Demolition Contractors Insurance Quote Form

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

This form is designed for quotes for Demolition Contractors Public Liability and Employers Liability Insurance only. Please note that minimum premiums start from £5,000 + insurance premium tax for demolition contractors insurance.

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

Personal/Company Details
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)
Trading Name: (if different to the above)
Trading Status:	- - - - - - Please Select - - - - - Sole Trader Partnership Limited Company Limited Liability Partnership Unincorporated Association
Occupation/Trade:
Business Address:
Postcode:
Daytime 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: (e.g. type of conviction(s), date(s) of conviction(s), details of any fines and/or length of custodial sentence(s))
Has any insurer ever refused renewal, declined/cancelled cover or imposed any special terms?	Yes     No
If yes, please provide details: (e.g. details of any insurance refused/ cancelled/special terms imposed, etc.)
Have you, or any other partner or director ever had any County Court Judgements (CCJ's) / sheriff decrees / IVA's or been declared bankrupt, or involved in a company which has become insolvent or which has gone into liquidation, receivership or administration?	Yes     No
If yes, please provide details: (e.g. date(s) of bankruptcy/insolvency, amount of bankruptcy/insolvency, date bankruptcy discharged or CCJ/IVA settled, circumstances, etc.)	Please note we are unable to provide a quote if your bankruptcy is not discharged or your CCJ / IVA remains outstanding or unsettled.
Have you, or any other partner or director ever been prosecuted or served a prohibition order by the Health & Safety Executive?	Yes     No
If yes, please provide details: (e.g. date of prosecution(s), details of offence(s), etc.)
Have you, or any other partner or director ever been the subject of a recovery action from HM Customs and Excise or the Inland Revenue?	Yes     No
If yes, please provide details: (i.e. name of person or business subject to recovery action, date of recovery action, and reason for the recovery action)
Business Activities
Description of your work activities: (Please describe as fully as possible including type(s) of demolition work.)
What demolition methods do you use: (i.e. hand demolition only, machine demolition, etc. incl. a percentage split if more than one method used; e.g. 50% hand demolition, 50% machine demolition, etc.)
Do you undertake ball and chain demolition?	Yes     No
If yes, please provide details: (e.g. type of contracts and percentage of turnover this represents)
Do you undertake one drop / felling demolition?	Yes     No
If yes, please provide details: (e.g. type of contracts and percentage of turnover this represents)
Do you use explosives?	Yes     No
If yes, please provide details: (e.g. type of contracts and percentage of turnover this represents)
Is all demolition undertaken in accordance with BS6187 (2011) conditions?	Yes     No
If no, please provide details:
Work Locations
Is work carried out at any hazardous locations? i.e. airports, aircraft, petrol/gas/oil or chemical installations, storage depots or plants, towers, bridges, chimney shafts, steeples, blast furnaces, viaducts, dams, reservoirs, mines, shipyards, docks, harbours, piers, wharfs, jetties, railways or railway property, nuclear plants or other power stations.	Yes     No
If yes, please state type of location(s) and the percentage of work spent at the location(s):
Is any work undertaken outside of the U.K.?	Yes     No
If yes, please provide details: (i.e. area/country of work, percentage of turnover outside of UK)
Years Trading Experience
How many years has your business been trading?	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years 20 Years 21 Years 22 Years 23 Years 24 Years 25 Years 26 Years 27 Years 28 Years 29 Years 30 Years 30+ Years
Number of years previous experience in this trade? (A minimum of 3 years previous experience is required if you have 0 years trading)	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years 20 Years 21 Years 22 Years 23 Years 24 Years 25 Years 26 Years 27 Years 28 Years 29 Years 30 Years 30+ Years
Asbestos Removal Information
Do you undertake any contracts for asbestos removal?	Yes     No
What percentage of your turnover involves removal of 'notifiable' asbestos?	%
What percentage of your turnover involves removal of 'non-notifiable' asbestos?	%
Do you have a risk management policy in force to comply with the control of asbestos at work regulations 2002?	Yes     No
In respect of 'non-notifiable' asbestos, is work undertaken by direct employees?	Yes     No
If yes, are all health and safety guidelines adhered to?	Yes     No
If work is not undertaken by your own direct employees, is the work sub-contracted to bona fide sub-contractors?	Yes     No     N/A
Do you transfer contractual responsibility/ conditions to the bona fide sub-contractors?	Yes     No     N/A
Height / Depth Work
Please confirm the maximum height you would work: (e.g. 15 metres)	metres
If you carry out any digging, please confirm the maximum depth you would work: (e.g. 1 metre)	metres
Heat Use
Do your activities involve the use of heat? (e.g. blow torches, welding, flame cutting equipment, grinders, etc.)	Yes     No
Please state the type(s) of heat used: (e.g. blow torch, welding, flame cutting equipment, grinders, etc.)
Please confirm the percentage of time it is used: (e.g. 5%)	0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100%
Trade Associations
Are you a member of the NFDC or any other relevant trade association?	Yes     No
If yes, please provide details:
Health & Safety
Do you have an up to date Health & Safety Policy tailored to your activities?	Yes     No
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 / job?	Yes     No
Do you provide a staff handbook?	Yes     No
Do you provide 'toolbox talks'?	Yes     No
Do you check and ensure that all personnel operating machinery and equipment have been trained in their safe and proper use?	Yes     No
Do you have a formal training plan and retain full training records for all employees?	Yes     No
Do you supply and enforce use of Personal Protective Equipment where required?	Yes     No
Claims Experience
In relation to this business or any other previous business in which the proprietor or any partners or directors have traded, in this or any other name, has there been a claim under any of the cover(s) within the last 5 years?	Yes     No
If yes, please provide details:	Date of claim: Cost of claim:£ Details of claim: ---------------------------- Date of claim: Cost of claim:£ Details of claim: ---------------------------- Regrettably, if you have more than 2 claims, we will be unable to provide you with a quotation.

Details Of Cover Required
Public/Product Liability
Public/Product Liability limit of indemnity:		£1 Million £2 Million £5 Million £10 Million
		Manual Principals		Non-Manual / Clerical Principals
Number of Proprietors/Partners/Co. Directors:	No.		No.
Annual Wages of Proprietors/Partners/Co. Directors:
Bona Fide Sub-Contractors
Do you use any Bona Fide Sub-Contractors? (BFSC's are sub-contractors who do not work under your supervision, supply their own tools/equipment on site and hold their own liability insurance)		Yes     No
Please state your annual payments to Bona Fide Sub-Contractors:
If yes, please describe the work carried out by Bona Fide Sub-Contractors: (e.g. demolition, asbestos removal, scaffolding erection, etc.)
Employers' Liability (Compulsory by Law if you have direct employees or labour only sub-contractors)
Is Employers' Liability Cover Required? (£10M standard limit of indemnity)		Please Select Yes No
		Manual Workers		Non-Manual / Clerical Employees
No. of Employees/Labour Only Sub-Contractors: (Do not include proprietors, partners or directors)	No.		No.
Annual wages of own employees:
Annual payments to Labour Only Sub-Contractors:
Do you or any of your employees get involved in any Structural Steel or Scaffolding?		Yes     No
If yes, please provide details:		Number of employees: Wages of Employees:£
Turnover
Estimated Annual Turnover for the forthcoming year:
In respect to the above annual turnover, please provide a split of the turnover into the following activities:
Total demolition of structures:
Partial demolition / structural stripout:
Internal soft stripout (non structural):
Site Clearance / Muckaway / Haulage:
Structural steel erection:
Asbestos removal:
Scaffolding:
Any other activity (specify below):
Structures Worked On
Please advise the approximate percentage split of your work at the following (must add up to 100%):
Domestic Property (houses, bungalows, etc.):		%
Commercial Property (shops, offices, pubs, etc.):		%
Industrial Property (industrial units, etc.):		%
Other Structures:		%
Total:		100%
Additional Covers
Contract Works
Do you require cover for Contract Works? (i.e. the permanent/temporary works and materials on site)		Yes     No
Please state the maximum value of any one contract: (Please note that this amount will normally be less than and no more than your turnover.)
Please state the maximum length of any one contract: (e.g. typically up to a maximum of 3 or 6 months)		1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 15 months 18 months 24 months Over 24 months
Own Plant
Do you require cover for your Own Plant?		Yes     No
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:
Employees' Tools
Do you require cover for Employees' Tools?		Yes     No
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
Please confirm the hired-in plant total value for all items of hired-in plant:
Please confirm the maximum value of any one item of hired-in plant:
Your estimated annual hiring charges/costs incurred: (e.g. £10,000 per annum)		per annum
Site Huts / Temporary Buildings
Do you require cover for Site Huts / Temporary Buildings?		Yes     No
Please state how much cover you require for site huts / temporary buildings:
Business Legal Expenses Cover (optional)
Do you require Business Legal Expenses Cover?		Yes     No
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:
Directors & Officers Cover (optional)
Do you require Directors & Officers Cover?		Yes     No
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?:		£100,000 £250,000 £500,000 £1,000,000 £2,000,000 £5,000,000
Additional Information
Details of any additional information you wish to disclose or additional cover required:
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
Cover Start Date / Renewal Date:		(dd/mm/yyyy)
Current Annual Premium / Best Quote:		This may help us to get you a better quote
Name of Current / Previous Insurer:		e.g. Aviva, AXA, Allianz, RSA, Zurich, etc.

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Disclosure
Please ensure that all the information you have provided is correct, then press the 'Request Demolition Contractors Liability Quote' button and we will contact you shortly with a quotation.

Estimated Quote Time: 1 to 5 working days