Listed Property Insurance Quote

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Proposer Name *

Personal Information

Date of Birth

Please Select the Day, Month & Year you were born

Day: *

Month: *

Year: *

Occupation

Telephone *

Email *

What Directed You To Our Website?:

Correspondence Address *

Postcode *

Address to be Insured, if different

Postcode

Property Details

Type of Property *

Year Built *

Number of Bedrooms *

Is the property your main residence? *

Yes

Is the property normally occupied on a daily basis? *

Yes

Is the property of standard construction (Brick walls and Pitched Tiled roof)?

Yes

Is your property Listed?

Yes

If Yes what grade?

Is your property Thatched?

Yes

If yes, please complete the following questions:

The Roof

Type of roofing material used

Depth of thatch?

Percentage of roof that is thatched

When was the roof last re-thatched?

When was the ridge last renewed

When was the thatch last inspected by a thatcher?

Has all the recommended work been carried out?

Yes

Thatch condition?

What fire precautions does the property benefit from?

The Heating & Chimneys

Are open fires or solid fuels stoves ever used?

Yes

How are the chimneys utilised? (Select all applicable options)

Central Heating*

Open Fires

Solid Fuel Stoves

Other

Please state futher details (If central heating, please enter fuel type)

Is the chimney professionally lined & insulated to the Woodburner?

Yes

Is the chimney professionally lined & insulated to the open fire?

Yes

If the property is less than 100% thatch and you have solid fuel stoves, are these situated under the area of thatched roof?

Yes

How many chimneys are there?

Has the chimney been swept in the last 12 months?

Yes

What height is the chimney above the ridge (the pitch of the roof)?

Do you have spark arrestors?

Yes

General Questions

How far is the nearest fire brigade?

Has a full electrical periodic inspection been carried out by an NICEIC qualified electrician in the last 10 years?

Yes

When was the electrical wiring last inspected?

Can a full copy of the report be provided?

Yes

Was all the recommended work completed?

Yes

Does the property have fire extinguishers?

Yes

If yes, please advise type and where kept

Does the property have a fire blanket in the kitchen?

Yes

Is the property connected to a mains water supply?

Yes

Are there any additional sources of water available? (e.g. lake, swimming pool, river or stream)?

Yes

Locks

Are all external doors secured by 5 lever mortice deadlocks?

Yes

If No please advise what type of locks

Are any patio doors secured with top and bottom locks?

Yes

If No please advise what type of locks

Are all accessible windows and skylights secured by key operated window locks?

Yes

If No please advise what type of locks

Alarms

Burglar Alarm – Bells / Siren Only

Yes

Burglar Alarm – Connected to a central monitoring station

Yes

Fire Alarm

Yes

Smoke Detectors

Yes

If Yes is it linked to a monitoring system?

If Yes Battery or Mains?

Is the property of standard construction (Brick walls and pitched tiled roof)? *

Yes

Is the property normally occupied for more than 30 consecutive days? *

Yes

What grade is your listed property? *

Previous Insurance & Claims History

Renewal date / Cover required from *

Current / Previous Insurer

Renewal premium

Please confirm how long you have held contents insurance for?

Please confirm how long you have held buildings insurance for?

Please confirm details (date/claim info/amount) of any claims you have made under any Buildings or Contents insurance policy in the past 5 years:

Cover
Please confirm the sums to be insured by completing the table below.
If you require any assistance completing this table or are interested
in having a professional valuation or a risk management survey,
please contact us to discuss further.

A number of our insurers will automatically include full accidental damage
and provide cover for all of your contents on a worldwide basis.
If this is not required please indicate below.

Buildings

Buildings sum insured (to represent the full re-building cost of your home – For further information visit http://abi.bcis.co.uk)

Outbuildings sum insured

Contents

General contents

Is accidental damage and worldwide cover required?

Yes

Wine collection

Ride on mowers, tractors or quad bikes

Fine Arts & Antiques

Outdoor items (e.g. garden furniture, statuary or urns)

Household gold, platinum, silverware, porcelain and glass

Paintings, drawings, maps, prints, photographs, books, manuscripts, tapestries and rugs

Antique and/or designer furniture

Clocks, barometers, curios, statues, sculptures, stamps, coins, medals, musical instruments, antique guns and other collections

Valuable/Personal Possessions/Specified Items

Personal possessions (total value of items regularly removed from the home e.g. pedal cycles, cameras, mobile phones etc)

Jewellery and watches normally worn

Jewellery and watches kept in a safe

Jewellery and watches kept in bank vault or safety deposit

Saddles and tack

Guns

Money

Credit Cards

Please list any single item to be insured which exceeds £5,000 in value

Please list any pedal cycle to be insured which exceeds £1,000 in value

Are there any other specific requirements for the insurance policy?

Is there any renovation/construction work in progress or planned for next year? *

Yes

Are there any signs/history of subsidence, heave or landslip? *

Yes

Is there any history of flood or is the property situated within ¼ mile of watercourse or sea? *

Yes

Is the property used in connection with trade or business? *

Yes

Is the property occupied by any non-family members? *

Yes

Are there any trees within influencing distance? *

Yes

Have you ever had any previous terms imposed by insurers or had renewal refused? *

Yes

Has any resident received a criminal conviction or have a prosecution pending? *

Yes

Has any resident received any county court judgements or declared themselves bankrupt? *

Yes

Please supply any further details:

Locks

If other, please specify

Are all external doors secured by 5 lever mortice deadlocks? *

Yes

Are any patio doors secured with top and bottom locks? *

Yes

Are all accessible windows and skylights secured by key operated window locks? *

Yes

Alarms

Burglar Alarm – Bells/Siren Only *

Yes

Burglar Alarm – Connected to a central monitoring station *

Yes

Fire Alarm *

Yes

Smoke Detectors *

Yes

Safe

Do you have a safe installed? *

Yes

If yes, please confirm the make and model

Is the safe fitted to the wall, anchored to the floor or free standing?

Please confirm the cash rating of the safe

Is there any other security information to be taken into account e.g. neighbourhood watch?

Terms & Conditions

I understand Ryan Insurance Group use a select panel of insurers for this type of business
My quotation will be valid until the end of the current month
I am obliged to provide all material facts that may affect the rating or acceptance of the policy, as failure to do so could invalidate my insurance cover
Ryan Insurance Group is obliged by law to give me the opportunity to hear how they give advice, deal with compensation and handle complaints. This information is contained within their terms of business agreement (attached).

Agreement

I have read and agree to the terms and conditions above: *

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