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General Insurance Services
Contractors Liability Insurance Enquiry

Cover for liability incurred in the course of exercising a profession.

If you would like to receive a quote for Liability Insurance, please download the form. Alternatively, please fill in all the fields on the online form and click send.
 
 

Personal Details
Title:
First Name:
Surname:
Correspondence Address:
Post Code:
Telephone No:
Email Address:
Risk Address:
(If different from the
Correspondence Address)
Post Code:
Full description of
business activities (if possible give % of types of work):
Trading Name:
Years Trading:

Financial Data
  No. of People         Payroll Renumeration (£)
Clerical and non manual Principals (£):       
Direct manual Employees (£):       
Bona-fide sub-contractors (£):       
Manual Principals (£)::       
Work Away (£)::       
   
Please state annual UK turnover (£):
   

Does any work away from premises
involvce application of heat?:

(e.g. soldering, hot air guns, blow lamps, welding or flame cutting equipment
If yes, please provide details
   
What % of your overall work away does heat work represent
   
Do you work soley on private dwelling homes, shops, offices, public houses and guesthouses
   
Do you work over 15 metres in height
   
If applicable, maximum depth worked at
   
Have you or any partner/director ever been declared bankrupt/liquidated
   
Do you handle / use hazardous substances or chemicals (e.g. asbestos or toxins
   
If applicable, do you have a procedure to check that bona-fide Sub-contractors carry the same level Employers, Public and Product Liability Limits  
   
Public and Products Liability Limit:
   
Employers Liability: £10 Million
   
Current Insurer:
Renewal Date:    dd/mm/yy
Have you made any claims
over the past 5 years?:
(if so please give details):
   
Agent Ref :    (if applicable)
   
     
AHS Insurance Ltd, Alexandra House, Alexandra Road, Swansea, SA1 5ED    Telephone: 01792 465141    Fax: 01792 643237
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