HomeProductsMotorMarineAviationFireBondEngineeringGeneral AccidentWorkmen CompensationSpecial ProductsClaimsAboutOur StoryInnovationBoard of DirectorsManagementSocial ResponsibilityContactFind an AgentSign In/Up Get Quote Business Premises Insurance Form A. DETAILS OF THE PROPOSERFull Name Of ProposerPostal AddressOccupation/ProfessionMobile Phone NumberE-Mail AddressFax B. TYPE OF COVER REQUIREDKindly select the appropriate box below:Commercial Fire (Covers the building and/or contents against loss caused by fire and/or its allied perils)Burglary (Covers the contents against the risk of theft accompanied by forcible entry and/or exit of the premises)Combined Fire and Burglary (Covers the contents against the risk of burglary, in addition to the cover offered by Commercial Fire)Assets All Risks (Covers all perils unless specifically excluded)C. NATURE AND VALUE OF SUBJECT MATTER (BUILDING AND/OR CONTENTS)1. Type of buildingDetachedSemi-detached1 Storey2 StoreyOther2. ConstructionCement BlocksMetal DoorsAsbestosAluminum roofsOthers3. Are there adjoining buildings? If yes, to what use are these buildings put?(a) Value of the building(b) Debris Removal Values5. Value of the contentsRaw MaterialsSemi Finished GoodsFinished GoodsD. SITUATION OF SUBJECT MATTER (BUILDING AND/OR CONTENTS)6. Location Address of subject matter E. OTHER QUESTIONS7. Do you engage in any process of manufacture on the premises? If so give full details8. Is there a mortgage on the subject matter? If so, provide the name and address of the Mortgagee9. Have you ever sustained any loss or damage due to Fire, Flood or Burglary of the property?YesNo10. Is there any other insurance on the building and/or contents?11. Has any previous request for insurance by you been: DeclinedCancelledHad special terms imposed?
