Property Quote

Please ensure that all relevant sections of this quote form are completed.

Your personal details

Name in full

Address in full

Telephone Number

Address of property to be insured

Date cover required (dd/mm/yy)

(Cover cannot apply until this quote is accepted. The Policy will be renewable annually on this date)

What is your interest in arranging this insurance?

Is the interest of any other party to be noted in policy?

Yes No

If "yes" state

Name
Address
Nature of interest
How many copies of the policy do you need?

Property details

When was the property built?

How many storeys (excluding basements) are there in the property?

How many flats/houses are there in the property?

Is the property

a) purpose built	Yes No
b) built of brick, stone or concrete and roofed with slates, tiles, asphalt, concrete or metal?	Yes No
c) constructed with concrete floors throughout?	Yes No
d) used only for private residential purposes?	Yes No

Are staircases enclosed and built of concrete?

Yes No

Is there a restaurant, swimming pool, squash court or any other amenity in the property which is open to non-residents?

Yes No

Does the property have any special exposure to damage by storm or flood?

Yes No

Do the Sums Insured/Declared Values represent the full replacement costs?	Yes No
Do you undertake to maintain Sums Insured at their full value?	Yes No

Is the property in a good state of repair?	Yes No
Will it be so maintained?	Yes No

In respect of any property to be insured in connection with any of the risks to be insured

Has any loss, damage, injury or liability arisen in the last five years?	Yes No
Has any insurer declined you, terminated or refused renewal of cover or required you to pay an increased premium or imposed special conditions?	Yes No

Additional details relating to questions 1-10

Buildings

The buildings sum insured must represent the cost of rebuilding to the same specification (including garages, outbuildings, etc), and landlords fixtures and fittings including fitted carpets in the common parts, plus at least 15% to cover the demolition costs, professional fees and public authority requirements.
Sum Insured or Declared Value (£)
Day One Reinstatement (£)

Subsidence

Do any properties in the neighbouring area have any history or show signs of damage by subsidence, heave or landslip?	Yes No
Does the property have any sign of damage by subsidence, heave or landslip?	Yes No
Was the property erected on made up ground?	Yes No
Was it necessary to fell any large trees?	Yes No
If "yes" to any of the above questions please give details

Contents

The Sum Insured on contents must represent the full cost of replacing all your contents in the common parts and furnished flats including televisions, radios, recording and audio equipment, clocks, pictures works of art or curios other than household linen where a deduction is made for wear and tear

Sum insured (£)

Does the Sum Insured represent the contents of the common parts only?

Yes No

If "NO" please advise how many furnished flats are included

List below any High Risk Items (included in the Sum Insured) which exceed £ 500 in individual value.

Description	Sum Insured
	£
	£
	£
	£
	£

(High Risks Items are televisions, radios, recording and audio equipment, clocks , pictures, works of art and curios)

Consequential loss of rent (Available only with buildings)

The maximum indemnity period must represent the time taken following a loss to re-establish normal levels of rent i.e. allowing for site clearance, planning permission, architect's designs, reinstatement of property, replacement of tenants etc.
Maximum Indemnity Period (months)
Consequential Loss of Rent Sum Insured must represent the total amount of gross rents receivable during the period shown as the maximum indemnity period. To allow for a claim which occurs on the last day of the period of insurance this sum should represent the projected figure for the period beginning at the end of the period of insurance and continuing until the maximum indemnity period expires.
Sum insured (£)

Employers Liability (Available only with buildings)

Give estimated gross annual payments including overtime and bonuses for the next twelve months for all employees

Description	Number of employees	Payments
		£
		£
		£
		£
		£

Engineering Insurance - lifts

Answer questions if cover is required.
Indicate type and manufacture of each lift
Indicate their lifting capacity
Number of floors served
Value of lift(s) plus machinery
Is a maintenance contract in force?	Yes No
If "Yes" provide a copy of maintenance agreement

Important

All material facts must be disclosed. Failure to so could invalidate the policy. A material fact is one which would be likely to influence an insurer in the assessment and acceptance of the proposal, e.g. intended unoccupancy of the property or any criminal convictions (other than for motoring offences). Material facts must be disclosed in relation to yourself and all persons who are to be insured. If you are in any doubt as to whether a fact is material then it should be disclosed to the Insurer. State any other material facts.

Declaration

I/We hereby declare to the best of my/our knowledge and belief the above statements and particulars are true and correct and that I/We have withheld no information material to this proposal whether the subject of a Proposal Form question or not.

I/We agree to accept and conform to the terms of the policy when issued. A specimen copy of the policy is available on request.

Law applicable to contract

You and the Insurer are free to choose the law applicable to this contract but in the absence of agreement to the contrary, the law of the country in which you reside at the date of the contract will apply. If you are not a resident in Gibraltar the law that will apply is the law of Gibraltar.

Complaints Procedure

Our aim is at all times to provide a first class service. However, there may be occasions when you feel that this objective has not been achieved. Should you have any query or complaint regarding this insurance please contact either your local advisor or write to the Argus Insurance Company (Europe) Limited, Regal House, 3 Queensway, Gibraltar.

Argus Insurance fully complies with the FSC regulations in respect of the Distance Marketing Act 2006. For full details of this, please visit www.fsc.gi.
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