Tel: 01623 641 386     
Contractors All Risks Insurance
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Contractors All Risks Quotation Form

For UK Customers Only

Please insert your details here and one of our commercial advisers will contact you with a contractors all risks insurance quotation shortly.

This form is designed for contractors/developers requiring annual contractors all risks insurance whilst working at a contract site and with a regular flow of jobs throughout the year. Regrettably, we cannot provide quotations for 'one-off' or 'single contract' developments.

The policy can provide annual cover for public and employers' liability and/or contract works (materials, etc.), own plant, hired-in plant, employees tools and temporary buildings.

If you have any problems with completing this form, please phone us on 01623 641 386 for assistance.

General Contact Information

Proposer's Full Name(s):
(enter sole trader's name or all partner's names if a partnership)
Contact Name:
(if different to proposer's name)
Limited Company Name:
(if operating as a limited company)
Do you require cover for any subsidiary companies?Yes     No
If yes, please provide the name(s) of any subsidiary
company(s) that you wish to include under your insurance:
Trading Name/Trading As:
(if different to the above)
Trading Status:
Occupation/Trade:
(e.g.builder, property developer, etc.)
Business Address:
Postcode:
Daytime Telephone Number:
Mobile Telephone Number:
*E-Mail Address:
*Please note that your email address will only be used to provide you with your quote and not for any other marketing purposes.
General Information

Have you, or any other partner or director
ever been convicted of or charged (but not yet tried)
with any criminal offences other than a motoring offence?
Yes     No
If yes, please provide details of the conviction(s):
(e.g. type and reason for conviction(s))
Date of Conviction/Offence:
Details of any fines and/or community service:
(Please enter 'None' if you did not
receive any fines and/or community service)
Length of custodial sentence(s):
(Please enter 'None' if you did
not receive a custodial sentence)
Has any insurer ever refused renewal,
declined/cancelled cover or imposed any special terms?
Yes     No
If yes, please provide details:
(e.g. details/reason for any insurance refused/
cancelled/special terms imposed, etc.)
Have you, or any other partner or director ever been
declared bankrupt or insolvent or been the director
of a company which has become insolvent or which
has gone into liquidation, receivership or administration?
Yes     No
If yes, please provide details:
(e.g. circumstances of bankruptcy/insolvency/administration etc.)
Date of bankruptcy/insolvency/liquidation/administration:
Amount of bankruptcy/insolvency, etc. (£'s):
Please provide details of date discharged,
or please confirm if still current/outstanding:
Have you, or any other partner or director ever had any
County Court Judgements (CCJ's), or Sheriff Court Decrees?
Yes     No
If yes, please provide details:
(e.g. type and circumstances of CCJ/Sheriff Decree)
Date of CCJ / Sheriff Decree:
Amount of CCJ / Sheriff Decree (£'s):
Is the CCJ / Sheriff Decree still current/outstanding?Yes     No
Have you, or any other partner or director ever
been prosecuted under any Health & Safety
Legislation or ever been served a prohibition order or
improvement order by the Health & Safety Executive?
Yes     No
If yes, please provide details of the prosecution(s):
Date of prosecution and/or prohibition/improvement order:
Details of any fines and/or action taken by the HSE:
(Please enter 'None' if you no further action was taken)
Trade Associations
Are you a member of a relevant
trade association for your industry (e.g. CITB, etc.)?
(You may receive additional discounts if you are a member of a trade association)
Yes     No  Help?
If yes, please provide details:
Trade / Work Undertaken
Description of your full trade / work activities undertaken:
(Please describe as fully as possible including
a percentage split between each activity
,
where you carry out more than one activity)
 Help?
Work Locations
What percentage of your work is carried out at the following locations:
(i) Private Dwelling Houses and Flats?%
(ii) Commercial Buildings (e.g. shops, offices, pubs, etc.)?%
(iii) Industrial Buildings (e.g. industrial units, factories, etc.)?%
(iv) Other Locations (state below if applicable)
%
Total:100%
Is work carried out at any hazardous locations?
(e.g. offshore installations, railways, motorways, bridges, tunnels, flyovers, viaducts, power stations and/or nuclear installations, refineries, petrochemical installations, or chemical works, oil or gas refineries or bulk storage facilities, airports, aircraft or airfields, quarries, mines, ships, docks, jetties, piers, dams, reservoirs, coastal defence or flood prevention, towers, steeples, chimney shafts and blast furnaces.)
Yes     No  Help?
If yes, please state type of location(s) and
the percentage of work spent at the location(s):
Work Outside UK
Is any work undertaken outside the UK?Yes     No  Help?
If yes, please provide details:
(i.e. area(s) worked and percentage of turnover)
Professional Risks
Do you provide any advice, design or specification?Yes     No
Trading Experience
How many years has your business been trading? year(s)
Number of years previous experience in this trade:
(A minimum of 3 years previous experience is required if you have 0 years trading)
year(s)
Depth / Height Work
Please state the maximum depth you dig: metre(s)
Do you undertake any piling or underpinning work?Yes     No
If yes, please provide details:
(i.e. type of work undertaken)
What percentage of your overall work
activities does this work represent (e.g. 10%)?
%
Please state the maximum height worked: metre(s)
Do you or your employees undertake
any steel erection/structural steel work?
Yes     No
If yes, please provide details:
(i.e. type of work undertaken)
What precentage of your turnover does this represent?%
Do you use slings, cradles, bosuns
chairs, abseiling equipment or tower cranes?
(cherry pickers and mobile platforms are acceptable)
Yes     No
If yes, please provide details of equipment
used and how frequently it is used:
Heat Details
Do your activities involve the use of heat?
(e.g. blow lamps, blow torches, welding equipment, grinders, etc.)
Yes     No  Help?
If yes, please state all types of heat used:
(e.g. blow lamps, blow torches, welding equipment, grinders, etc.)
Percentage of work that involves the use of heat:
Do you operate a 'hot work'
permit system for heat applications?
Yes     No
Health & Safety
Do you have a written Health & Safety policy in force
which is reviewed regularly and distributed to employees?
Yes     No  Help?
Do you carry out a full Health & Safety Risk
Assessment at the contract site before commencing work?
Yes     No
Are written Method Statements prepared for each contract?Yes     No
Is Health & Safety training given to
employees and is the training recorded?
Yes     No
Do you supply and enforce use of
Personal Protective Equipment (PPE) where required?
Yes     No
Additional Risk Information
Do you or your employees work with asbestos, silica,
explosives or any other substances hazardous to health?
Yes     No
If yes, please provide details:
Do you or your employees carry out any separate
demolition work on buildings or structures other than
as part of a contract for reconstruction, alteration or repair?
Yes     No
If yes, please provide details of demolition work:
(i.e. percentage of work involving demolition,
type of demolition work, etc.)
Does any of your work involve
the use of fixed woodworking machinery?
(hand held power tools are acceptable)
Yes     No
If yes, please provide details:
(i.e. No. of employees using the machinery and
annual wages of the employees using the machinery)
Do your activities involve the
construction or renovation of timber framed buildings?
Yes     No
If yes, please confirm the approximate
percentage of your turnover that this work represents?
%
What is the maximum number of
storeys in any one timber framed structure/block?
storey(s)
What is the largest value any one structure/block?
If you work on multiple blocks of flats or private dwelling
houses, what is the minimum distance between them?
metres
Does the site and work comply with
the Joint Code of Practice for construction sites?
Yes     No
How many years previous experience do
you have working on timber framed structures?
year(s)
Site Security Details
Do you erect full site perimeter
fencing and/or boarding at the contract site?
Yes     No  Help?
Please provide details of any additional
security used to secure any materials or plant on site:
(e.g. security patrols, plant/tools kept in locked building, CCTV, etc.)  Help?
Claims History
Have you, or any other partner or director suffered any loss or had any claims made against you in the last 5 years?Yes     No
Claim 1.
Date of Loss:
Cause of Loss:
Circumstances of the Loss:
Total Cost of Loss (£'s):
(including any amounts paid or outstanding)
Status of Claim:Settled     Claim Still Pending
Do you wish to add another claim?Yes     No
Claim 2.
Date of Loss:
Cause of Loss:
Circumstances of the Loss:
Total Cost of Loss (£'s):
(including any amounts paid or outstanding)
Status of Claim:Settled     Claim Still Pending
Do you wish to add another claim?Yes     No
Regrettably we will be unable to provide a quotation if you have had more than 2 claims.
Builders / Property Developers Only
If your trade or business is a builder or property developer, please state the percentage split of your work:
New Construction up to 20m height:%
New Construction up to 10m height:%
General Building (i.e. alteration, maintenance, repairs, etc.):%
Other Building Work (state below if applicable)
%
Total:100%
Turnover
Estimated contracting turnover for the next 12 months:  Help?

Details of Cover Required

Public/Product Liability Cover
Is Public/Product Liability required?Yes     No  Help?
Public/Product Liability limit of indemnity required:  help
 Manual Principals Managerial/Clerical Principals
Number of Proprietors/Partners/Company Directors:No.No.
Annual Wages of Proprietors/Partners/Co. Directors:  
Please confirm your annual payments
to Bona Fide (supply & fix) Sub-Contractors:
(BFSC's are sub-contractors who supply their own materials and hold their own insurance.)
   Help?
If you use Bona Fide Sub-Contractors, do you
check they have the same level of liability insurance?
Yes     No     N/A
Employers' Liability Cover (Compulsory by Law if you have employees or use labour only sub-contractors)
Is Employers' Liability required?
(£10M standard limit of indemnity)
Yes     No  Help?
 Manual Workers Non-Manual/Clerical Workers
Number of Employees/Labour Only Sub-Contractors:
(Do not include proprietors, partners and directors)
No.No.
Annual Wages of Own Employees:  
Annual Payments to Labour Only Sub-Contractors:
(LOSC's are sub-contractors who supply labour only and work under your supervision)
   Help?
Employers' Reference Number (optional)
Employers' Reference Number (ERN) (if available):  help?
(e.g. 123/AB12345)
Contract Works
Do you require cover for Contract Works?
(i.e. the permanent / temporary works and materials on site)
Yes     No   Help?
Please state the maximum value of any one contract:
(This amount will normally be less than and no more than your annual turnover.)
    Help?
Please state the
maximum length of any one contract:
(e.g. typically up to a maximum of 6 or 12 months)
  Help?
Own Plant
Do you require cover for Own Plant?Yes     No   Help?
Please confirm the total value of your Own Plant, Tools
& Equipment required to be covered whilst working on site:
 
Please confirm the maximum
value of any one item of your own plant:
   Help?
Employees' Tools
Do you require cover for Employees' Tools?Yes     No   Help?
Please confirm how much cover
you require for your Employee's Tools:
 
Hired-In Plant
Do you require cover for Hired-In Plant?Yes     No   Help?
Please confirm the hired-in plant
total value for all items of hired-in plant:
   Help?
Please confirm the maximum
value of any one item of hired-in plant:
   Help?
Your estimated annual hiring charges/costs incurred:
(e.g. £10,000 per annum)
   Help?
per annum
Site Huts / Temporary Buildings
Do you require cover for Site Huts / Temporary Buildings?Yes     No   Help?
Please state how much cover you
require for site huts / temporary buildings:
 
Business Legal Expenses Cover
Do you require Business Legal Expenses Cover?
(100K standard limit for legal defence costs, employment disputes, tax investigations, etc.)
Yes     No   Help?
Limit of indemnity required? 
Has the business been involved in any legal disputes,
employment disputes or tax investigations in the last 5 years?
Yes     No
If yes, please provide details:
(e.g. date of dispute,
type of dispute
outcome of dispute
cost involved, etc.)
Directors & Officers Cover
Do you require Directors & Officers Cover?Yes     No   Help?
Can you confirm that the company is domiciled in the UK; is privately held; has not raised any funds from external parties; has been in operation for more than 12 months; has its financial statements prepared by a qualified accountant, shows a profit and are not subject to any concerns by the auditors; derives at least 50% of all its turnover from clients within the UK and EU; has not acquired any companies which have increased its total assets by 50% or more; and has no mergers or acquisitions planned and has not had any claims made against it or its directors and is not aware of any circumstances that could give rise to such claim?Yes     No
If no, details:
Limit of indemnity required? 
Additional Information / Cover
If there is any additional information that
you wish to disclose or cover that you
wish to include, please provide details:
You are required to make a fair presentation of the risk to insurers which means that you are required to disclose every material circumstance which you know or ought to know relating to the risk to be insured. Materially important information is any information that could influence an insurer's decision to accept your risk including the cost of your insurance. Failure to comply with the duty of fair presentation could mean that your policy is void or that insurers are not liable to pay all or part of your claim(s). By submitting this quotation you are confirming that there are no other material facts to disclose other than those shown above.
Details Of Current / Previous Policies

Renewal date / date cover required:
Current annual premium / best quotation: 
This may help us to get you a better quote
Name of current / previous insurer:
e.g. Aviva, AXA, Allianz, RSA, Thistle, Zurich, etc.

Request Quotation

Disclosure
Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Contractors All Risks Quotation button and we will contact you shortly with a quotation.


Estimated Quote Time: 1 to 72 hours