Tradesmen’s Liability Insurance Quote Request


COMPANY/CONTACT DETAILS
Business Name:
Are you a Limited Company:
Yes
No
Contact Name (inc Title):
Postcode:
Contact Number:
E-mail Address:
Renewal Date:
Name of Existing Insurers:
Target Premium (£):
Please provide a description of your business activities:
How many years have you been trading?
Have you made any claims or suffered any losses in the past 5 years?
Details of membership of any regulatory body (e.g. CORGI):
LIABILITY COVER
Public Liability Limit of Indemnity:
Employers' Liability Limit of Indemnity:
No of MANUAL Principals/Directors:
No of MANUAL Employees inc. labour only subcontractors:
Estimated annual payments to Bona Fide Subcontractors:
Do you need Temporary Employee insurance cover?
Yes
No
Do you work solely on Private dwelling houses, Offices, Public Houses, Guest houses, hotels and schools?
Yes
No
Maximum Height worked at:
Maximum Depth worked at:
Does your work involve the use of Heat?
If Other, please give details:
STATEMENT OF FACT

1. You do not work with silica, asbestos, or substances containing asbestos.

2. You do not work with acids, gases, explosives, radioactive, or similar dangerous liquids or substances.

3. You do not do any work on power stations, nuclear installations, or establishments.

4. You do not do any work on refineries, bulk storage, or premises in oil gas or chemical industries, or offshore structures.

5. You do not do any work on aircraft, hovercraft aerospace systems, watercraft, railways, underground, or underwater.

6. You do not do any work in or on computer suites or on computers.

7. You do not use any fixed powered woodworking machinery?

8. You have no adverse insurance, economic or personal history.

9. There are no other material facts that may affect an insurers willingness to offer you cover
If you agree with the above statements please tick here:
If you do not agree with any of the above statements please tick here and give full details below:
Comments
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