| * Proposer |
A value is required. |
* Business name |
A value is required. |
| Date of Birth |
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* E-mail address |
A value is required.Invalid format. |
| * Contact Phone |
A value is required.Invalid format. |
Alternative Phone |
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| Business Address |
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Town |
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| County |
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* Post Code |
A value is required. |
| Best quote so far? £ |
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Renewal/Start Date Required |
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| * Have you ever been refused insurance, had a policy cancelled or any special terms imposed? |
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| * Have you any CCJ's, bankruptcy orders, previous insolvent companies or criminal convictions? |
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| How many years have you been trading? |
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* Are you a limited company? |
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| * Please describe all activities to be undertaken: |
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* Have you had any claims or uninsured losses?
If yes, please provide details:: |
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| Is any work undertaken outside the UK |
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* Estimated annual contracting turnover in the UK £ |
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| * Max. value any one contract £ |
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* Max. contract length |
months |
| Ave. value any one contract £ |
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Ave. contract length |
months |
| Own plant cover |
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Replacement basis: |
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| Total replacement value £ |
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Max. value per site £ |
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| Are plant & tools kept in a locked building/compound/yard when not in use? |
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If no, what other security arrangements are there? |
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| Hired in plant cover |
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Estimated annual hire charges £ |
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| Employee tools & effects £ |
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No. of employees |
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| What level of PL cover do you need? |
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£10m EL cover is automatically included with PL cover |
| What is your manual wagebill? |
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What is your clerical wagebill? |
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| How many sub contractors do you have? |
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How much do you spend on sub contractors? |
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