Quotation

Personal Details

Proposer Type

Proposer First Name

Proposer Middle Name

Proposer Last Name

Mobile No.

Email Address

Which Bunna Insurance S.C. branch do you want to be served from?

Risk Details

Insurance Start Date

Insurance End Date

How long has the management operated this business?

Risk Details 1 Remove

Region/City

Zone/Sub City

Woreda/District

House No.

Unique Parcel Identification No./Ownership certificate no.

Specific Location Name:

Nature of Premises:

Provide exact description of your premises (in meters):

What is ground floor area?

Height in stories?

Total Area(or cubic capacity) of premises available for storage?

External Walls:

Construction of roof:

Construction of floor:

Year of Built:

Year Roof Replaced:

Do you use Heating, Ventilation, and Air Conditioning (HVAC) systems for the premises?

What types of HVAC is used for the premises?

Year of HVAC systems updated:

Are you the sole occupant / owner of the premises?

please provide details of other occupants / tenants / leases:

What fire protection devices/ extinguishers installed at the Premises:

Please specify

Does your premise have Burglar Alarm?

extent of protection:

All opening & outside surfaces wired?

All opening wired:

Motion Detectors:

Others

Please specify

Do you have security firm providing the security arrangements?

Name of Security Firm

Security Arrangements

During working hours

After working hours

Who is responsible for the security arrangements of the premises?

Is the Premise covered by CCTV cameras?

Are there any cold storage facilities?

please provide detail description?

Estimated values in storage during previous year:

Maximum (ETB)

Average (ETB)

Please specify the cargo types stored in the premise:

Please specify

Caged

Describe how aerosols, industrial chemicals, pesticides, herbicides, petroleum and similar goods are segregated from other goods stored

Limit of Insurance required for this location:

Please specify annual warehouse receipts for the previous 5 years including current year:

Year

Amount

Add

Please advise estimate annual warehouse receipts for the proposed policy period:

Warehouse Operator's Liability Quotation

Personal Details

Risk Details

Risk Details 1 Remove

Provide exact description of your premises (in meters):

What fire protection devices/ extinguishers installed at the Premises:

extent of protection:

Security Arrangements

Estimated values in storage during previous year:

Please specify annual warehouse receipts for the previous 5 years including current year: