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You are here: Commercial Insurances/Motor Trader's Combined Insurance Quote

Please complete the following form to receive your personal quotation using the TAB key to move between questions, this should only take a couple of minutes. For assistance please use the 'help' and 'about' buttons above.

Motor Traders Combined Insurance - Quotation Request
Name of Proposer
E-mail address (required)
Trading as
Address of premises
Postcode
Telephone No
Fax No (optional)
Contact Name
Insurance required from
All Risks Cover
Is this cover required?		Yes	No
if 'no' please click here , if 'yes' please complete the section below
Insert the required sum insured next to the property description
Property to be Insured			Sum Insured (Ł)
Buildings including: a) Landlord's fixtures and fittings b) Kiosks, outbuildings and annexes c) Walls, fences, gates, forecourts, canopies and fixed signs
Tenants' improvements
Stock and materials in trade belonging to you or for which you are responsible
Vehicles the property of or leased by you or held by you on consignment
Customer's vehicles in your custody or control
Contents of customer's vehicles in your custody
Portable hand tools belonging to you or for which you are responsible
Machinery, plant, including fuel installations, and all other contents belonging to you or for which you are responsible
Have you suffered any loss at any premises during the last 3 years?		Yes	No
if 'yes' please give details here including dates, nature and amounts of losses

Business Interruption and Outstanding Debt Balances
Is this cover required?		Yes	No
if 'no' please click here, if 'yes' please complete this section
Please select an indemnity period
if 'other' selected please specify		months
Insured amount (Ł)
Have you ever suffered any Business Interruption loss in the last 3 years?		Yes	No
if 'yes' please give details below including dates, nature and amount of losses

Outstanding Debt Balances
Is this cover required?		Yes	No
if 'no' please click here, if 'yes' please complete this section
Sum Insured - Outstanding Debt Balances (Ł)
When records are not in use are they kept in fire-resisting safes or fire-resisting cabinets?		Yes	No
Have you ever suffered any Outstanding Debt Balance loss in the last 3 years?		Yes	No
Employer's Liability
Is this cover required?		Yes	No
if 'no' please click here, if 'yes' please complete this section
Please insert estimated annual wages, salaries and other earnings for the coming year for
Type of work		Wages etc (Ł)	Number of Persons
1) Employees
Woodworking Machinists
Coachbuilders
Other Motor Trade work including clerical
2) Proprietors/Partners (please describe the type of work)



Total actual wages paid in the last financial year
Have there been any incidents in the last 3 years which have, or could have, given rise to any claims under this section?		Yes	No
if 'yes' please give full details below

Public Liability, Servicing and Sale of Goods
Is this cover required?		Yes	No
if 'no' please click here, if 'yes' please complete this section
Estimated annual wages, salaries and other earnings
Do you sell, hire or lease vehicles?		Yes	No
Do you...
a) Export?		Yes	No
b) Import?		Yes	No
Undertake or specialise in...
c) The sale and repair of commercial vehicles, public service vehicles, agricultural vehicles or contractors plant?		Yes	No
d) Vehicle body building?		Yes	No
e) Manufacture or remanufacture of vehicle parts or accessories?		Yes	No
f) Any other activity?		Yes	No
if you have answered 'yes' to any of the questions above a) to f) please give details including the percentage as a proportion of overall activities

Work away from the premises
Do you undertake any work involving the application of heat away from the premises?		Yes	No
Do you undertake any manual work in countries other than Great Britain, Northern Ireland, the Isle of Man or the Channel Islands?		Yes	No
if you have answered 'yes' to either of the above please give details below indicating the approximate proportion of total wages and the countries involved (if applicable)

Are there any incidents in the last 3 years which have, or could have given rise to any claims under this section?		Yes	No
if 'yes' pleaase give full details below

Road Risks
Is this cover required?		Yes	No
if 'no' please click here, if 'yes' please complete this section
Please select scope of cover required
Policy excess required
if 'other' please insert amount
Vehicles to be insured
Click 'move on' at any time that you have completed a section
Vehicle 1
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 2 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 3 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 4 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 5 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 6 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 7 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 8 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 9 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity		cc
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Vehicle 10 or move on to drivers
Make and model/type
Year of manufacture
Cubic capacity
Estimated value (Ł)
Registration mark
NCD (years) at this renewal
Use of vehicle e.g. private hire, recovery, goods carrying for hire or reward etc.
Driver details
To the best of your knowledge will the vehicles be driven by any person who:
a) has any physical or mental defect or suffers from diabetes, epilepsy or any heart complaint?		Yes	No
b) has been convicted of any motoring offence (including fixed penalty offences) during the past 5 years, or has a prosecution pending, other than for parking?		Yes	No
c) has had a licence suspended during the past 5 years?		Yes	No
d) is under 25 years of age?		Yes	No
if you have answered yes to any of the above driver questions a-d, please provide details in the additional info box for the driver(s) involved.
Driver 1
Full name
Date of birth
Date test passed
Additional info
Driver 2 or move on
Full name
Date of birth
Date test passed
Additional info
Driver 3 or move on
Full name
Date of birth
Date test passed
Additional info
Driver 4 or move on
Full name
Date of birth
Date test passed
Additional info
Driver 5 or move on
Full name
Date of birth
Date test passed
Additional info
Do you wish to include cover for relatives and friends for social, domestic and pleasure purposes	Yes		No
Claims Experience
How long have you been in business?		years
Has any insurer in respect of any business in which you have been engaged ever:
a) declined a Proposal, not invited a renewal of a Policy, refused to renew or cancelled a Policy?		Yes	No
b) imposed special conditions (e.g. premium loading, cover restrictions or increased excess)?		Yes	No
if you have answered yes to any of the above please give details
Further Information
For which motor manufacturer(s) are you a main or sub-dealer? (if none, please state 'none'
Are you a member of any motor trade association(s)?		Yes	No
if 'yes' which one(s)
Do you specialise in selling, repairing or servicing:
1) Sports cars, high performance cars or cars with a market value in excess of Ł20,000		Yes	No
2) Veteran, vintage or classic vehicles		Yes	No
3) Commercial or public service vehicles?		Yes	No
4) Agricultural vehicles or implements?		Yes	No
Has the proposer or any Partner or Director ever been:
a) Convicted of or charged (but not yet tried) with a criminal offence?		Yes	No
b) Declared Bankrupt or Insolvent?		Yes	No
Renewal date of present insurance (if applicable)
Preferred Payment Method

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