{"id":7025,"date":"2015-01-26T14:20:56","date_gmt":"2015-01-26T13:20:56","guid":{"rendered":"https:\/\/www.emberjd.com\/?page_id=7025"},"modified":"2024-05-01T09:41:20","modified_gmt":"2024-05-01T09:41:20","slug":"commercial-property-quote","status":"publish","type":"page","link":"https:\/\/www.emberjd.com\/request-quote\/commercial-property-quote\/","title":{"rendered":"Commercial Property Quote"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7025\" class=\"elementor elementor-7025\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-43d8e2fe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"43d8e2fe\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3e8e85fe\" data-id=\"3e8e85fe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-526e58ad elementor-widget elementor-widget-text-editor\" data-id=\"526e58ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><strong>Please answer the questions carefully and to the best of your knowledge, as our quotation will be based on the details you provide. Incorrect information could lead to an increased premium, claim being declined or invalidate an insurance.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1acebfa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1acebfa\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51d30b4\" data-id=\"51d30b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-90f28d6 elementor-widget elementor-widget-shortcode\" data-id=\"90f28d6\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/7025#gf_3' data-formid='3' novalidate>\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span> - About You \n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_68\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_68\" ><h2 class=\"gsection_title\">Enter details about the insurance proposer<\/h2><\/li><li id=\"field_3_1\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon read-only gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\" ><label class='gfield_label gform-field-label' for='input_3_1'>Renewal or cover start date?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_1' id='input_3_1' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_3_1_date_format gfield_description_3_1\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_1_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_1' class='gform_hidden' value='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_3_1'>Quotes valid for up to <b>30 days<\/b><\/div><\/li><li id=\"field_3_103\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_103\" ><label class='gfield_label gform-field-label' for='input_3_103'>Will the policy be in the name of an individual or company?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_103' id='input_3_103' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Individual&#039;s name' >Individual&#039;s name<\/option><option value='Company name' >Company name<\/option><\/select><\/div><\/li><li id=\"field_3_100\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_100\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Full name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_3_100'>\n                            <span id='input_3_100_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_100.2' id='input_3_100_2'    aria-required='false'   >\n                          <option value=''>Select from dropdown<\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Miss' >Miss<\/option><option value='Ms.' >Ms.<\/option><option value='Dr.' >Dr.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option>\n                      <\/select>\n                                                    <label for='input_3_100_2' class='gform-field-label gform-field-label--type-sub '>Title<\/label>\n                                                  <\/span>\n                            <span id='input_3_100_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_100.3' id='input_3_100_3' value=''   aria-required='true'   placeholder='Full first name please'  \/>\n                                                    <label for='input_3_100_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_100_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_100.6' id='input_3_100_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_100_6' class='gform-field-label gform-field-label--type-sub '>Surname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_78\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_78\" ><label class='gfield_label gform-field-label' for='input_3_78'>Company name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_3_78' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_78\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_3_78'>Input full company name<\/div><\/li><li id=\"field_3_21\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_21\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_3_21_container'>\n                                <span id='input_3_21_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_21' id='input_3_21' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3_21' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_3_21_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_21_2' id='input_3_21_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3_21_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_20\" ><label class='gfield_label gform-field-label' for='input_3_20'>Telephone number?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_20' id='input_3_20' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_3_20\"  \/><\/div><div class='gfield_description' id='gfield_description_3_20'>Please enter a valid phone number in UK format, starting 07, 01, 02 or +44, with no spaces<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_24' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_3_2_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;} jQuery(\"#gform_save_3\").val(1); jQuery(\"#gform_3\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;} jQuery(\"#gform_save_3\").val(1); jQuery(\"#gform_3\").trigger(\"submit\",[true]); }'> \ud83d\udcbe Save for later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-24' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_70\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_70\" ><h2 class=\"gsection_title\">Enter details about the property to be insured<\/h2><\/li><li id=\"field_3_99\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield_has_postcode_lookup gfield_no_js\"  data-field-class=\"gfield_has_postcode_lookup gfield_no_js\" data-js-reload=\"field_3_99\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address of property to be insured?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_99'><big><b>Enter postcode, then select address from drop-down<\/b><\/big><br>\n<small>England, Wales & mainland Scotland addresses only<\/small><\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_3_99' ><span class=\"ginput_full ukpl_postcode_lookup_field\">\n    <span class=\"ukpl_postcode_lookup_container\">\n        <input type=\"text\" name=\"ukpl_postcode_lookup\" id=\"ukpl_postcode_lookup\" value=\"\" aria-required=\"false\">\n        <input type=\"submit\" class=\"js-ukpl-lookup-postcode\" value=\"Find Address\" \/>\n    <\/span>\n    <label for=\"ukpl_postcode_lookup\" class=\"ukpl_postcode_lookup_label\">Postcode<\/label>\n<\/span>\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_99_1_container' >\n                                        <input type='text' name='input_99.1' id='input_3_99_1' value=''   placeholder='-' aria-required='true'    \/>\n                                        <label for='input_3_99_1' id='input_3_99_1_label' class='gform-field-label gform-field-label--type-sub '>1st line<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_99_2_container' >\n                                        <input type='text' name='input_99.2' id='input_3_99_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_99_2' id='input_3_99_2_label' class='gform-field-label gform-field-label--type-sub '>2nd line<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_99_3_container' >\n                                    <input type='text' name='input_99.3' id='input_3_99_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_99_3' id='input_3_99_3_label' class='gform-field-label gform-field-label--type-sub '>Town \/ city<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_99.4' id='input_3_99_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_3_99_5_container' >\n                                    <input type='text' name='input_99.5' id='input_3_99_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_99_5' id='input_3_99_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_99.6' id='input_3_99_6' value='United Kingdom' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_122\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_122\" ><label class='gfield_label gform-field-label' for='input_3_122'>If you cannot select the full first line from the address lookup, add it here<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_3_122' type='text' value='' class='large'    placeholder='For example 50a &amp; 50b High Street'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_79\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_79\" ><label class='gfield_label gform-field-label' for='input_3_79'>Do you owner occupy the property?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_3_79' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (cannot quote)' >Yes (cannot quote)<\/option><\/select><\/div><\/li><li id=\"field_3_106\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_106\" ><label class='gfield_label gform-field-label' for='input_3_106'>Overall occupancy of the property?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_106' id='input_3_106' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='100% occupied' >100% occupied<\/option><option value='Part occupied, part unoccupied' >Part occupied, part unoccupied<\/option><option value='100% unoccupied' >100% unoccupied<\/option><\/select><\/div><\/li><li id=\"field_3_107\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_107\" ><label class='gfield_label gform-field-label' for='input_3_107'>Will the property be unoccupied for a continuous period exceeding 30 consecutive days during the insurance period?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_107' id='input_3_107' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_108\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_108\" ><label class='gfield_label gform-field-label' for='input_3_108'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_108' id='input_3_108' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_80\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_80\" ><label class='gfield_label gform-field-label' for='input_3_80'>Property to be insured occupied as?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_3_80' class='medium gfield_select'  aria-describedby=\"gfield_description_3_80\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Flats' >Flats<\/option><option value='Office' >Office<\/option><option value='Office with flats above' >Office with flats above<\/option><option value='Shop' >Shop<\/option><option value='Shop with flats above' >Shop with flats above<\/option><option value='Surgery' >Surgery<\/option><option value='Surgery with flats above' >Surgery with flats above<\/option><option value='Warehouse' >Warehouse<\/option><option value='Industrial unit' >Industrial unit<\/option><option value='Farm building for storage' >Farm building for storage<\/option><option value='Farm building for livestock' >Farm building for livestock<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_3_80'>Type to use search &#128269; <\/div><\/li><li id=\"field_3_32\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_32\" ><label class='gfield_label gform-field-label' for='input_3_32'>Total number of flats?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_32' id='input_3_32' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_3_111\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_111\" ><label class='gfield_label gform-field-label' >Trade or profession of your business tenant(s)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_111_col1' class='gfield_list_col_odd' \/><col id='gfield_list_111_col2' class='gfield_list_col_even' \/><\/colgroup><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_111_cell1' ><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_3_111\" aria-label='Trade or profession of your business tenant(s)?, Row 1' data-aria-label-template='Trade or profession of your business tenant(s)?, Row {0}' type='text' name='input_111[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 6)' onkeypress='gformAddListItem(this, 6)'><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/noscript><\/noscript><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 6)' onkeypress='gformDeleteListItem(this, 6)' style=\"visibility:hidden;\"><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/noscript><\/noscript><\/a><\/td><\/tr><\/tbody><\/table><\/div><div class='gfield_description' id='gfield_description_3_111'><b><font color=\"red\">If more than one business tenant, click on <big>&#10753;<\/big> sign to add more rows<\/font><\/b>\n<\/div><\/li><li id=\"field_3_105\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_105\" ><label class='gfield_label gform-field-label' for='input_3_105'>Is the property in a good state of repair and will be maintained as such?<\/label><div class='ginput_container ginput_container_select'><select name='input_105' id='input_3_105' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No (cannot quote)' >No (cannot quote)<\/option><\/select><\/div><\/li><li id=\"field_3_98\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_98\" ><label class='gfield_label gform-field-label' for='input_3_98'>Approximate year property built?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_3_98' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_97\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_97\" ><label class='gfield_label gform-field-label' for='input_3_97'>Approximate year property purchased?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_3_97' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_29\" ><label class='gfield_label gform-field-label' for='input_3_29'>Construction of the external walls?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_3_29' class='medium gfield_select'  aria-describedby=\"gfield_description_3_29\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Brick' >Brick<\/option><option value='Stone \/ flint' >Stone \/ flint<\/option><option value='Concrete' >Concrete<\/option><option value='Steel frame with brick walls' >Steel frame with brick walls<\/option><option value='Steel frame with concrete walls' >Steel frame with concrete walls<\/option><option value='Timber frame with brick walls' >Timber frame with brick walls<\/option><option value='Timber frame with plaster panels' >Timber frame with plaster panels<\/option><option value='Timber frame with cedar cladding' >Timber frame with cedar cladding<\/option><option value='Timber' >Timber<\/option><option value='Prefabricated (cannot quote)' >Prefabricated (cannot quote)<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_3_29'>Type to use search &#128269; <\/div><\/li><li id=\"field_3_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_30\" ><label class='gfield_label gform-field-label' for='input_3_30'>Construction of the roof?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_3_30' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Tile or slate' >Tile or slate<\/option><option value='Zinc' >Zinc<\/option><option value='Concrete slab' >Concrete slab<\/option><option value='Rubber (EPDM)' >Rubber (EPDM)<\/option><option value='Single ply membrane' >Single ply membrane<\/option><option value='Felt over timber' >Felt over timber<\/option><option value='Thatch (cannot quote)' >Thatch (cannot quote)<\/option><\/select><\/div><\/li><li id=\"field_3_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_31\" ><label class='gfield_label gform-field-label' for='input_3_31'>Approximate percentage of any flat roof?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_3_31' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='0%' >0%<\/option><option value='Up to 5%' >Up to 5%<\/option><option value='Up to 10%' >Up to 10%<\/option><option value='Up to 20%' >Up to 20%<\/option><option value='Up to 30%' >Up to 30%<\/option><option value='Up to 40%' >Up to 40%<\/option><option value='Up to 50%' >Up to 50%<\/option><option value='100%' >100%<\/option><\/select><\/div><\/li><li id=\"field_3_82\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_82\" ><label class='gfield_label gform-field-label' for='input_3_82'>Total number of storeys including any basements?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_82' id='input_3_82' type='number' step='any' min='2' max='4' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_3_82\" \/><\/div><\/li><li id=\"field_3_123\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_123\" ><label class='gfield_label gform-field-label' for='input_3_123'>Floor construction?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_123' id='input_3_123' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Timber' >Timber<\/option><option value='Concrete' >Concrete<\/option><\/select><\/div><\/li><li id=\"field_3_83\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_83\" ><label class='gfield_label gform-field-label' for='input_3_83'>Type of heating?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_83' id='input_3_83' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Radiators (hot water)' >Radiators (hot water)<\/option><option value='Radiators (oil)' >Radiators (oil)<\/option><option value='Night storage heaters' >Night storage heaters<\/option><option value='Warm air' >Warm air<\/option><option value='Underfloor' >Underfloor<\/option><option value='Portable heaters' >Portable heaters<\/option><\/select><\/div><\/li><li id=\"field_3_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_85\" ><label class='gfield_label gform-field-label' for='input_3_85'>Type of residential tenant?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_3_85' class='medium gfield_select'  aria-describedby=\"gfield_description_3_85\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='No residential tenants' >No residential tenants<\/option><option value='Leaseholder' >Leaseholder<\/option><option value='Private rental' >Private rental<\/option><option value='Leasehold and private rental' >Leasehold and private rental<\/option><option value='Part or all holiday lets (cannot quote)' >Part or all holiday lets (cannot quote)<\/option><option value='Students (cannot quote)' >Students (cannot quote)<\/option><option value='DSS claimants (cannot quote)' >DSS claimants (cannot quote)<\/option><option value='Asylum seekers (cannot quote)' >Asylum seekers (cannot quote)<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_3_85'>Type to use search &#128269; <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_40' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_40' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_3_3_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;} jQuery(\"#gform_save_3\").val(1); jQuery(\"#gform_3\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;} jQuery(\"#gform_save_3\").val(1); jQuery(\"#gform_3\").trigger(\"submit\",[true]); }'> \ud83d\udcbe Save for later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' data-js='page-field-id-40' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_72\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_72\" ><h2 class=\"gsection_title\">Enter details about the buildings cover required<\/h2><\/li><li id=\"field_3_119\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_119\" ><label class='gfield_label gform-field-label' for='input_3_119'>Rebuilding cost of the property \u00a3?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_119' id='input_3_119' type='text' step='any' min='100000'  value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_3_119 gfield_description_3_119\" \/><\/div><div class='gfield_description' id='gfield_description_3_119'>Your assessment of the cost of current full reinstatement of the property including materials, labour, compliance with any public authority requirements, professional fees and removal of debris. <\/div><\/li><li id=\"field_3_42\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_42\" ><label class='gfield_label gform-field-label' for='input_3_42'>Accidental damage cover required for buildings?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_3_42' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Not required' >Not required<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_3_86\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_86\" ><label class='gfield_label gform-field-label' for='input_3_86'>Subsidence cover required for buildings?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_86' id='input_3_86' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Not required' >Not required<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_3_124\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_124\" ><label class='gfield_label gform-field-label' for='input_3_124'>Terrorism cover required for buildings?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_124' id='input_3_124' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Not required' >Not required<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_3_118\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_118\" ><label class='gfield_label gform-field-label' for='input_3_118'>Loss of rent sum insured?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_118' id='input_3_118' type='text' step='any' min='5000'  value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_3_118 gfield_description_3_118\" \/><div class='gfield_description instruction ' id='gfield_instruction_3_118'>Please enter a number greater than or equal to <strong>5000<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_3_118'>(following insured damage) <\/div><\/li><li id=\"field_3_88\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_88\" ><label class='gfield_label gform-field-label' for='input_3_88'>Loss of rent indemnity period?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_88' id='input_3_88' class='medium gfield_select'  aria-describedby=\"gfield_description_3_88\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='12 months' >12 months<\/option><option value='24 months' >24 months<\/option><option value='36 months' >36 months<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_3_88'>(following insured damage)<\/div><\/li><li id=\"field_3_116\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_116\" ><label class='gfield_label gform-field-label' for='input_3_116'>Do you require employer&#039;s liability?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_116' id='input_3_116' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_3_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_117\" ><label class='gfield_label gform-field-label' for='input_3_117'>Annual payments?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_3_117' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_117\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_3_117'>Such as window cleaners, gardeners, maintenance, and cleaners<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_58' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_3_4_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;} jQuery(\"#gform_save_3\").val(1); jQuery(\"#gform_3\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;} jQuery(\"#gform_save_3\").val(1); jQuery(\"#gform_3\").trigger(\"submit\",[true]); }'> \ud83d\udcbe Save for later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_4' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_75\" ><h2 class=\"gsection_title\">Has the proposer(s) and the property to be insured<\/h2><div class='gsection_description' id='gfield_description_3_75'><a href=\"javascript:;\" onclick=\"window.open('final-details','myWin','scrollbars=yes,width=590,height=400');\"><img decoding=\"async\" class=\"alignright size-full wp-image-1166 lazyload\" title=\"Information\" alt=\"Information\" data-src=\"https:\/\/www.emberjd.com\/wp-content\/uploads\/2012\/02\/information symbol.jpg\" width=\"10\" height=\"15\" style=\"--smush-placeholder-width: 10px; --smush-placeholder-aspect-ratio: 10\/15;margin-top: -25px; margin-right: -10px;\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\"><noscript><img decoding=\"async\" class=\"alignright size-full wp-image-1166\" title=\"Information\" alt=\"Information\" src=\"https:\/\/www.emberjd.com\/wp-content\/uploads\/2012\/02\/information symbol.jpg\" width=\"10\" height=\"15\" style=\"margin-top: -25px; margin-right: -10px;\"><\/noscript><\/a><\/div><\/li><li id=\"field_3_62\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_62\" ><label class='gfield_label gform-field-label' for='input_3_62'>Any unspent criminal conviction(s), been charged (but not yet tried) or Court Court Judgement(s)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_62' id='input_3_62' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_90\" ><label class='gfield_label gform-field-label' for='input_3_90'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_3_90' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_63\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_63\" ><label class='gfield_label gform-field-label' for='input_3_63'>Ever been declared bankrupt, subject of bankruptcy proceedings or insolvency?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_3_63' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_91\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_91\" ><label class='gfield_label gform-field-label' for='input_3_91'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_3_91' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_64\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_64\" ><label class='gfield_label gform-field-label' for='input_3_64'>Ever had a proposal declined, had a policy cancelled by an insurer, renewal refused or had special terms imposed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_64' id='input_3_64' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_92\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_92\" ><label class='gfield_label gform-field-label' for='input_3_92'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_3_92' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_112\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_112\" ><label class='gfield_label gform-field-label' for='input_3_112'>Do you plan on carrying out any renovations, conversions, extensions or other structural alterations to the property in the next 12 months?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_112' id='input_3_112' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_113\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_113\" ><label class='gfield_label gform-field-label' for='input_3_113'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_3_113' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_61\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_61\" ><label class='gfield_label gform-field-label' for='input_3_61'>Has the property or the neighbouring area ever flooded or in an area at risk of flooding?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_61' id='input_3_61' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_93\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_93\" ><label class='gfield_label gform-field-label' for='input_3_93'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_3_93' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_59\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_59\" ><label class='gfield_label gform-field-label' for='input_3_59'>Has the property ever been damaged by subsidence, ground heave or landslip, monitored for subsidence, survey reported settlement or movement, showing signs of cracking or within an area subject to subsidence?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_3_59' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_94\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_94\" ><label class='gfield_label gform-field-label' for='input_3_94'>Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_3_94' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_65\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_65\" ><label class='gfield_label gform-field-label' for='input_3_65'>Made any claims under property insurance policy for this or any other property or any incidents of damage or loss not insured, in the last 5 years?<\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_3_65' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes (give details in box below)' >Yes (give details in box below)<\/option><\/select><\/div><\/li><li id=\"field_3_96\" class=\"gfield gfield--type-list gfield--input-type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_96\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please give details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_96'><p style=\"text-align:center;\"><b><font color=\"red\"><big>If you do not have all the information you can save and return later, as incomplete answers will mean we cannot quote<\/big><\/font><\/b><\/p>\n<p style=\"text-align:right;\"><b><font color=\"red\">Click  <big>&#10753;<\/big> to add more row(s)<\/font><\/b><\/p><\/div><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_96_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_96_col_2' class='gfield_list_col_even' \/><col id='gfield_list_96_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_96_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Month \/ Year<\/th><th scope=\"col\">Type of Claim \/ Brief Description<\/th><th scope=\"col\">Cost \u00a3<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_96_cell1' data-label='Month \/ Year'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_3_96\" aria-label='Month \/ Year, Row 1' data-aria-label-template='Month \/ Year, Row {0}' type='text' name='input_96[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_96_cell2' data-label='Type of Claim \/ Brief Description'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_3_96\" aria-label='Type of Claim \/ Brief Description, Row 1' data-aria-label-template='Type of Claim \/ Brief Description, Row {0}' type='text' name='input_96[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_96_cell3' data-label='Cost \u00a3'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_3_96\" aria-label='Cost \u00a3, Row 1' data-aria-label-template='Cost \u00a3, Row {0}' type='text' name='input_96[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 10)' onkeypress='gformAddListItem(this, 10)'><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/noscript><\/noscript><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 10)' onkeypress='gformDeleteListItem(this, 10)' style=\"visibility:hidden;\"><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/noscript><\/noscript><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_104\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gf_center pagebreak field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_3_104\" ><label class='gfield_label gform-field-label' for='input_3_104'>IMPORTANT INFORMATION WHICH MUST BE READ IN FULL<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_104' id='input_3_104' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'>The information contained in this Statement of Fact forms the basis of your policy and is fundamental to the risk assumed by the Insurers. You must notify Ember JD Insurance Brokers immediately if any of the above details are incorrect as your cover might be invalidated if you do not.\nMisrepresentation\nWe declare that to the best of my knowledge and belief the information I\/We have provided in connection with this proposal to Ember JD Insurance Brokers, whether in my own hand or not, is true and complete and I\/We have not withheld or misrepresented any information. I\/We ask underwriters to act upon the information provided and issue a contract of insurance between us and I\/We agree to accept underwriter\u2019s policy terms, conditions and exclusions. I\/We consent to the seeking of information from other insurers to check the answers I\/We have provided and I\/We authorise the giving of such information for such purposes. I\/We understand that if I\/We have withheld or misrepresented any of the information contained in this proposal, underwriters may be entitled to void the insurance.\nData Protection Act 1998\nBy accepting this Statement of Fact you consent to Ember JD Insurance Brokers using the information we may hold about you for the purpose of providing insurance and handling claims, if any, and to process sensitive personal data about you where this is necessary (for example, health information or criminal convictions). This may mean we have to give some details to third parties involved in providing insurance cover. These may include insurance carriers, third party claims adjusters, fraud detection and prevention services, reinsurance companies and insurance regulatory authorities. Where such sensitive personal information relates to anyone other than you, you must obtain the explicit consent of the person to whom the information relates both to the disclosure of such information to us and its use by us as set out above. The information provided will be treated in confidence and in compliance with the Data Protection Act 1998. You have the right to apply for a copy of you information (for which we may charge a small fee) and to have any inaccuracies corrected.\nBasis of Cover\nI understand that my acceptance of this Statement of Fact does not bind me to complete the insurance but agree that, should a contract of insurance be concluded, this Statement of Fact and the statements made in it and the information provided in connection with it will be relied upon by the underwriters in deciding whether to accept this insurance.\nYour records\nYou should keep a record (including copies of any letters) of all information supplied to Ember JD Insurance Brokers for the purpose of entering into this insurance.\nChange in Circumstance\nYou must inform Ember JD Insurance Brokers of any change in circumstances which may affect this insurance. If you are in any doubt you should consult Ember JD Insurance Brokers.\nE.U. Disclosure Clause (UK)\nNotice to the Proposer \/ Insured: The parties are free to choose the law applicable to this insurance contract. Unless specifically agreed to the contrary this insurance shall be subject to English Law.\nComplaints\nAny enquiry or complaint should be addressed in the first instance to your broker, Ember JD Insurance Brokers. The process for complaining can be found in the Complaints section of your Policy Wording.\nThe Financial Ombudsman\nIf you are still not satisfied with the way a complaint has been dealt with you may ask The Financial Ombudsman to review your case without prejudice to your rights in law. 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