Employer's Public & Products Liability - Contracting Trades
Proposers Full Name
Trading Name (if different from above)
Postal Address
Occupation / Business / Trade Description
Postcode
Address of premises to be insured if different from postal address
Postcode
If you are registered for VAT any claim for loss or damage to property will be paid exclusive of VAT, and you are advised to arrange your sums insured accordingly. Allowance should be made to include an amount for VAT in the sum insured if you are not registered.
VAT Status/Registration No
 
1. Do you require a Quotation for:-
a) Employers Liability (not available on a stand alone basis)
b) Public Liability
c) Products Liability (only available with public liability)
For Public and/or Products, state limit of indemnity required.
Please tick
£ 1,000,000
£ 2,000,000
£ 5,000,000
£ 10,000,000
Other Limit of Indemnity required
£
2. Date Business commenced
Are you a member of a trade association?
Yes No
If Yes, which?
Do you comply with the associations working code of practice?
Yes No
Do you have a standard contract between you and your client to which you comply?
Yes No
If Yes, you will be asked to supply a copy
Proportion of your work undertaken based on this contract?
Registered in England: Number 608819
Authorised and Regulated by the Financial Services Authority
Registered Office:
Lygon House, 50 London Road, Bromley, Kent. BR1 3RA