Health Food and Wholefood Shops Quotation Form

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Health Food and Wholefood Shop Insurance
Health Food and Wholefood Shops Quotation Form

Please fill in the form below to receive your quotation via email; please provide as much information as possible. We review every submission in person (no "automated" quotations) and you will not receive an immediate quotation. We aim to reply to you within 24 hours with a quotation or requesting additional information.

Please note that the answers you provide will form the basis of the quotation, and therefore the basis of any insurance that we subsequently provide you with.This form will take approximately 10 minutes to complete and we will collect information about your business in order to provide insurance terms unique to your requirements. We will need details of your premises even if you do not need to insure the building.

If you experience any problems with this quote form, please let us know:
Email: mail@naturesave.co.uk
Telephone: 01803 864390

Notice of disclosure: It is your responsibility to provide complete and accurate information. It is important that you ensure that all statements you make are full and accurate. Please note that if you fail to disclose any information or change in circumstances to your insurers which could influence cost, or their decision to accept your insurance, this could invalidate your insurance cover, and could mean that part or all of a claim may not be paid.

Step 1 of 13

Company Name*
Name*
First Last
What is your position within the business and/or organisation?*
Email*
Phone*
How did you hear about Naturesave Insurance*
- Internet Search
- Personal / Business Recommendation
- Existing Household Customer
- Social Network (LinkedIn, Facebook, Twitter)
- Website Mention
Please let us know who recommended us?*

(so we can say thank you)

What is the legal name of the company or organisation?*

If your company is a non-incorporation organisation, please use the prefix "Committee for the time being" (CFTTB of), otherwise, please enter the full legal name.
Correspondence Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Is the correspondence address also the main risk address?*
- Yes
- No
If 'No' , please enter the risk address below.
Main Risk Address
Street Address Address Line 2 City ZIP / Postal Code Country
Do you have more than one address?*
- Yes
- No
If 'Yes', please enter the second address below.
How many addresses do you have?
- Two
- Three
- More than three
If you have more than three addresses, please use the additional information box at the end of the form. Please click to confirm that you will be providing extra information.*
- More than Three
You can always email this information seperately to mail@naturesave.co.uk stating 'Additional Information for Insurance Quote' in the subject line.
Second Address
Street Address Address Line 2 City ZIP / Postal Code Country
Third Address
Street Address Address Line 2 City ZIP / Postal Code Country
If you have more than three addresses, please state how many addresses in the box below and provide the details in the 'Additional Information' box at the end of this form.
How long have you been in business?*

Months / Years
If you have been trading for less than three years, could you indicate how much experience your organisation has in your field?
Have you ever traded under a different name?*
- Yes
- No
Please provide details.
Please provide the old trading name and the reason for the change.

Do you currently have insurance in place for your business / organisation?*
- Yes
- No
Who is the insurer?*
When is the policy due for renewal?*
What is the expiring premium?*
Have you had any claims or sustained any loss or damage during the last five years which would have been covered by this type of insurance had it been in force?*
- Yes
- No
Please provide details*
Include date of claim/incident, amount of settlement and the insurer who settled the claim. If applicable, please explain any action taken to prevent reoccurence.

Please provide the following details for your main risk address: Age, Construction of External Walls, Construction of Roof, Construction of Floors, State of repair, Method of heating, Number of Storeys.*
We need this information even if you do not need to insure the building itself.
Are you the sole occupier of the building?*
- Yes
- No
Who do you share the building with and what activities are they involved in?*
Do you have your own entrance to your part of the building?*
- Yes
- No
Please provide details*
To the best of your knowledge, and following reasonable enquiries, have there been any cases of flood at the premises or in the neighbourhood?*
- Yes
- No
Please provide details*
Are there any rivers, streams or tidal waters in the neighbourhood?*
- Yes
- No
Please give the approximate height of the ground floor above the high water mark?*
Please provide the approximate distance therefrom.*
Are any goods stored in a basement or cellar?*
- Yes
- No
Are the premises occupied at night?*
- Yes
- No
Does the premises have any of the following fire protections?*
- Fire Risk Assessment Completed
- Fire Extinguishers
- Fire Alarms
- CO2 Alarms
- Sprinkler System Installed
How are the outer doors secured?*
- MDL
- Chubb Lock
Are there any other entrances to your premises / your part of the premises?*
- Yes
- No
Please give details on how they are secured.*
Is there a burglar alarm at the premises?*
- Yes
- No
Please give details.
Alarm type and when it was installed.
Is the alarm...*

Please provide the following details for your second risk address: Age, Construction of External Walls, Construction of Roof, Construction of Floors, State of repair, Method of heating, Number of Storeys.*
We need this information even if you do not need to insure the building itself.
Are you the sole occupier of the building?*
- Yes
- No
Who do you share the building with and what activities are they involved in?*
Do you have your own entrance to your part of the building?*
- Yes
- No
Please provide details*
To the best of your knowledge, and following reasonable enquiries, have there been any cases of flood at the premises or in the neighbourhood?*
- Yes
- No
Please provide details*
Are there any rivers, streams or tidal waters in the neighbourhood?*
- Yes
- No
Please give the approximate height of the ground floor above the high water mark?*
Please provide the approximate distance therefrom.*
Are any goods stored in a basement or cellar?*
- Yes
- No
Are the premises occupied at night?*
- Yes
- No
Does the premises have any of the following fire protections?*
- Fire Risk Assessment Completed
- Fire Extinguishers
- Fire Alarms
- CO2 Alarms
- Sprinkler System Installed
How are the outer doors secured?*
- MDL
- Chubb Lock
Are there any other entrances to your premises / your part of the premises?*
- Yes
- No
Please give details on how they are secured.*
Is there a burglar alarm at the premises?*
- Yes
- No
Please give details.
Alarm type and when it was installed.
Is the alarm...*

Please provide the following details for your third risk address: Age, Construction of External Walls, Construction of Roof, Construction of Floors, State of repair, Method of heating, Number of Storeys.*
We need this information even if you do not need to insure the building itself.
Are you the sole occupier of the building?*
- Yes
- No
Who do you share the building with and what activities are they involved in?*
Do you have your own entrance to your part of the building?*
- Yes
- No
Please provide details*
To the best of your knowledge, and following reasonable enquiries, have there been any cases of flood at the premises or in the neighbourhood?*
- Yes
- No
Please provide details*
Are there any rivers, streams or tidal waters in the neighbourhood?*
- Yes
- No
Please give the approximate height of the ground floor above the high water mark?*
Please provide the approximate distance therefrom.*
Are any goods stored in a basement or cellar?*
- Yes
- No
Are the premises occupied at night?*
- Yes
- No
Does the premises have any of the following fire protections?*
- Fire Risk Assessment Completed
- Fire Extinguishers
- Fire Alarms
- CO2 Alarms
- Sprinkler System Installed
How are the outer doors secured?*
- MDL
- Chubb Lock
Are there any other entrances to your premises / your part of the premises?*
- Yes
- No
Please give details on how they are secured.*
Is there a burglar alarm at the premises?*
- Yes
- No
Please give details.
Alarm type and when it was installed.
Is the alarm...*

Do you need to insure your building(s)?*
- Yes
- No
Do you need to insure your second building?*
- Yes
- No
Do you need to insure your third building?*
- Yes
- No
Please provide the reinstatement or rebuild value of the property.*
Please provide the reinstatement or rebuild value of your second property.*
Please provide the reinstatement or rebuild value of your third property.*

Do you need to insure your assets at your business address?*
- Yes
- No
Do you need to insure your assets at your second business address?*
- Yes
- No
Do you need to insure your assets at your third business address?*
- Yes
- No
General Contents
Stock & Materials
Wines, Spirits & Tobacco
Office Equipment
Frozen Foods
Maximum amount of money in the premises
Do you need cover for items taken away from the premises?*
- Yes
- No
For example: computer equipment, mobile foods, exhibition equipment and portable equipment you need to insure away from the premises.
Laptops
Mobile Phones
Exhibition Equipment
Other (Please specify below)
Please specify other

General Contents at Second Property
Stock & Materials at Second Property
Wines, Spirits & Tobacco at Second Property
Office Equipment at Second Property
Frozen Foods at Second Property
Maximum amount of money in the second premises
Do you need cover for items taken away from the second premises?*
- Yes
- No
For example: computer equipment, mobile foods, exhibition equipment and portable equipment you need to insure away from the premises.
Laptops from second premises
Mobile Phones from second premises
Exhibition Equipment from second premises
Other from second premises (Please specify below)
Please specify other for second premises

General Contents at Third Property
Stock & Materials at Third Property
Wines, Spirits & Tobacco at Third Property
Office Equipment at Third Property
Frozen Foods at Third Property
Maximum amount of money in the third premises
Do you need cover for items taken away from the third premises?*
- Yes
- No
For example: computer equipment, mobile foods, exhibition equipment and portable equipment you need to insure away from the premises.
Laptops from third premises
Mobile Phones from third premises
Exhibition Equipment from third premises
Other from third premises (Please specify below)
Please specify other for third premises

What is your business /organisation's estimated gross revenue / turnover for the next twelve months?*
What is your business /organisation's estimated gross profit for the next twelve months?

If applicable
What is your business /organisation's estimated gross rental income for the next twelve months?

If applicable
What is your business /organisation's estimated total wage roll for the next twelve months?*
What percentage/amount of your wage roll is for clerical / management staff?*
What percentage/amount of your wage roll is for retail / hospitality staff?*
What percentage/amount of your wage roll is for manual staff at the premises?*
What percentage/amount of your wage roll is for manual staff away from the premises?*
What percentage/amount of your wage roll is for drivers?*
What percentage/amount of your wage roll is for other staff?*
Please specify*
How many volunteers will you be employing during the next twelve months for clerical roles?

If applicable
How many volunteers will you be employing during the next twelve months for manual roles?

If applicable
What category best describes your business?*
Please provide a brief description of your activities, include any delivery services, market stalls, events and workshops etc.*

What category best describes your business?
If other, please provide a simple business description here.*
Do you do have any activities that fall outside of your main business description?
- Yes
- No
For example, are you a B&B that provides outdoor activities, or a retail business that also provides mobile catering or a consultancy also involved in project management.
Please provide details*
Are your activities 100% clerical?*
- Yes
- No
*This includes attending events, exhibitions, conferences and visiting clients.
Please provide an outline of the manual activities that you are involved in and confirm the percentage of turnover generated from each of these activities.*
Do you, or sub-contractors working on your behalf, do any work at height (above 10m)?*
- Yes
- No
What is the maximum height you work at and what are you doing?
Do you, or sub-contractors working on your behalf, do any work at depth?*
- Yes
- No
What is the maximum depth you work at and what are you doing?
Are your activities 100% within the UK?*
- Yes
- No
Including sales of any products, if applicable.
% Split of Turnover in the UK
% Split of Turnover in the EU
% Split of Turnover in the USA/Canada
% Split of Turnover in the rest of the world
Do you provide any advice to third parties?*
- Yes
- No
Please provide an outline of the advice you provide, whom the advice is provided to and your credentials for providing this advice.*
Please also confirm the % of turnover generated from providing this advice.

Please use the box to tell us any additional information about your company or organisation.
Including other addresses.
Have you, or any of the company directors, ever been convicted of a criminal offence?*
- Yes
- No
Please provide details.*
Have you, or any of the company directors, ever been declared bankrupt?*
- Yes
- No
Please provide details.*
Please confirm that you have read the 'notice of disclosure' at the top of this form.*
- Yes
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01803 864390

mail@naturesave.co.uk

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Registered in England. Company no. 2797137. Registered Address: Affinity House, Bindon Road, Taunton, TA2 6AA

Naturesave Policies Ltd is authorised and regulated by the Financial Conduct Authority under register number 310631 for insurance mediation activities and as a Credit Broker. Naturesave Policies Ltd does not charge any fees to customers in relation to Credit Broking activities.

Authorised and regulated by the Financial Conduct Authority for General Insurance Distribution activities and as a credit broker. We do not charge any up-front fees for arranging credit.

We are members of the Financial Ombudsman Service. If you cannot settle a complaint with us, eligible complainants may be entitled to refer it to the Financial Ombudsman Service for an independent assessment. The FOS Consumer Helpline is on 0800 023 4567 and their address is:

Financial Ombudsman Service, Exchange Tower, London E14 9SR. Website: www.financial-ombudsman.org.uk

The Naturesave Trust is a registered charity no. 1048505.