Doormen/Stewards | Proposal Forms

1. Employers Liability

Is cover required for Employer's Liability?

Yes No

If Yes, please provide the following details:

Type of Employee	Number	Estimated Wages
Clerical/Managerial
Door Supervisor/Security Staff

a) Sub Contractors:

		(i) Do you employ any Sub Contractors? (If Labour only please include under Employers Liability section	Yes No
		(ii) Do you ensure that Sub Contractors maintain Employers Liability and Public/Products/Products Efficacy Liability Insurances with Limits of indemnity no less than the Limits Proposed under this Insurance	Yes No
		(iii) Estimated Annual Payments to Bona-Fide Sub Contracts	£

2. Public Liability

Is cover required for Public Liability?	Yes No
Annual estimated turnover	£

3. Wrongful Arrest

Is cover required for Wrongful Arrest?

Yes No

4. Personal Accident

Is cover required for Personal Accident?

Yes No

(a) Number of persons to be insured
(b) Are you and your staff physically fit and in good health?	Yes No

If No, please provide brief details

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Lygon House, 50 London Road, Bromley, Kent. BR1 3RA