pro-indemnity.co.uk Liability (maximum 6 persons) Quote 1. Name of Proposer:  Company Trading Title:  Type of Company: Sole TraderPartnershipLimited Company- 2. Address of the premises:  Post Code:  Tel. Number:  E-mail : 3. Description of Business: (Occupation & Nature of all Business engaged in)    Percentage of work away from premises %  Maximum height worked (m)  Maximum depth level worked (m)  Do you engage in heat work?  Yes No  If Yes to heat work, percentage of work away: % 4. Numbers of years trading: 5. How many Principals / Partners / Directors work manually? : 6. Wages - manual, including partners, principals and directors, but excluding woodworking £  Manual woodworking machinists wages £  Clerical and non-manual staff wages £  Payments to labour-only sub-contractors £  Payments to bona-fide sub-contractors £ 7. Annual Turnover £ 8. INSURANCE HISTORY    Have you got previous insurers:  Yes No  Name of current insurers (so that we don't approach them!)  Expiry date of current insurance  Current premium (if known) £  Have you ever been declined, cancelled, refused or special terms:  Yes No  If "Yes" please give full details  Have you had any claims:  Yes No If "Yes" please give details below -   Date of claim: What happened: Total Payment: 1. 2. 3. 4. Do you require Public Liability? £ 1M indemnity2M indemnity 3M indemnityNot Required Do you require Products Liability? £ 1M indemnity2M indemnity 5M indemnityNot Required Do you require Employers Liability?  Yes No Do you require tools cover? £ 750 cover1000 cover 1500 coverNot Required Do you require contractors all-risks cover?  Yes No  If yes, please use the Contractors All Risks form available by clicking here. Please supply me with an estimate within 105 working days. (We will attempt to meet the target, but please be aware that it does require our insurers to respond quickly as well!) Done   Please check your details, and when you are happy that all is correct, tick the 'Done' box and then click the Submit button above...