; Edison Ford Mini Logo HOUSEHOLD BUILDINGS _ CONTENTS QUOTE FORM
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Edison Ford Mini Logo HOUSEHOLD BUILDINGS _ CONTENTS QUOTE FORM

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									                      HOUSEHOLD BUILDINGS & CONTENTS QUOTE FORM

PROPERTY TYPE                        : TERRACED/SEMI/DETACHED. HOUSE/BUNGALOW/OTHER ________
OCCUPANCY                            : OWNER OCCUPIED/RENTED
CONSTRUCTION
        WALLS                        : BRICK/STONE/TIMBER/CONCRETE/OTHER _______
        ROOF                         : TILED/SLATE/CONCRETE/OTHER _______
        FLAT ROOF                    : YES/NO (IF YES % OF ROOF THAT IS FLAT ____%)
YEAR BUILT                           :
NO. OF BEDROOMS                      :
YEARS CLAIM FREE                     :
SECUITY
        TYPE OF DOOR LOCKS           : YALE/5 LEVER MORTICE LOCKS/OTHER_______
        WINDOWS                      : DO ALL ACCESSIBLE WINDOWS HAVE WINDOW LOCKS - YES/NO
        ALARM                        : YES/NO (IF YES IS IT AUDIBLE ONLY/MONITORED BY A CENTRAL STATION)

BUILDINGS INSURANCE SECTION

BUILDINGS COVER BASIS                : STANDARD OR ACCIDENTAL DAMAGE
BUILDING SUM INSURED                 :£
EXISTING POLICY EXCESS (IF KNOWN)    :£

CONTENTS INSURANCE SECTION

CONTENTS COVER BASIS                 : STANDARD OR ACCIDENTAL DAMAGE
CONTENTS SUM INSURED                 :£
EXISTING POLICY EXCESS (IF KNOWN)    :£

UNSPECIFIED ALL RISKS SECTION

UNSPECIFIED ALL RISKS SUM INSURED    :£
SINGLE ITEM LIMIT                    :£

SPECIFIED ALL RISKS SECTION (ITEMS VALUED OVER £1500)

NO     ITEM                          VALUE                 WHERE KEPT (HOME,SAFE,GARAGE,BANK,OTHER)

1)
2)
3)
4)
5)

CLAIMS (IF ANY)
NO     DATE          CIRCUMSTANCES (THEFT/WATER DAMAGE/ETC)                TOTAL COST OF CLAIM

1)
2)
3)
4)
5)

EXISTING INSURANCE DETAILS
HOLDING INSURER              :
RENEWAL DATE                 :
INVITED RENEWAL PREMIUM      : _______________

								
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