The information you provide on this proposal form is vital to Underwriters'
consideration of the relative risks associated with your business. The premium quoted
will be based on a number of factors including the responses you give to the questions
This proposal must be signed and dated by a partner, principal or director of the
business. It is your duty to disclose all material facts to the Underwriters. A material
fact is one that is likely to influence underwriters' judgement and acceptance of
Should we underwrite your policy, any change or alteration to the information you give
below, which occurs during the period of the policy, requires immediate notification
to us. Failure to do so may result in cover being available from the date at which the
change or alteration occurred.