Barry Grainger Ltd -Landlord Quotation Form




	BARRY GRAINGER LTD Insurance Services 5 Chapman Way Tunbridge Wells Kent TN2 3EP T: 0870 112 8103 F: 0870 112 8104 Admin F: 0870 112 8105 Sales

As an independent broker, we can offer you many different insurance products to suit your needs. We deal with a panel of major insurers and can quote for almost any type of property, whether cover is required for just for buildings or contents or a combination of both. We are in a position to arrange Buy to Let insurance cover for most situations and for all types of tenants.

We look at every quote in detail to ensure we are giving you the best deal at terms that will suit you too. Simply complete the form below and we will get back to you within 24 hours* with your quotation (we do not quote online). However, this means that you get more attention and your quotation is looked at on an individual basis to ensure that we find the most suitable cover for your requirements at a competitive price (please ensure to put your best renewal premium below).

Duty of Disclosure
Your insurance is based upon the information provided to the insurance company and you must ensure that all such information is complete and accurate and that any facts that may influence the insurer's decision to accept and pay a valid claim are disclosed. Failure to disclose material information may invalidate your insurance and could mean that all or part of a claim may not be paid.

Contact Details
Proposers Title
Proposers Full Name
Phone Number
Email Address
Preferred Contact Method

Additional Cover

Terrorism Quote Required?

Yes

Property Details

How many properties do you want a quote for?

Please select the category that best describes your business

Select the category that best describes the property/properties to be insured

What date would you like the policy to begin?
Select the type of cover you require?
Why do you want a quote?

Address of Property to be insured

Address 1

Address 2

City/Town

County

Postcode

Age of Property

No of Storeys

Is the Property Listed

	Yes		No

Construction

Construction of walls

Construction of roof

Construction of floor

Is any portion of the roof flat?

Yes No

what percentage is flat?

Are there any adjoining premises?

Yes No

Is there a complete firebreak wall between them and the insured premises?

Yes

Sums Insured

Buildings Declared Value

Rent Sum Insured (per annum)

Indemnity Period

Contents (communal) Sum Insured

Property Owners Liability

Claims Experience

Have there been any claims settled or submitted or any incidents that could give rise to a claim in the last five years?

Yes

If you have more than 3 claims please contact your Account Handler
Date Of Loss :
Amount Paid : £
Amount OutStanding : £
Type Of Claim :
What action was taken to avoid recurrence? :
Add Second Claim

Date Of Loss 2:
Amount Paid2 : £
Amount OutStanding2 : £
Type Of Claim2 :
What action was taken to avoid recurrence? 2 :
Add Third Claim

Vacant Property Details

Is the property vacant/part vacant?

Yes No

Why is the Property Vacant? :

Please state the previous occupation (tenant/trade) and, if known, proposed new occupation

How long has the property been unoccupied? :

How long is it estimated it will remain vacant? :

What security is in place? :

What percentage of the property is vacant? :

Current Insurer

Renewal Date

Target Premium

How did hear about us ?

By clicking submit, you are agreeing that you have read and accept the Duty of Disclosure.

Please confirm that you have read and accept our privacy policy and terms of business.
Click the Privacy Policy button to view these.

Thank you – please click submit and we will contact you to collect further information on your properties.

* excluding bank holidays and weekends

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