Company Name* Contact Person* Phone E-mail All-Risk / Fire Insurance Sum Assured* Public Liability Sum Assured Number of workers to insure Consequential Loss Money Insurance Equipment All-Risk Sum Assured Fidelity Guarantee (Internal Theft of Cash) Goods in Transit Any Claims in the last 3 years? (If Yes, please fill in the date of accident(s) and settlement details). Yes Other Details Please allow a few days for our team to contact you for personal details to quote.