV camera
system? |
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| Do the premises have shutters / grilles on the shop front? |
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| Are the premises fitted with bars on all accessible side
and rear windows? |
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| Do you comply with points A-C of the minimum standards of
security as shown above here? |
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| Do you require buildings cover? |
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| If yes, please enter sum insured required: |
£ |
| Trade fixtures, fittings and all other contents sum insured: |
£ |
| Stock Sum Insured: |
£ |
| Any other property? |
£ |
| Do you wish to increase the property in transit cover higher
than the standard £2,500? |
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| If yes, please enter the required sum insured: |
£ |
| Employers Liability Cover Limit |
£ 10,000,000 (standard) |
| Public/Products Liability Cover Limit required: |
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| Have there been any incidents in the last three years which
have or could result in a claim? |
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| If yes, please provide details: |
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| Date: |
(dd/mm/yyyy) |
| Value: |
£ |
| Describe circumstances: |
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| Date: |
(dd/mm/yyyy) |
| Value: |
£ |
| Describe circumstances: |
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| Who is your current insurer? |
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| When is cover required? |
(dd/mm/yyyy) |
| What are you currenly paying? |
£ |
| Any further information: |
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IMPORTANT: In order for us to process your
quotation please confirm that you understand the insurer
minimum standards of security.
We also make certain assumptions to provide you with a
fast quotation. By ticking the box you confirm that you
have read and agree with the statements click
here to view
NOTE: If information provided
is incorrect or incomplete Insurers may not pay your claim.
Details you provide may be checked by Insurers against data
held elsewhere. |
Please contact us on 0845 313 9871 if you
cannot proceed any further. |
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