Westcor International Quote Request

Quote Request

1. Your Details
Your Contact Details

PrefixFirst NameLast Name
Company
Email (required)*

Confirmation EmailWe need this to be able to send you a copy of this request and any relevant quotation documents
Phone Number (optional)

Area CodePhone Number
Important

1. This is a proposal for a contract of insurance, in which ‘proposer’ or ‘you/your’ means the individual, company, partnership, limited liability partnership, organisation or association proposing cover.

2. All questions must be answered to enable a quotation to be given but completion does not bind you or the insurer to enter into any contract of insurance. Please use the space provided in Section 6 for any relevant information that you consider might be necessary to support the proposal.

3. All facts material to the proposed insurance must be disclosed, fully and truthfully to the best of your knowledge and belief. Failure to do so may make the contract of insurance voidable or severely prejudice your rights in the event of a claim. A material fact is one likely to influence the insurer’s assessment or acceptance of the proposal; if you are uncertain what may be a material fact, you should consult the underwriter at Westcor International Limited or WIL Speciality Insurance Limited.

4. You will be provided with a specimen copy of the proposed policy wording based on the information provided in the proposal form and are asked to consider carefully the terms, conditions, limitations and exclusions applicable to the cover.

2. Property to be Insured
Property Address

Street Address

Street Address Line 2

CityState / Province

Post Code / Eircode
Country

UK (All values will be in £ Sterling)Republic of Ireland (All values will be in Euros)
Current Use of property

CommercialResidential
Details of the proposed insured (and/or the lender if these are to be noted on the policy
Details of any proposed development (and in particular what is to be built on any burdened areas) or confirmation of the current use and that no change of use is intended
If an application for planning permission has been made, the planning application number and confirmation that there have been no objections to the planning application on title grounds. Please ensure that the planning objections have been specifically checked by the solicitor with the Local Authority and that the responses are appropriate; responses such as “insofar as we are aware” are not acceptable.
The developed value or sale price of the property (or capital expenditure for a renewable energy project)
Renewable Energy
If this transaction relates to a renewable energy project please detail the project type, number of units to be installed.

3. Risks
Please select the Type of Cover that you require:

BurdensObligationsLack of RightsLack of Title (e.g Missing Deeds, Possessory Title, Miscellaneous Defects)LeaseholdPlanning & Structural RisksSearchThird Party Rights

3.1 Burdens (Covenants, Title Conditions & Restrictions)
3.1.1 There are burdens or other restrictions on title which prevent the current use of the property
Please provide the following:
3.1.1.1 Please provide a note of the specific burdens or other restrictions which are being breached and details of the deeds in which they have been created
3.1.1.2 Please provide confirmation that the property has been used in breach of the restrictive covenants or other restrictions for in excess of 1 year and if so then please state the number of years
3.1.2 There are burdens or other restrictions which will be breached in connection with the future change of use of the property
3.1.2.1 Please provide a note of the specific burdens or other restrictions which will be breached, details of the manner in which they will be breached and details of the deeds in which they have been created
3.1.3 None of the above
3.1.3.1 If none of the above please provide a written description of the risk in the box below and upload any relevant plans and documents
3.1.3.1.1 Please upload any relevant files

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3.2 Financial Obligations
3.2.1 There are undischarged financial obligations which burden the title to the property
Please provide the following:
3.2.1.1 A brief description of the financial obligation including the date on which it was created and/or registered
3.2.1.2 Confirmation that no attempts have been made to obtain a discharge of the financial obligations or details of any attempts which have been made to date
3.2.1.3 Evidence if available to suggest that the financial obligations may have been satisfied but no discharge has been obtained
3.2.2 There may be financial obligations which burden the property but the nature and extent of these are unknown due to incomplete or insufficiently detailed search results or historic title documents created in excess of 10 years from the date of this enquiry
Please provide the following:
3.2.2.1 A brief description of the financial obligation including the date on which it was created and/or registered
3.2.2.2 Any information which suggests that the financial obligations may not attach to the property
3.2.3 There is a transfer for no consideration or at an undervalue and a third party creditor may seek to challenge the transfer in future
Please provide or confirm the following:
3.2.3.1 Whether the transfer is historic or current:

HistoricCurrent
3.2.3.2 Upload an affidavit or declaration of solvency from the transferor

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3.2.3.3 A note of the reasons for the transfer at undervalue or for no consideration
3.2.3.4 If none of the above, please provide a written description of the risk in the box below and upload any relevant plans and documents.
3.2.3.4.1 Upload any relevant plans and documents.

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4. Consequential Losses
Please confirm whether cover is required for any of the following consequential losses:
Loss of Profits
Annual actual or anticipated profits
Loss of Rent
Annual actual or anticipated rental income
Relocation Costs
Anticipated removal, reinstatement and fit out costs

4. Additional Information
Please confirm any other relevant information such as whether insurance has been declined by another provider

5. Submit Proposal
In order to submit a Proposal, we require you to view and agree to the following terms and conditions:
- Data Protection Act 2018 Consent to Use of Information
- Our Terms & Conditions
Data Protection Act 2018 and General Data Protection Regulations (GDPR) 2016

View Terms
Agree to Terms
Data Protection Act 2018 and General Data Protection Regulations (GDPR) 2016

Consent to use of information
The insurer will use the information provided herein to manage the insurance policy, including underwriting and claims handling. This may include disclosing it to other insurers, regulatory authorities or to the insurer’s agents providing
services on their behalf.

In order to detect and prevent fraud, the insurer may at any time:

1. Share information about the proposer and/or its partners, principals, directors, officers and/or employees with other organisations and public bodies including the Police;

2. Check and/or file the proposer’s and/or its partner’s, principals’, directors’ and/or officers’ details with fraud prevention agencies and databases and if the insurer suspects fraud, the insurer will record this. The insurer and other organisations may also search these agencies and databases to:

(a) Help make decisions about the provision and administration of insurance, credit and related services for the proposer, its partners, principals, directors and officers;
(b) Trace debtors or beneficiaries, recover debt, prevent fraud and to manage the proposer’s accounts and insurance policies;
(c) Check identities to prevent money laundering;

3. Undertake credit searches and additional fraud searches where considered appropriate.

The insurer can supply on request further details of the databases that they access or contribute to.
Declaration
By submitting this proposal form, I confirm that I am duly authorised and do give consent to the use of information as set out above. I also hereby declare that I am authorised to complete this proposal on behalf of the proposer. I undertake to inform the insurer of any material alteration or addition to these statements or particulars which occurs before the commencement of the period of insurance. It is hereby acknowledged and agreed that the terms conditions limitations and exclusions of the policy may be subject to alteration at any time prior to the commencement of the period of insurance should any such material alterations or additions arise. Submitting this proposal does not bind the insurer to offer nor the applicant to accept insurance.

Agree and Confirm
NOTICE TO THE PROPOSER

The Insurance Policy Provider
This policy is issued by Westcor International Limited or WIL Speciality Insurance Limited on behalf of the Insurer under a binding authority agreement.

Westcor International Limited is registered in England and Wales with its registered office at First Floor, 24 King William Street, London, EC4R 9AT Westcor International Limited is authorised and regulated by the Financial Conduct Authority (FRN 791297).

WIL Speciality Insurance Limited is registered in Ireland with its registered office at The Black Church, St. Mary’s Place, Dublin 7, DO7 P4AX. WIL Speciality Insurance Limited is authorised and regulated by the Central Bank of Ireland under Reference No. C188984.

The Insurer
The Insurer would either be XL Catlin Insurance Company UK Ltd who are authorised and regulated by the United Kingdom Prudential Regulatory Authority and authorised by the Financial Conduct Authority reference number 423308 or XL Insurance Company SE who are authorised and regulated by the Central Bank of Ireland reference number C173308.

Prior to any placement being concluded, the proposer will be advised which insurer(s) is/are to write this contract of insurance.

The Law of the Insurance Contract
The parties to this proposed insurance agree that proposed contract will be governed by English law unless agreed otherwise with the insurer.

General Enquiries
If at any time you have any questions or concerns about completing the proposal form, your policy or the handling of a claim you should, in the first instance, contact enquiries@westcorintl.com with your query.
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