Cleaning Industry - Liability | Proposal Forms

Estimated Figures for the next 12 Months

Please ensure that you provide a full and precise breakdown of all your business activities:

Total No. of Staff

Salary drawings of Principals or Partners

Wages - Own Employees & Labour only Sub-Contractors

Payments to Independent Contractors (Bona-Fide Sub-Contractors)

Turnover

a) Clerical, administrative, (not involved in manual work)

b) Window cleaning at ground level & by means of reach/wash system

c) Window cleaners working up to 10 metres in height

d) Shop/office/pub/domestic

e) Schools/hospitals

f) Factory cleaning, ex machinery

g) Office and toilet areas within factories

i) Carpet, upholstery cleaning

j) Builders cleans (internal only)

k) Fire and Flood Restoration

l) Pressure washing without the use of chemicals

m) Any other cleaning work. Please state exact activity and figures below

n) Any non cleaning work

Totals

Estimated gross company turnover for next 12 months (excluding sales of Janitorial products)	£
Estimated gross turnover in respect of Janitorial Products sold	£

Do you always ensure that Independent Contractors (BFSC) maintain Employers'/Public/Products Liability Insurance with limits of indemnity no less than those proposed under this insurance, and do you obtain written evidence on appointment of such Contractors and at least annually thereafter.

Yes No

Do you carry out work:

a) Involving the use of heat e.g. welding/cutting plant, blow lamps, torches, hot air strippers etc?

Yes No

b) On or in aerodromes/airports (other than internal areas), aeroplanes, oil, petrol, gas or chemical storage tanks, offshore gas or oil installations, gas or chemical works, nuclear processing installations, railways or tunnels, blast furnaces, bridges, chimney shafts, collieries, docks, gas works, harbours, mines, oil refineries, power stations, pylons, reservoirs, ships, steeples, towers, viaducts, quarrying, blasting, diving operations, dams and water diversion, hospital operating theatres & clean room environments.

Yes No

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