Tradesman 20
Tradesman 5
Professional Indemnity
Excess Layer
 
   
 

Scaffolders, Roofers, Hot Roofers, Steel Erectors, Steel Fabricators

PROPOSER

Full Name (including trading name)

  *  

Legal Status:

  *  

Postal Address (including postcode)

  *

Are they
(please select one)

 
Sole Trader Partnership Limited Company * 

Trade selection

  *  

USE OF HEAT

   

Does the proposer or any of its employees engage in the application
of heat either on or away from the Business premises?

Yes No *  
     

a) Soldering irons

   Yes No *  

b) Blow lamps

  Yes No *  

c) Welding, cutting, grinding equipment

  Yes No *  

What percentage of the TOTAL turnover is work carried out at the following locations;

Total Turnover (£)

  *  
a) Private Dwelling Houses:  
* Private dwelling houses only  

b) Commercial Buildings:

  *  
Flats, Shops, Public Houses, Schools, Restaurants
and Offices only

c) Industrial Buildings

  *  
Factories, Warehouses, Agricultural, Quarries, Hospitals,
Hotels, MOD or other

Further information

 

Does the Proposer or any of its employees use, handle, transport or work in/on any of the following;

a) heights exceeding 15 metres?

 
Yes No
*  

b) depths exceeding 0.5 metres?

 
Yes No
*  

Further information

 

Number of Employees for the period of insurance proposed for the following categories:

Clerical/Administrative

  *  

>Non manual - Directors(s)/Principal(s)

  *  

Manual - Directors(s)/
Principal(s)

  *  
Manual   *  

Limits of Indemnity required:

Employer's Liability

  *  

Public Liability

  *  

Product's Liability

  *  

Has the insured suffered a loss, claim or incident (which may give rise to a claim) at
these premises, or any other premises, whether injured or not in the last 5 years?

Yes No
*  

Further information

  

GENERAL INFORMATION

Contact Name

   *  

Contact Tel Number

  *  

Contact Email

  *  


Terms and Conditions

Copyright © 2009 Hensure Underwriting | Terms & Conditions | Terms of Business. Hensure Underwriting is a trading name of RK Henshall & Co Ltd. RK Henshall & Co Ltd are authorised
and regulated by the Financial Services Authority. Registration Number: 308865. www.fsa.gov.uk. Written quotations, policy terms, conditions and exclusions are available on request.