Calculate Your contribution – Firm Insurance

Firm

Package:

ComplexOCIn construction

Law form:

Headquarters address

Postal code:

Post(place name):

Place:

Street:

Gate number/Apartament number

/

Were there detriments in the past 3 years?

YesNo

Place of insurance:

Is localization address the same as headquarters address?(If not, please enter below)

YesNo

Localization address:

Economic activity conducted in:

BuildingLocal

Flammable construction:

YesNo

Built at year:

Fire protections

Installation of signaling and alarm:

no protectionsin the form of buttons all over the sitein a room with constant supervisionin PSP unit

Devices for smoke and heat ( smoke vents ) run:

no protectionsmanuallyautomatically

Additional fire protections:

no protectionspermament fire-fighting equipment ( eg . extinguishing units )sprinklers Other

Anti-theft security

Doors:

no protections1 multivalvular lockbiometrick lockat least 2 different multivalvular locks or multivalvular padlocks hung on separate staplesburglary

Alarms:

no protectionslocalat the police station or at security agency with the duty of intervention

Supervision of a security company or an employee of the Insured:

no protectionsindirectdirect

Glazed openings:

no protectionsP2A windowsP3A windows or higherbars/blinds or no glazed openings

Other:

Contact:

Name and Surname:

PESEL:

Contact telephone:

E-mail: