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Window Cleaners Public Liability Insurance
 
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Window Cleaners Liability Insurance Quotation 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 Window Cleaners Public/Employers Liability Insurance only.

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 applicable):
Trading Name:
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 (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 by the Health & Safety Executive?
Yes     No
If yes, please provide details:
(e.g. date of prosecution(s),
details of offence(s), etc.)
Business Activities
Description of your work/cleaning activities:
(Please describe as fully as possible) help
Please state the percentage split of your work activities:
Window Cleaning (ground level / pole reach & wash):%
Window Cleaning Up To 10 Metres (ladders, etc.):%
Window Cleaning Over 10 Metres:%
Any Other Work not mentioned above (please specify):
%
Total:100%
What percentage of the turnover 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 (please specify):
%
Total:100%
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 and steeples.)
Yes     No help
If yes, please state type of location(s) and the
percentage of work spent at the location(s):
Is your home the base for your business or are you
operating from separate dedicated business premises?
Home   Business Premises
Is any work undertaken outside of the U.K.?Yes     No
If yes, please provide details:
(i.e. locations and how frequently)
Height Work
Please confirm the maximum height you would work: metres help
Do you use any slings,
bosuns chairs, harnesses or cradles?
Yes     No
If yes, please provide details:
(i.e. type of equipment and how frequently used)
Trading Experience
How many years has your business been trading? year(s)
Number of years experience (if greater):
(A minimum of 3 years previous experience is required if you have 0 years trading)
year(s)
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/Product Liability
Public/Product Liability limit of indemnity:  help
  Manual
Principals
 Non-Manual/
Clerical Principals
Number of Proprietors/Partners/Co. Directors:No. helpNo. help
Annual Wages of Proprietors/Partners/Co. Directors: 
 
 
 
Please state your annual
payments to bona-fide sub-contractors:
(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 have employees)
Is Employers' Liability Cover Required?
(£10M standard limit of indemnity)
  help
  Manual
Employees
 Non-Manual/
Clerical Employees
Number of Employees:
(Do not include proprietors, partners or directors)
No. helpNo. help
Total Annual Wages of Employees: 
 
 
 
Employers' Reference Number (optional)
Employers' Reference Number (ERN) (if available): help?
(e.g. 123/AB12345 or 'Exempt')
Turnover
Estimated turnover for the next 12 months:
(Please be as accurate as possible, as an over
estimation will increase the premium to be quoted)
Additional Optional Covers

Personal Accident (optional)
Is Personal Accident cover required?Yes     No
If yes, please confirm sum insured required: per person
Business Legal Expenses Cover (Optional)
Is Business Legal Expenses cover required?
(£100,000 cover for legal disputes, employment disputes, tax investigations, etc.)
Yes     No Help?
Legal Expenses Limit of Indemnity:
Has the business and/or its directors been
involved in any legal dispute, tax investigation
or any other court or tribunal action in the last 5 years?
Yes     No
Please provide details of the dispute including dates:
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

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.

Request Quotation

Disclosure
Please ensure that all the information you have provided is correct, then press the Request Window Cleaners Liability Quotation button and we will contact you shortly with a quotation.


Estimated Quote Time: 1 to 72 hours