Skip Hirers Insurance Quotes

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

This form is designed for quotes for Skip Hirers Public Liability Insurance. Cover can also be extended to include employers' liability insurance for skip hire operators.

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/Trading As: (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:
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
General Details
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/reason for conviction(s), date(s) of conviction(s), details of any fines and/or community service (if applicable), length of custodial sentence(s) (if applicable),etc.)
Has any insurer ever refused renewal, declined or 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 had any County Court Judgements (CCJ's) / sheriff decrees / IVA's or ever 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/CCJ/IVA, amount of bankruptcy/insolvency/CCJ/IVA (£'s), date bankruptcy discharged / date CCJ/IVA settled, circumstances of bankruptcy/insolvency/CCJ/IVA, 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 or improvement order by the Health & Safety Executive?	Yes     No
If yes, please provide details: (e.g. date of prosecution(s)/prohibition order, details of offence(s), details of any fines/action taken (if applicable), etc.)
Business Activities
Description of your work activities: (Please describe as fully as possible)
Please confirm the total number of skips owned by the business which you hire out:
What percentage of your skips are kept on public highways?	0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 %
Do you carry any hazardous waste?	Yes     No
If yes, please provide details of hazardous waste carried: (e.g. asbestos containing materials, etc.)
Do you have a waste transfer station?	Yes     No
If yes, do you allow householders / members of the public access to your site?	Yes     No
Do you carry out picking and sorting of the waste?	Yes     No
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
Claims Experience
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
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 Liability Cover Required
Public/Product Liability
Public/Product Liability limit of indemnity:		£1 Million £2 Million £5 Million £10 Million
Number of Proprietors/Partners/Co. Directors:
Wages of Proprietors/Partners/Co. Directors:
Annual Turnover
Annual Turnover:
Employers Liability (Compulsory by Law if you have employees)
Is Employers' Liability Cover Required? (£10M limit provided as standard)		Please Select Yes No
Number of Manual Working Employees:		(Do not include proprietors, partners or directors)
Total Annual Wages of Manual Employees:
Number of Clerical / Administrative Employees:		(Do not include proprietors, partners or directors)
Total Annual Wages of Clerical Employees:
Employers' Reference Number (optional)
Employers' Reference Number (ERN) (if available):		(e.g. 123/AB12345 or 'Exempt')
Additional Information
Details of any additional information that you wish to disclose or any other 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:		This may help us to get you a better quote
Name of Current / Previous Insurer:		e.g. Aviva, AXA, Allianz, RSA, 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 Liability Quotation button and we will contact you shortly with a quotation.

Estimated Quote Time: 1 to 72 hours