Security Industry - Liability | Proposal Forms

Estimated Wages

a) Clerical staff, Directors, Commercial Travellers and Managerial Employees who do not engage in manual work

b) Static and mobile Security Guards

c) Guards engaged on cash carrying duties

d) Other Employees; state type

2. Employers Liability

Please give estimated annual wages and numbers in respect of employees in the following categories including Labour Only Sub Contractors:

e) 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

3. Personal Accident Insurance

Do you require Personal Accident Insurance?

Yes No

If Yes, please state

	a) Do you require full 24 hour cover?	Yes No
	b) Do you require Insurance restricted to occupational cover only including travelling to and from work?	Yes No

	c) The total number of employees and brief description of work undertaken:


	d) The sum insured required per person for death and capital benefits	£
	e) The sum insured required per person for temporary total disablement	£
	f) Are satisfactory enquiries made concerning the health and physical fitness of prospective employees before they are employed?	Yes No

4. Fidelity Guarantee

	Do you require Fidelity Guarantee Insurance?	Yes No
	If yes, state Limit of Indemnity	£

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