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Charter House, 43 St Leonards Road,
Bexhill on Sea, East Sussex TN40 1JA |
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| PREVIOUSLY
UNDERPINNED PROPERTIES - QUESTIONNAIRE (Send this questionnaire, together with the application fee of £146.88 made payable to Subsidence Claims Advisory Bureau) |
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Name:________________________________________________________________________ Address:______________________________________________________________________
Postcode:__________________ Contact Tel. No:_______________________________________ Risk address (if different from above):_________________________________________________
________________________________________________________Postcode:______________ |
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1) |
Age of Property__________________ | |||||
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2) |
Type of Property (e.g. House,
Flat, Bungalow, Chalet, Detached, Semi-Detached, Terrace, End Terrace) __________________________________________________________________________________________________________ |
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3) |
Construction of
Property_____________________________ |
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4) |
Buildings Sum Insured of Property
£_____________________ |
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5) |
Date when Underpinning carried
out_____________________ |
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6) |
Name and Address of Company who carried out
work__________________________ |
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7) |
Was a Guarantee given ? If so, please give
details_______________________________ |
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8) |
Cost of Work £__________________ |
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9) |
Name and Address of Supervising Engineer or
Surveyor__________________________ |
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10) |
If the work was an insurance claim, please
give name and address of insurers and loss adjusters: Insurers______________________________________________________________ ____________________________________________________________________ Loss Adjusters_________________________________________________________ |
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| 11) | Enclose details, or papers if held, on
specification, design or reports prepared prior to the execution of the
work ____________________________________________________________________ ____________________________________________________________________ |
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| If sufficient room on this
questionnaire please give further information on separate sheets. Each
risk is individually assessed and acceptance of the questionnaire and
remittance is not a guarantee that insurance will be provided. Some
insurance quotations may be given subject to further works being carried
out. The valid Insurance offer that can be made is after presentation of
the risk to underwriters and confirmation in writing by Bureau Insure
Services Ltd.
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| The only valid offer of Insurance
is one that is made in writing by Bureau Insurance Services Ltd. In all
cases the Underwriters decision is final. This report remains, at all
times, the copyright of the Subsidence Claims Advisory Bureau and is for
their and the Underwriters use only. The above guarantee does not apply to
the Properties that have not been underpinned.
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PLEASE READ THE FOLLOWING NOTES CAREFULLY |
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| Due
to the non-standard nature of the risks involved, dependant on the results
of the survey (which remains the property of the underwriters), we may
endorse the policy with some or all the following:- The Excess under - Buildings will be increased to £2,500 under cause (subsidence, landslip or heave). This increased Excess replaces the original Excess stated within the policy wording and is not an additional amount - this is standard on all our polices issued under this scheme. Drains Endorsement 034 Arboriculturalist's Recommendations. It is a condition of this Insurance Certificate that the tree(s) named below are kept managed in line with Arboriculturalist's recommendations. This will apply if there are trees within an influencing distance of the buildings of a mature nature. 035 Lopped and Topped. It is a condition of this Insurance Certificate that the tree(s) named below are regularly lopped and topped. This will apply if there are trees within influencing distance not fully grown or of a similar species. You are required to place your neighbourhood/local authority on notice with regard to their responsibility to maintain the trees and the vegetation within influencing distance of your property but outside your control - this would come into effect if your neighbour had trees close to your boundaries or you lived in a road where the local authority were responsible for street trees neighbouring woodland etc. We may also exclude any outbuildings, if they are in a poor state of repair or built of non-standard materials Obviously there may be other endorsements applicable dependant on the cover requested at the time, our aim is to provide you with adequate knowledge to enable to you to decide whether you wish to proceed, prior to instructing our surveyor. |
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