Surface area:
Year of construction of the building:
Is it your property or rented? PropertyRented
When you rent, the owner of the property must have home insurance. Any own renovations or adjustments are not covered by this.
What is the value of the adjustments made by your company? (e.g. partition walls, floors, etc.)
Property value:
Value furniture:
Stock value:
Value Machines:
Vanaf wanneer wilt u verzekeren?
Address:
Zipcode and city:
Where is the building situated? Urban areaIndustrial parkShopping mallRural area
Does the property have the following fire prevention equipment?
Automatic fire detection? YesNo
Fire extinguishers? YesNo
Fire hydrants? YesNo
Sprinklers? YesNo
Is there a fire station within a 15km radius? YesNo
Does the property have the following theft prevention equipment?
Safety glass windows? YesNo
Bars, metal fencing for all openings such as doors and windows up to 3 meters high? YesNo
An alarm connected to a control panel? YesNo
Camera surveillance inside? YesNo
Camera surveillance outside? YesNo
Permanently present surveillance? YesNo
Company Name:
CIF Number:
Business activity: (As complete as possible) Give as broad a description as possible. If damage occurs during an activity not mentioned on the policy, there is a chance that there will be no cover.
Start year of business activity:
Annual revenue:
Number of employees:
Your full name:
Your E-mail on which you would like to receive this quote:
Your telephone number:
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