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Steel Fixers Public Liability Insurance
 
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Steel Fixers Insurance Quote Form

For UK Customers Only

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 Steel Fixers Public Liability Insurance and Employers Liability Insurance. Please note that we are only able to quote for customers based in mainland UK.

If you have any problems with completing this form, please phone us on 01623 641386 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:
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 with any criminal offence?
Yes     No
If yes, please provide details:
(e.g. type of conviction(s),
date(s) of conviction(s),
and details of any fines/custodial sentence.)
Have you, or any other partner or director ever
had any previous insurance cancelled, refused,
declined or ever had any special terms applied?
Yes     No
If yes, please provide details:
(e.g. type of insurance and reason for
declinature or details of any special terms.)
Have you, or any other partner or director ever been declared bankrupt or insolvent or been subject to any County Court Judgements or IVA's 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/notice 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:  Help?
(Please describe as fully as possible including
a percentage split between each activity
,
where you carry our more than one activity)
Do your activities include
the erection of steel framed buildings?
Yes     No
If yes, please confirm the percentage of your
turnover involved in the erection of steel framed buildings:
%
Type of premises worked on
Please state the percentage of work carried out at the following premises / locations:
Private dwelling houses and flats? %
Commercial buildings (e.g. shops, offices, etc.)? %
Industrial buildings (e.g. industrial units, factories, etc.)? %
All other premises (state below if applicable)?
%
Total: 100%
Hazardous Locations / Work Outside of UK
Is work carried out at any hazardous locations?
(These can include, but are not limited to; offshore installations, railways, motorways, bridges, viaducts, power stations, nuclear installations, oil, gas or petrochemical refineries, aircraft/airports/airside, quarries, mines, watercraft/ships, docks, harbours, piers, towers, steeples, hospitals and other medical facilities.)
Yes     No
If yes, please state the type of hazardous locations:
What percentage of your
turnover is at hazardous locations?
Is any work undertaken outside of the U.K.?Yes     No
If yes, please provide details:
(i.e. area/country of work
and percentage of work outside UK)
Professional Services
Do you provide professional services
for a fee such as advice/consultancy,
design, testing, inspection and certification?
Yes     No
Heat Use
Do your activities involve the use of heat?Yes     No
Please confirm the type of heat used:
(e.g. flame cutting, grinder, welder, etc.)
Please confirm the percentage of time using heat:
(e.g. 5%)
%
Details of work at height
Please confirm the maximum height you would work: metres help
Please confirm the approx. percentage of time working at the following heights:
At ground level: %
Up to 10 metres: %
Up to 15 metres: %
Up to 20 metres: %
Over 20 metres: %
Total:100%
Do you or your employees use slings,
cradles, bosuns chairs or abseiling equipment?
Yes     No
If yes, please provide details:
(i.e. type of equipment and
percentage use of the equipment)
Do you or your employees use
hydraulic lifts, platforms, access plant,
cherry pickers, scaffolding or other equipment?
Yes     No
If yes, please provide details:
(i.e. type of equipment used)
Do you use any fall prevention equipment?Yes     No
Please provide details of any fall prevention equipment used:
(e.g. harnesses, etc.)
Depth Work
Please state the maximum depth you dig (if applicable): 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 turnover does this work represent? %
Do you undertake any basement work?Yes     No
Is this new build basements
or new basements under existing structures?
New Build Basements
New Basements Under Existing Structures
Has all excavation work been undertaken
before you get involved?
Yes     No
Do you carry out any of the
excavation work yourselves?
Yes     No
Are you steel fixing on structural supports?Yes     No
Are you pouring the concrete yourselves?Yes     No
Trading Experience
How many years has your business been trading?
Number of years previous experience in this trade:
(A minimum of 3 years previous experience is required if you have 0 years trading)
Trade Associations
Are you a member of any trade associations?Yes     No  Help?
If yes, please provide details:
Health & Safety
Do you have a written Health & Safety
policy in force which is reviewed
regularly and distributed to all employees?
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?
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
Do all your relevant employees and Labour
Only Sub-Contractors have current CSCS cards?
Yes     No
Hazardous Materials
Do you work with asbestos, silica, explosives
or any other substances hazardous to health?
Yes     No
If yes, please provide details:
(i.e. type of hazardous substance(s)
and percentage of turnover this represents)
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:

Details Of Cover Required

Public Liability
Public Liability limit of indemnity:  help
  Manual Principals Non-Manual/
Managerial Principals
Number of Proprietors/Partners/Co. Directors:No. Help?No. Help?
Annual Wages of Proprietors/Partners/Co. Directors: 
 
 
 
Please confirm your annual
payments to Bona Fide Sub-Contractors (if used):
(BFSC's are sub-contractors who supply their own
materials on site and hold their own insurance)
  Help?
Employers' Liability (Compulsory by Law if you employ direct workers or labour only sub-contractors)
Is Employers' Liability Cover Required?
(£10M limit provided as standard)
  Help?
  Manual Employees Non-Manual/
Clerical Employees
No. of Employees/Labour Only Sub-Contractors:
(Do not include proprietors, partners or directors)
No. Help?No. Help?
Annual Wages of Clerical Employees:  
Annual Wages of Manual Employees
Working (at height) above Ground Level:
  
Annual Wages of Manual Employees Working at Ground Level: 
Annual Wages of Supervisors Working at Ground Level: 
Annual Payments to Labour Only Sub-Contractors (if used):  Help?
Employers' Reference Number (optional)
Employers' Reference Number (ERN) (if available): help?
(e.g. 123/AB12345 or 'Exempt')
Annual Turnover
Estimated Annual Turnover for the next 12 months (£'s):
(Please be as accurate as possible, as an over
estimation will increase the premium to be quoted)
   

Optional Cover(s) / Additional Information

Business Legal Expenses Cover (Optional)
Do you require Business Legal Expenses Cover?
(£100K cover for legal disputes, 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:
Directors & Officers Cover (Optional)
Do you require Directors & Officers Cover?
(Cover for any 'wrongful act' of a director or officer of the company)
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, please provide details:
Limit of indemnity required?:
Additional Information
Details of any additional information 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

Renewal Date / Date Cover Required:  (dd/mm/yyyy)
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, QBE, RSA, Zurich, etc.

Request Quotation

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


Estimated Quote Time: 1 to 4 working days