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Company/Trading Name (If applicable):
Can't find your trade listed?
Number of Principals/Partners/Directors:
Number of Employees:
If you are a Principal/Partner or director then you should not include yourself as an employee
Less Than 1 Year
Less Than 1 Year
Public liability limit of indemnity:
Do you make any use of heat?(Welding, electric oxy-acetylene, hot air guns, blow lamps/torches, tar bitumen or any other equipment or process involving the application or use of heat)
Have you been continuously insured for the past 3 years immediately preceding the cover date selected?
Have you had any claims in the last 5 years:
How many claims:
Claim 1 cost:
Claim 2 cost:
Terms and conditions
No work to be undertaken outside Great Britain, Northern Ireland, Channel Islands and the Isle of Man. No Proposal or renewal has ever been declined, withdrawn or subject to increased terms. You and or any director or partner have never been declared bankrupt or insolvent or been the subject of bankruptcy proceedings. You and or any director or partner have ever been convicted of or charged (but not yet tried) or been given an official police caution in respect of any criminal offence other than a motoring offence. You and or any director or partner have ever been convicted during the past 5 years of any offence relating to the health and safety of your employees or members of the public in connection with your business. You and or any director or partner have ever been convicted or have any pending prosecutions for any offence involving dishonesty of any kind including for example arson, fraud, theft or handling stolen goods. No contracting work will be carried out at or on: Docks, Harbours or Railways Watercraft Offshore gas or oil installations Chemical or petrochemical works, oil or gas refineries or storage facilities Aircraft, airports or airfields Collieries, mines or quarries Power stations Any installation where nuclear processing is undertaken We may contact you via email shortly before this date next year to offer you a renewal quotation. We may contact you via telephone with regards to this quotation.
Do you agree with the above terms and conditions:
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