CONFIRMATION OF ORDER

Size: px
Start display at page:

Download "CONFIRMATION OF ORDER"

Transcription

1 CONFIRMATION OF ORDER Employers, Public and Products Liability Quote Sheet Reference Number: 7B5310GLA153 Underwriter: Steve Palmer Date: 09/02/2015 Broker: R.K.Henshall & Co.Limited Broker Contact: Laura Smith Broker Ref: Insured: Greenline Environmental Ltd 6 Buttersweet Rise Sawbridgeworth Hertfordshire CM21 9HD United Kingdom Business Activity: Occupied and unoccupied rubbish/waste removal/collection, building site clearance by hand, rubbish collection from office refurbishments and general rubbish removal, bin rubbish removal and general bagged and unbagged waste. Period: 11/02/2015 to 10/02/2016 Both days inclusive, local standard time, at the address of the Insured Wording: Combined Liability Insurance (NULCL10AN) Jurisdiction: European Union Employers Liability (Exc. All Offshore Exposure) Limit of Indemnity: GBP 10,000, (costs inclusive) any one occurrence Excess: Wageroll/Salaries Rate Premium EL Clerical EL All Others GBP 60, GBP 1, Minimum & Deposit Premium: GBP 1, Adjustable at expiry at the above rates (plus IPT) Public Liability/Products Liability Limit of Indemnity: Public Liability - GBP 5,000, Any one occurrence Products Liability - GBP 5,000, In the aggregate Excess: GBP 1, Third Party Property Damage/Bodily Injury Each and every claim including costs and expenses Turnover Rate Premium UK GBP 420, GBP 2, W/W Exc North America North America (Exports only) Minimum & Deposit Premium: GBP 2, Adjustable at expiry at the above rates Combined Minimum and Deposit Premium: GBP 3, Plus UK Insurance Premium Tax 6% Brokerage: EL %: 20 PL %: 20 Conditions: Professional Indemnity Exclusion Personal Protective Equipment Conditions Skip Exclusion Waste Disposal Conditions Bona Fide Subcontractors Condition 1 (10.05) Haulage Restriction 1(10.05) Hazardous Locations 1(10.05) Heat Work Away Exclusion Inefficacy Exclusion (Provision of Services) And as per wording Subjectivities: Not Applicable Line: 100 % Information: Wording includes 60 day Premium Payment Warranty 1 of 8

2 Professional Indemnity Exclusion (Applicable to Sections B & C of the Policy) Notwithstanding anything to the contrary contained in this Policy, the indemnity provided by this Policy shall not apply to legal liability arising by virtue of any negligence act error or omission malpractice or mistake committed or alleged to have been committed in the provision of professional services by or on behalf of the Insured. Professional services includes but is not limited to the preparation or approval of maps plans advice opinions reports computer programmes surveys drawings formulae designs or specifications and supervisory consultancy inspection engineering or project management services whether for a fee or otherwise. All other terms, conditions, exclusions and limitations in this policy remain unchanged Personal Protective Equipment Condition (Applicable to Section A of the Policy) It is a condition of this Policy that the use or wearing of Personal Protective Equipment by any Person Employed is rigorously enforced and that Personal Protective Equipment is supplied to the Person Employed and that a formal record is maintained confirming receipt of such equipment. Skip Exclusion (Applicable to Sections B & C of the Policy) This Policy does not indemnify the Insured in respect of any liability arising from or in any way connected to the use of skips or other containers when such skips or containers are left on a public highway. Waste Disposal Conditions (Applicable to Sections B & C of the Policy) It is a condition precedent to liability that all waste is disposed of at licensed waste sites Bona Fide Subcontractors Condition (Applicable to Sections A B & C of the Policy) It is a condition of this Policy that all bona fide subcontractors engaged by the Insured have in full force and effect throughout the duration of their contract with the Insured insurances as follows 1 Employers Liability insurance in respect of their liability at law for Injury to any person in the employment of the subcontractor including any labour master or labour only subcontractor or person supplied or employed by them 2 Public/Products Liability insurance in respect of their liability at law for Injury or Damage with a Limit of Indemnity of not less than the limit of indemnity any one occurrence or series of 2 of 8

3 occurrences arising out of one original cause provided under this policy It is further a condition that i. such insurances contain an Indemnity to Principals Clause ii. the Insured shall have obtained and retained a copy of written evidence of such insurances For the purposes of this Endorsement the term bona fide subcontractors means any subcontractor engaged by the Insured supplying labour and or materials for the purpose of the contract It is further condition that the Insured will not assume by any agreement any liability or potential liability that would not have attached to the Insured in the absence of such agreement including but not limited to the assumption of any liability or potential liability on behalf of any bona fide subcontractor or the waiver of any rights of recourse against any bona fide subcontractor Haulage Restrictions (Applicable to Sections B & C of the Policy) This Policy does not indemnify the Insured in respect of liability for a) Injury or Damage caused by or in any way connected with the wrongful delivery of or the contamination in transit of any load b) Injury or Damage caused by or in any way connected with the carriage of hazardous and/or notifiable goods substances or waste materials c) freight forwarders and/or warehouseman s liability Hazardous Locations Exclusion (Applicable to Sections A B & C of this Policy) This Policy does not indemnify the Insured in respect of liability caused by or arising from any work in or in connection with a) towers steeples chimney shafts blast furnaces dams canals viaducts bridges or tunnels b) aircraft airports railways ships vessels air cushioned vehicles watercraft docks piers jetties wharves breakwaters or sea walls c) collieries mines quarries chemical works gas works oil refineries power stations nuclear installations or establishments d) work underground or underwater offshore installations bulk oil petrol gas or chemical storage tanks or chambers of 8

4 Heat Work Away Exclusion (Applicable to Section B of the Policy) This Policy does not indemnify the Insured in respect of liability arising out of or in way connected with any work involving the use or application of heat away from the premises of the Insured. However this exclusion shall not apply to the use of electric soldering irons and electric hot air guns provided that such equipment complies with British Standard BS3456 if applicable and is thermostatically controlled. Inefficacy Exclusion (Provision of Services) (Applicable to Section B & C of the Policy) This Policy does not indemnify the Insured in respect of liability arising from the failure of any Product or service to fulfil the purpose for which it was designed or to perform as specified warranted or guaranteed EL Certificate 4 of 8

5 5 of 8

6 TO Accounts Department R.K.Henshall & Co.Limited The Grove Mill Lane Wheelock Sandback CW11 4RD Broker No.: Broker Ref: RKHEN DEBIT NOTE Date: 09/02/2015 OUR REF: INSURED: WORDING: PERIOD: 7B5310GLA153 Greenline Environmental Ltd 6 Buttersweet Rise Sawbridgeworth Hertfordshire CM21 9HD Combined Liability Insurance (NULCL10AN) From 11/02/2015 to 10/02/2016 both dates inclusive DEBIT NOTE TYPE: PREMIUM DETAILS: Gross Premium = GBP 3, Tax (See attached schedule) = GBP Brokerage = GBP Net Premium due to = GBP 3, Novae Underwriting Limited Payment to Novae Underwriting Limited by Settlement Due Date: 12/04/2015 PAYMENT DETAILS: Cheques to be made payable to: Please send cheques to : Novae Underwriting Limited Novae Underwriting Limited, 71 Fenchurch Street London EC3M 4HH Alternatively, please make your payment by electronic transfer to: ACCOUNT Novae Underwriting Limited NAME: BANK Barclays Bank plc, 1 Churchill Place, London, E14 5HP ADDRESS: Currency Sort code Account Number IBAN SWIFTBIC AUD GB29 BARC BARCGB22 CAD GB31 BARC BARCGB22 CHF GB87 BARC BARCGB22 DKK GB38 BARC BARCGB22 EUR GB91 BARC BARCGB22 GBP GB14 BARC BARCGB22 NZD GB24 BARC BARCGB22 SEK GB46 BARC BARCGB22 USD GB02 BARC BARCGB22 NOR GB40 BARC BARCGB22 6 of 8

7 Tax Schedule Policy: 7B5310GLA153 Percent Taxable: % Premium GBP 3, Line % 100 Total GBP Country Tax Type Percent Premium Tax Rate% 100% Tax Line Tax Split Split Due Due United Kingdom IPTUK 100 3, of 8

8 Certificate of Employers Liability Insurance (a) (Where required by regulation 5 of the Employer s Liability (Compulsory Insurance) Regulations 1998 and as amended with effect from 1 October 2008 (display and production of copies of certificates of insurance), (1) An employer who has been issued with a certificate under regulation 4 must display one or more copies of it at each place of business at which he employs any relevant employee of the class or description to which such certificate relates.(2) The requirements in paragraph (1) will be satisfied if the certificate is made available in electronic form and each relevant employee to whom it relates has reasonable access to it in that form. Policy Certificate No: Name of Policy/Certificate holder: 7B5310GLA153 Greenline Environmental Ltd Date of commencement of insurance: 11/02/2015 Date of expiry of insurance: 10/02/2016 We hereby certify that subject to paragraph 2:- 1 the insurance to which this certificate relates satisfies the requirements of the relevant law applicable in Great Britain, Northern Ireland, the Isle of Man, the Island of Jersey, the Island of Guernsey and the Island of Alderney, or to offshore installations in any waters outside the United Kingdom to which the Employers Liability (Compulsory Insurance) Act 1969 or any amending primary legislation applies (b); and 2 the minimum amount of cover provided by this insurance is no less than 5,000,000 (c) Signed on behalf of those Lloyd s Underwriters subscribing to the above insurance (Authorised Insurers) Jonathan Butcher, Director Group Underwriting Director Syndicate 2007 at Lloyd s For and on behalf of Novae Underwriting Limited (a) (b) (c) Where the employer is a company to which regulation 3(2) of the Regulations applies, the certificate shall state in a prominent place, either that the insurance covers the holding company and all its subsidiaries, or that the insurance covers the holding company and all its subsidiaries except any specifically excluded by name, or that the insurance covers the holding company and only the named subsidiaries. Specify applicable law as provided for in regulation 4(6) of the Regulations. See regulation 3(1) of the Regulations and delete whichever of paragraphs 2(a) or 2(b) does not apply. Where 2(b) is applicable, specify the amount of cover provided by the relevant insurance. Note: The information below this line does not form part of the statutory certificate. Those Underwriters at Lloyds on whose behalf this certificate is issued require the following information to be entered by the issuing intermediary. Name and address of issuing intermediary: Novae Underwriting Ltd. 71 Fenchurch Street London EC3M 4HH NMA2838 ( )

Schedule to the Policy

Schedule to the Policy Schedule to the Policy 1 Policy Number: SAL 61176 2 Form Number: SJC2010SAUA 3 Insured Name: Global Brigades UK Ltd 4 Insured Address: 290 Woolwich Church Street, London, SE18 5ND 5 Policy Period: From:

More information

Schedule to the Policy

Schedule to the Policy Schedule to the Policy 1 Policy Number: SALSALIA/R79242/0332/15 2 Form Number: SJC2010SAUA 3 Insured Name: Just Sow Ltd t/a The Hive 4 Insured Address: The Hive, 86-90 Paul Street, London,EC2A 4NE 5 Policy

More information

Contractors Combined Insurance

Contractors Combined Insurance Contractors Combined Insurance SCHEDULE TO THE POLICY Policy Number B1053BAGL027 XLTS0258 Insurance Broker Camberford Law Plc Lygon House 50 London Road Bromley, Kent BR1 3RA Assured: TreeAbility Ltd Of:

More information

POLICY DOCUMENTATION. Ensure you check the following documentation carefully.

POLICY DOCUMENTATION. Ensure you check the following documentation carefully. T 0844 902 9871 E contactus@businesschoicedirect.co.uk W www.businesschoicedirect.co.uk A Unit 21, Basepoint Enterprise Centre, Andersons Road, Southampton SO14 5FE POLICY DOCUMENTATION Ensure you check

More information

Effective Date: Expiry Date: STATEMENT OF FACT

Effective Date: Expiry Date: STATEMENT OF FACT Page 1 of 7 Effective Date: Expiry Date: 05/10/2015 at 21:12 04/10/2016 at 23:59 STATEMENT OF FACT Agent: Agency Number: Agent Reference: Insured: Company Status: Address: General Details Your Insurance

More information

CAMBERFORD LAW PLC ELECTRICAL, HEATING, VENTILATION, PLUMBING AND AIR CONDITIONING CONTRACTORS INSURANCE PROPOSAL FORM

CAMBERFORD LAW PLC ELECTRICAL, HEATING, VENTILATION, PLUMBING AND AIR CONDITIONING CONTRACTORS INSURANCE PROPOSAL FORM CAMBERFORD LAW PLC ELECTRICAL, HEATING, VENTILATION, PLUMBING AND AIR CONDITIONING CONTRACTORS INSURANCE PROPOSAL FORM Please note that 'You' or 'Your' in the context of this Proposal Form means the persons

More information

RECRUITMENT AGENCIES AND ASSOCIATED ACTIVITIES INSURANCE

RECRUITMENT AGENCIES AND ASSOCIATED ACTIVITIES INSURANCE RECRUITMENT AGENCIES AND ASSOCIATED ACTIVITIES INSURANCE Renewal Documents in respect of: Insured: Tradeline Recruitment Ltd Policy Number(s): INT14/000206 Dear Sirs, Please find attached documentation

More information

Schedule - Tradesman Insurance Essentials

Schedule - Tradesman Insurance Essentials Schedule - Tradesman Insurance Essentials The Insured The Insured's Business Mr Arthur Dube Arthur Contracting Services Cleaning - general services Landscaping and drainage The Insured's Postal Address

More information

THE SCHEDULE CAMBERFORD LAW PLC TOUR OPERATORS AND TRAVEL AGENTS INSURANCE SCHEDULE

THE SCHEDULE CAMBERFORD LAW PLC TOUR OPERATORS AND TRAVEL AGENTS INSURANCE SCHEDULE CAMBERFORD LAW PLC TOUR OPERATORS AND TRAVEL AGENTS INSURANCE SCHEDULE Binding Authority Agreement Number Section 1 Section 2 Section 3 Section 4 Section 5 Section 6 B1053BA15072 B1053BA15072 Policy Number

More information

Combined Liability Roofers and Scaffolders Proposal Form

Combined Liability Roofers and Scaffolders Proposal Form BDB (UK) Limited 40 Lime Street, London EC3M 7AW Combined Liability Roofers and Scaffolders Proposal Form This proposal form must be completed, signed and dated by a partner, principal or director of the

More information

Employers Liability Policy of Insurance

Employers Liability Policy of Insurance Employers Liability Policy of Insurance EMPLOYERS' LIABILITY POLICY OF INSURANCE MSI Corporate Capital Limited as the Underwriting Member of MIT Syndicate 3210 at Lloyd s hereinafter referred to as the

More information

OPTIMA TRADE PLUS SUMMARY OF COVER

OPTIMA TRADE PLUS SUMMARY OF COVER ABC OPTIMA TRADE PLUS SUMMARY OF COVER This document provides a guide to the cover provided. It is however only a summary of the terms of cover and does not contain full details of the insurance policy

More information

EMPLOYER S, PUBLIC & PRODUCTS LIABILITY PROPOSAL FORM CONTRACTING TRADES

EMPLOYER S, PUBLIC & PRODUCTS LIABILITY PROPOSAL FORM CONTRACTING TRADES V2 0 EMPLOYER S, PUBLIC & PRODUCTS LIABILITY PROPOSAL FORM CONTRACTING TRADES Please complete all details in BLOCK LETTERS. Where applicable indicate YES or NO Insurance will not be in force until proposal

More information

Certificate of Employers Liability Insurance (note a)

Certificate of Employers Liability Insurance (note a) Certificate of Employers Liability Insurance (note a) Where required by regulation 5 of the Employers Liability (Compulsory Insurance) Regulations 1998 (the Regulations), one or more copies of this certificate

More information

NICEIC Registered Contractors. Statement of Fact

NICEIC Registered Contractors. Statement of Fact Statement of Fact Date Issued: IMPORTANT NOTICE This Statement of Facts is a record of the information gathered and stated in the Insurance Schedule ref NICEIC13408 dated 20 th March 2015, and Material

More information

Get a Quote Morgan Law Insurance You may to choose to complete all or selected fields depending on the level of cover you require.

Get a Quote Morgan Law Insurance You may to choose to complete all or selected fields depending on the level of cover you require. Get a Quote Morgan Law Insurance You may to choose to complete all or selected fields depending on the level of cover you require. Your details First Name* Last Name* Telephone : Mobile : Your Email* Details

More information

Please provide details of your claims within the last 5 years Date Incident details Amount paid Amount reserved

Please provide details of your claims within the last 5 years Date Incident details Amount paid Amount reserved Combined Liability Insurance Client name: Operating address: Company reg. number: Business description: Year business established: Current Insurer: Current Broker: Renewal date: Premium: Please provide

More information

CERTIFICATE OF EMPLOYERS LIABILITY INSURANCE

CERTIFICATE OF EMPLOYERS LIABILITY INSURANCE ACE European Group Ltd. UK Head Office: The ACE Building 100 Leadenhall Street London EC3A 3BP 020 7173 7000 tel 020 7173 7800 fax www.aceeurope.co.uk CERTIFICATE OF EMPLOYERS LIABILITY INSURANCE (Where

More information

NUL COMBINED LIABILITY INSURANCE (NULCL10AN)

NUL COMBINED LIABILITY INSURANCE (NULCL10AN) NUL COMBINED LIABILITY INSURANCE (NULCL10AN) The policy, Schedule and endorsements should be read as if they were one document and if they do not meet your needs please return them to Novae Underwriting

More information

LIABILITY INSURANCE SUMMARY OF COVER

LIABILITY INSURANCE SUMMARY OF COVER LIABILITY INSURANCE SUMMARY OF COVER This gives only a summary of the cover provided and it does not give details of all the terms, conditions and exclusions. A full policy wording is available on request.

More information

Schedule for Your Performing Arts Policy

Schedule for Your Performing Arts Policy Policy Number 23835600CHC/7289 Page 1 Schedule for Your Performing Arts Policy Produced on 17/07/2015 Introduction This Schedule forms part of Your policy and replaces the previous schedule. Please keep

More information

Waste and Environmental Contractors (including Asbestos) Liability Insurance Schedule

Waste and Environmental Contractors (including Asbestos) Liability Insurance Schedule Waste and Environmental Contractors (including Asbestos) Liability Insurance Schedule Policy Number: Y025187QBE0114A Policy Wording Reference: PWST080811 Period of Insurance: From: 21 November 2014 To:

More information

Contractors' Combined Liability Insurance Summary

Contractors' Combined Liability Insurance Summary Contractors' Combined Liability Underwritten by a member of the QBE Insurance Group (QBE) This insurance is an annual contract unless stated otherwise in the quotation or renewal documentation and as confirmed

More information

R&Q Commercial Risk Services Limited Contractors All Risks and Liability Combined Insurance Summary of Cover

R&Q Commercial Risk Services Limited Contractors All Risks and Liability Combined Insurance Summary of Cover R&Q Commercial Risk Services Limited Contractors All Risks and Liability Combined Insurance Summary of Cover June 2012 Edition Contractors All Risks and Liability Combined Insurance Policy Overview About

More information

LIABILITY Fact Finder

LIABILITY Fact Finder LIABILITY Fact Finder When completing this form, please tick the appropriate boxes and answer all questions in BLOCK CAPITALS Important note The information submitted in this form is used by your insurance

More information

Cleaning contractors: Public liability Policy wording

Cleaning contractors: Public liability Policy wording The General terms and conditions and the following terms and conditions all apply to this section. Special definitions for this section Bodily injury Defence costs Denial of access Dishonesty Financial

More information

CERTIFICATE OF PUBLIC LIABILITY INSURANCE

CERTIFICATE OF PUBLIC LIABILITY INSURANCE CERTIFICATE OF PUBLIC LIABILITY INSURANCE Policy Number GRP/TCO/3000696 Name of INSURED A-Line Building Ltd TRADE or BUSINESS Primary Building Construction (Any location) Date of commencement of insurance

More information

EMPLOYER S LIABILITY INSURANCE SCHEDULE TO THE POLICY

EMPLOYER S LIABILITY INSURANCE SCHEDULE TO THE POLICY [ 1 Stables Court, The Parade, Marlborough, Wiltshire. SN8 1NP Telephone: 01672-512512 Fax: 01672-516660 www.lycetts.co.uk e-mail: piers.plunket@lycetts.co.uk EMPLOYER S LIABILITY INSURANCE SCHEDULE TO

More information

Summary of Professional and Public Liability Insurance for Prospect Members in Communication, Media and Digital Sectors

Summary of Professional and Public Liability Insurance for Prospect Members in Communication, Media and Digital Sectors Summary of Professional and Public Liability Insurance for Prospect Members in Communication, Media and Digital Sectors 31st January, 2014 Contents Page Introduction 3 Part 1 Professional Indemnity Insurance

More information

CONTRACTORS LIABILITY PROPOSAL FORM

CONTRACTORS LIABILITY PROPOSAL FORM CONTRACTORS LIABILITY PROPOSAL FORM Please answer all questions, completing the form in ink using block capitals. The completion and signature of this Proposal does not bind the Proposer or Insurers to

More information

NFRC INSURANCE SCHEME CONTRACTORS LIABILITY PROPOSAL FORM

NFRC INSURANCE SCHEME CONTRACTORS LIABILITY PROPOSAL FORM NFRC INSURANCE SCHEME CONTRACTORS LIABILITY PROPOSAL FORM Please answer all questions, completing the form in ink using block capitals. The completion and signature of this Proposal does not bind the Proposer

More information

PROPOSAL FORM GENERAL BUSINESS LIABILITY INSURANCE

PROPOSAL FORM GENERAL BUSINESS LIABILITY INSURANCE PROPOSAL FORM GENERAL BUSINESS LIABILITY INSURANCE This proposal form must be completed, signed and dated by a Partner, Principal or Director of the firm who has been duly authorised by all Partners, Principals

More information

The Tradesmen policy is available for self employed persons and small businesses with up to 8 people and a turnover of 500,000 or less.

The Tradesmen policy is available for self employed persons and small businesses with up to 8 people and a turnover of 500,000 or less. TRADESMEN Summary of Cover The Tradesmen policy is available for self employed persons and small businesses with up to 8 people and a turnover of 500,000 or less. Why choose AXA s Tradesmen policy? Tailor-made

More information

R&Q Commercial Risk Services Limited Liability Combined Insurance Summary of Cover

R&Q Commercial Risk Services Limited Liability Combined Insurance Summary of Cover R&Q Commercial Risk Services Limited Liability Combined Insurance Summary of Cover March 2014 Edition Contractors All Risks and Liability Combined Insurance Policy Overview About R&Q This Insurance product

More information

ACTIVITIES INDUSTRY MUTUAL LIMITED EMPLOYERS LIABILITY COVER WORDING

ACTIVITIES INDUSTRY MUTUAL LIMITED EMPLOYERS LIABILITY COVER WORDING ACTIVITIES INDUSTRY MUTUAL LIMITED EMPLOYERS LIABILITY COVER WORDING Activities Industry Mutual Limited Registered in England No. 05372198. Registered Office: 7 Maltings Place, 169 Tower Bridge Road, London

More information

POLICY DOCUMENTATION. Ensure you check the following documentation carefully.

POLICY DOCUMENTATION. Ensure you check the following documentation carefully. T 0844 902 9871 E contactus@businesschoicedirect.co.uk W www.businesschoicedirect.co.uk A Unit 21, Basepoint Enterprise Centre, Andersons Road, Southampton SO14 5FE POLICY DOCUMENTATION Ensure you check

More information

The Tradesmen policy is available for self employed persons and small businesses with up to 8 people and a turnover of 500,000 or less.

The Tradesmen policy is available for self employed persons and small businesses with up to 8 people and a turnover of 500,000 or less. TRADESMEN Summary of Cover The Tradesmen policy is available for self employed persons and small businesses with up to 8 people and a turnover of 500,000 or less. Why choose AXA s Tradesmen policy? Tailor-made

More information

COMBINED LIABILITY INSURANCE CERTIFICATE. effected through. Bluefin Insurance Services Limited CI Tower St. George s Square New Malden Surrey KT3 4TP

COMBINED LIABILITY INSURANCE CERTIFICATE. effected through. Bluefin Insurance Services Limited CI Tower St. George s Square New Malden Surrey KT3 4TP COMBINED LIABILITY INSURANCE CERTIFICATE effected through Bluefin Insurance Services Limited CI Tower St. George s Square New Malden Surrey KT3 4TP THIS IS TO CERTIFY that in accordance with the authorisation

More information

PROFESSIONAL CONTRACTORS INSURANCE PACKAGE

PROFESSIONAL CONTRACTORS INSURANCE PACKAGE PROFESSIONAL CONTRACTORS INSURANCE PACKAGE MASTER CERTIFICATE NO. TLD/CC/01/00924 NAME: Individual Contractors being any individual temporary worker whether trading in his/her own name or as a Limited

More information

Mr T Matthews & Mr D Redmond T/as Canopy Tree Services, 31 Harrold Priory, Bedford, MK41 0SD

Mr T Matthews & Mr D Redmond T/as Canopy Tree Services, 31 Harrold Priory, Bedford, MK41 0SD Liability Insurance SCHEDULE TO THE POLICY Insurance Broker Trust Insurance Services Ltd Policy Number B1141C12M3865/2543 Name and Address of the Assured Mr T Matthews & Mr D Redmond T/as Canopy Tree Services,

More information

Residential Property Owners Policy Schedule for Insurance

Residential Property Owners Policy Schedule for Insurance Residential Property Owners Policy Schedule for Liability ZURICH@ Insurance The Schedule, Specification(s), Policy and Endorsements form one document. The Schedule replaces any previous Schedule Insurer

More information

TRADESMEN PROPOSAL FORM

TRADESMEN PROPOSAL FORM TRADESMEN PROPOSAL FORM FOR INTERNAL USE ONLY Agent Name Agency Code When completing this form, please tick the appropriate boxes and answer all questions in BLOCK CAPITALS IMPORTANT NOTE You (or the broker

More information

Kerry London Private Ambulances Proposal form

Kerry London Private Ambulances Proposal form Which sections should you complete? Section Title Should you complete it? 1. You/your organisation You must complete this section 2. Air ambulance risks Optional please complete this section if your organisation

More information

policy summary document tradesmen insurance

policy summary document tradesmen insurance policy summary document tradesmen insurance The Tradesmen policy is available for self employed persons and small businesses with up to 8 people and a turnover of _750,000 or less Why choose AXA s Tradesmen

More information

Tradesmen. Mid Term Adjustment Confirmation. Policy number: ZE PCL 2562726. AXA Insurance UK Plc 3 Atlantic Quay PO Box 182 Glasgow G2 8JH

Tradesmen. Mid Term Adjustment Confirmation. Policy number: ZE PCL 2562726. AXA Insurance UK Plc 3 Atlantic Quay PO Box 182 Glasgow G2 8JH David Cheetham Trading As D-Tec Fire Systems 89,Chertsey Road,Addlestone SURREY KT15 2EA AXA Insurance UK Plc 3 Atlantic Quay PO Box 182 Glasgow G2 8JH Tel: 0845 300 0678 Fax: 0870 333 2548 Date of Issue:

More information

Exclusively Security Proposal

Exclusively Security Proposal Exclusively Security Proposal The following notes are provided to assist in completion of this proposal form. The Exclusively Security product is our specialist commercial insurance product designed specifically

More information

LIABILITY PROPOSAL FORM BUSINESS LIABILITY COVER

LIABILITY PROPOSAL FORM BUSINESS LIABILITY COVER LIABILITY PROPOSAL FORM BUSINESS LIABILITY COVER FOR INTERNAL USE ONLY Agent Name Agency Code When completing this form, please tick the appropriate boxes and answer all questions in BLOCK CAPITALS IMPORTANT

More information

Liability & Construction Construction Quote Form

Liability & Construction Construction Quote Form Liability & Construction Construction Quote Form www.towergate.co.uk/liabilityconstruction Towergate Underwriting Liability and Construction are able to provide cover for general liability and contractors

More information

Allianz Professional Indemnity Insurance Construction Projects

Allianz Professional Indemnity Insurance Construction Projects Allianz Global Corporate & Specialty Pacific Allianz Professional Indemnity Insurance Construction Projects Proposal Form General Information The General Information set out below is provided for your

More information

HEALTH CONTRACTOR INSURED CONSTRUCTION PROJECTS

HEALTH CONTRACTOR INSURED CONSTRUCTION PROJECTS HEALTH CONTRACTOR INSURED CONSTRUCTION PROJECTS Insurance and Indemnification Clauses (to be included in Supplementary Conditions to the CCDC 2 2008 Contracts for Health projects with an Estimated Project

More information

Public and Products Liability Amendments for Manufacturing

Public and Products Liability Amendments for Manufacturing These Amendments are only operative if the Public Liability or Public and Products Liability Section is shown as operative in the Schedule. Subject to all of the terms, definitions, exclusions, provisions

More information

Tradesman Liability Insurance Recycling Services Wording. Policy Document

Tradesman Liability Insurance Recycling Services Wording. Policy Document Tradesman Liability Insurance Recycling Services Wording Policy Document Tradesman Liability Insurance Recycling Services Wording General Insuring Clause In consideration of the payment of the premium

More information

Cleaning contractors: public liability Policy wording

Cleaning contractors: public liability Policy wording The General terms and conditions and the following terms and conditions all apply to this section. Special definitions for this section Bodily injury Defence costs Denial of access Dishonesty Financial

More information

Engineers Professional Liability Proposal Form

Engineers Professional Liability Proposal Form Proposer Details Name of insured Firm(s) (including predecessors) Principal Address line one Principal Address line two City and postcode Telephone number Website Date Firm Established Please provide details

More information

Certificate of Employers Liability insurance (a)

Certificate of Employers Liability insurance (a) Employers liability insurance Policy number: HU PIB 1751623/020 Insured name: Address: D R Jones Min Yr Awel Blaenycoed Road Carmarthen Dyfed United Kingdom SA33 6EG The certificate below shows that you

More information

Public and Product Liability - General

Public and Product Liability - General Section 3E Public and Product Liability - General Definitions Business The business stated in the specification to this section and includes: a) the provision and management of canteen, sports, social,

More information

Role in the project (e.g. Prime Engineering Consultant or Contractor), and summary of professional Duties : Name Professional Duties Contract Awarded?

Role in the project (e.g. Prime Engineering Consultant or Contractor), and summary of professional Duties : Name Professional Duties Contract Awarded? PROPOSAL FORM FOR SINGLE PROJECT PROFESSIONAL INDEMNITY NOTE: THIS IS A PROPOSAL FOR A CLAIMS MADE POLICY Note : Please provide any necessary explanations or additional details by attachment to this Proposal

More information

QBE European Operations Academy Combined Liability Insurance (UK) Schedule

QBE European Operations Academy Combined Liability Insurance (UK) Schedule QBE European Operations Academy Combined Insurance (UK) Schedule Policy Number: Y080684QBE0115A/085 Policy Wording Reference: PPBL020113 Period of Insurance: From: 01/09/2015 To: 31/08/2016 both days inclusive

More information

Employers Liability Insurance

Employers Liability Insurance Employers Liability Insurance Policy Zurich Global Corporate UK Contents Welcome to Zurich Global Corporate UK 3 Employers Liability Policy 4 Law applicable to the contract 4 Extensions 5 Exclusions 7

More information

COMBINED LIABILITY INSURANCE PROPOSAL FORM

COMBINED LIABILITY INSURANCE PROPOSAL FORM COMPANY DETAILS 1. Proposer s Full Name 2. Legal Trading Name (Name to appear on policy documentation) 3. Occupation / Business / Trade Description (please detail all activities) 4. Address Postcode 5.

More information

Single Project Professional Indemnity Insurance Proposal Form. Note: This is a proposal form for a claims made policy

Single Project Professional Indemnity Insurance Proposal Form. Note: This is a proposal form for a claims made policy Single Project Professional Indemnity Insurance Proposal Form Note: This is a proposal form for a claims made policy Please provide any necessary explanations or additional details by attaching separate

More information

Proposer Details. Application for. Full Trading Title (including full names if individuals or partners) Trading Address (including postcode)

Proposer Details. Application for. Full Trading Title (including full names if individuals or partners) Trading Address (including postcode) Application for Combined Liability Insurance This application form must be completed signed and dated by your Principal, Director or Partner Please ensure that all questions are answered in full and that

More information

Proposal Form. Construction Industry Consultants Professional Indemnity

Proposal Form. Construction Industry Consultants Professional Indemnity Proposal Form Construction Industry Consultants Professional Indemnity Important Notices Please read these notices before completing the Proposal Form. Your Duty of Disclosure Before you enter into a contract

More information

COMBINED GENERAL LIABILITY POLICY PROPOSAL FORM

COMBINED GENERAL LIABILITY POLICY PROPOSAL FORM COMBINED GENERAL LIABILITY POLICY PROPOSAL FORM Intermediary: This is your proposal for insurance. It will be the basis of any subsequent insurance policy that the Company may issue to you. You are obliged

More information

Complete. Contractor. Policy Details (including Policy Summary pages 1-7)

Complete. Contractor. Policy Details (including Policy Summary pages 1-7) Complete Contractor Policy Details (including Policy Summary pages 1-7) Allianz Insurance plc Commercial Policy Summary This is a Policy Summary only and does not contain full terms and conditions of

More information

Y063202QBE0114A - PL Y063202QBE0114A - EL FI0522414 & FI0522514 & FI0522714 - PI. Date for Renewal: 1 September 2015

Y063202QBE0114A - PL Y063202QBE0114A - EL FI0522414 & FI0522514 & FI0522714 - PI. Date for Renewal: 1 September 2015 & Insurance Details Policy Summary Insurance Type: Contractors All Risks Public Liability Employers Liability Professional Indemnity Policy Numbers: Insurance Company: 025443012014 - CAR Y063202QBE0114A

More information

A&E A&E. ProSurance TM. Application Form INSURANCE FOR ARCHITECTS & ENGINEERS

A&E A&E. ProSurance TM. Application Form INSURANCE FOR ARCHITECTS & ENGINEERS A&E INSURANCE FOR ARCHITECTS & ENGINEERS ProSurance TM A&E Application Form This is an application for an errors and omissions package policy designed specifically for architects and engineers. As well

More information

Work Injury Compensation Insurance (Contract)

Work Injury Compensation Insurance (Contract) Work Injury Compensation Insurance (Contract) Policy Wordings Please read this insurance Policy carefully to ensure that you understand the terms and conditions and that this Policy meets your requirements.

More information

TRADESMAN POLICY SUMMARY

TRADESMAN POLICY SUMMARY Tr TRADESMAN POLICY SUMMARY Tradesman Insurance Policy Summary (Acturis).2014 Policy Summary This document provides a summary only of the significant aspects of cover (including restrictions) provided

More information

Professional Indemnity Insurance Proposal Form For The Design and Consulting Departments of Contractors

Professional Indemnity Insurance Proposal Form For The Design and Consulting Departments of Contractors Professional Indemnity Insurance Proposal Form For The Design and Consulting Departments of Contractors Important Notice 1. This is a proposal for a contract of insurance, in which Proposer or you/your

More information

MARKETFORM : SYNDICATE 2468 PROPOSAL FORM FOR DESIGN CONSULTANTS PROFESSIONAL INDEMNITY INSURANCE

MARKETFORM : SYNDICATE 2468 PROPOSAL FORM FOR DESIGN CONSULTANTS PROFESSIONAL INDEMNITY INSURANCE MARKETFORM : SYNDICATE 2468 BROKER / INSURANCE AGENT PROPOSAL FORM FOR DESIGN CONSULTANTS PROFESSIONAL INDEMNITY INSURANCE PLEASE READ THESE GUIDANCE NOTES BEFORE COMPLETING THE PROPOSAL FORM. WHERE FURTHER

More information

Work Injury Compensation Insurance (Annual)

Work Injury Compensation Insurance (Annual) Work Injury Compensation Insurance (Annual) Policy Wordings Please read this insurance Policy carefully to ensure that you understand the terms and conditions and that this Policy meets your requirements.

More information

Corporate Guarantee for Liability Coverage Department of Environment and Conservation, Division of Solid Waste Management, Hazardous Waste Program

Corporate Guarantee for Liability Coverage Department of Environment and Conservation, Division of Solid Waste Management, Hazardous Waste Program Corporate Guarantee for Liability Coverage Department of Environment and Conservation, Division of Solid Waste Management, Hazardous Waste Program A guarantee, as specified in Rule 0400-12-01-.05(8)(n)7

More information

Sports Liability Insurance. for Clubs & Associations, Sports Coaching Businesses, Sports Coaches & Trainers and Event/Camp Organisers

Sports Liability Insurance. for Clubs & Associations, Sports Coaching Businesses, Sports Coaches & Trainers and Event/Camp Organisers Sports Liability Insurance for Clubs & Associations, Sports Coaching Businesses, Sports Coaches & Trainers and Event/Camp Organisers Contents Choose sportsinsurance4u from General & Medical Healthcare

More information

EDUCATION (K-12) OWNER INSURED CONSTRUCTION PROJECTS

EDUCATION (K-12) OWNER INSURED CONSTRUCTION PROJECTS EDUCATION (K-12) OWNER INSURED CONSTRUCTION PROJECTS Insurance and Indemnification Clauses (to be included in Supplementary Conditions to the CCDC 2 2008 Contracts for Education (K-12) projects insured

More information

SIGNIFICANT FEATURES AND BENEFITS: Your policy includes the following features, which are explained in detail in your Policy Booklet:

SIGNIFICANT FEATURES AND BENEFITS: Your policy includes the following features, which are explained in detail in your Policy Booklet: Motor Trade Policy Summary Some important facts about your Motor Trade Insurance are summarised below. This summary does not describe all the terms and conditions of your policy, so please take time to

More information

FREIGHT OPERATORS' LIABILITY SCHEDULE

FREIGHT OPERATORS' LIABILITY SCHEDULE IB Marine Aviva Insurance Ltd PO Box 3469 Aviva Norwich NR1 3TE FREIGHT OPERATORS' LIABILITY SCHEDULE POLICY NO BRANCH AGENT 23389628 CXF Manchester C & C Insurance Brokers CODE 75/0014400 INSURED Ital

More information

SUMMARY OF COVER. Max 10/10 Liability and Construction

SUMMARY OF COVER. Max 10/10 Liability and Construction SUMMARY OF COVER Max 10/10 Liability and Construction Liability & Construction Max 10/10 Policy Summary of Cover This leaflet provides a summary of the significant features, benefits and of the cover provided

More information

AV 1 VA Certificate of Employers' Liability Insurance - A Brief Explanation

AV 1 VA Certificate of Employers' Liability Insurance - A Brief Explanation AV 1 VA Certificate of Employers' Liability Insurance (a) (Where required by regulation 5 of the Employers' Liability (Compulsory Insurance) Regulations 1998, one or more copies of this certificate must

More information

Enclosures. What to do next. Important Information. 3rd Floor, 100 Holdenhurst Road, Bournemouth BH8 8AQ. 08000 929394 info@deacon.co.

Enclosures. What to do next. Important Information. 3rd Floor, 100 Holdenhurst Road, Bournemouth BH8 8AQ. 08000 929394 info@deacon.co. 3rd Floor, 100 Holdenhurst Road, Bournemouth BH8 8AQ 08000 929394 info@deacon.co.uk www.deacon.co.uk Sirs St Pauls Court Management Company Limited c/o Pedersen & Company Temple House 17 Dukes Ride Crowthorne,

More information

S E.L./P.L./C.A.R. INSURANCE APPLICATION FORM C.B.A.I. EMPLOYER S LIABILITY PUBLIC LIABILITY C.A.R. INSURANCE APPLICATION FORM

S E.L./P.L./C.A.R. INSURANCE APPLICATION FORM C.B.A.I. EMPLOYER S LIABILITY PUBLIC LIABILITY C.A.R. INSURANCE APPLICATION FORM New RISK MANAGEMENT COMPANY FOR INDEPENDENTS (IRELAND) LTD. Mount Corballis C.4, Rathdrum, Co. Wicklow. Tel.0404 43166 Fax 0404 43167 E mail:rmci@unison.ie CONTRACTOR S E.L./P.L./C.A.R. INSURANCE APPLICATION

More information

PROFESSIONAL INDEMNITY PROPOSAL FORM

PROFESSIONAL INDEMNITY PROPOSAL FORM PROFESSIONAL INDEMNITY PROPOSAL FORM For the Design and Consulting Department of Electrical and Mechanical Services Contractors Please answer all questions. It is appreciated that for some Proposers, certain

More information

2. Have you ever traded under a different name? YES NO If YES, please advise details:

2. Have you ever traded under a different name? YES NO If YES, please advise details: CONTRACTORS ALL RISKS PROPOSAL FORM Please answer all questions, completing the form in ink using block capitals. The completion and signature of this Proposal does not bind the Proposer or Insurers to

More information

Employers Liability Policy specimen

Employers Liability Policy specimen Employers Liability Policy Royal & Sun Alliance Insurance plc (No. 93792). Registered in England & Wales at St. Mark's Court, Chart Way, Horsham, West Sussex, RH12 1XL. Authorised by the Prudential Regulation

More information

Complete. Contractor. Policy Summary

Complete. Contractor. Policy Summary Complete Contractor Policy Summary Allianz Insurance plc Commercial Policy Summary This is a Policy Summary only and does not contain full terms and conditions of the contract of insurance. Some of the

More information

HEALTH OWNER INSURED CONSTRUCTION PROJECTS

HEALTH OWNER INSURED CONSTRUCTION PROJECTS HEALTH OWNER INSURED CONSTRUCTION PROJECTS Insurance and Indemnification Clauses (to be included in Supplementary Conditions to the Design - Build Stipulated Price Contract 14-2000 for Health projects

More information

PUBLIC & PRODUCTS LIABILITY INSURANCE

PUBLIC & PRODUCTS LIABILITY INSURANCE PUBLIC & PRODUCTS LIABILITY INSURANCE ASSURED: SCHEDULE TO THE POLICY POLICY NUMBER: BUSINESS: PERIOD OF INSURANCE: From: To: (both dates inclusive) INDEMNITY LIMITS: Section: A: Section B: Section C:

More information

Tradesman Essential Per Capita Liability Insurance Summary of Cover

Tradesman Essential Per Capita Liability Insurance Summary of Cover Tradesman Essential Per Capita Liability Insurance www.towergate.co.uk This leaflet provides a summary of the significant features, benefits and limitations of the cover provided by your Tradesman Essentials

More information

Public and Product Liability. Proposal Form November 2004 Edition

Public and Product Liability. Proposal Form November 2004 Edition Public and Product Liability Proposal Form vember 2004 Edition Important tice To apply for the Public and Product Liability Insurance Policy, complete this Proposal Form in BLOCK CAPITALS using a ball-point

More information

RENEWABLE ENERGY CONTRACTORS LIABILITY INSURANCE PROPOSAL FORM

RENEWABLE ENERGY CONTRACTORS LIABILITY INSURANCE PROPOSAL FORM Introduction RENEWABLE ENERGY CONTRACTORS LIABILITY INSURANCE PROPOSAL FORM The information you provide on this proposal is vital to Underwriters consideration of the relative risks associated with your

More information

ARIEL AIRPORT OWNERS AND OPERATORS LIABILITY INSURANCE

ARIEL AIRPORT OWNERS AND OPERATORS LIABILITY INSURANCE ARIEL AIRPORT OWNERS AND OPERATORS LIABILITY INSURANCE The Insurers hereby agree to the extent and in the manner hereinafter provided, to pay on behalf of the Insured all sums which the Insured shall become

More information

CAMBERFORD LAW PLC SCHEME INSURANCE Arboricultural, Horticultural and Landscaping Contractors Enquiry Form

CAMBERFORD LAW PLC SCHEME INSURANCE Arboricultural, Horticultural and Landscaping Contractors Enquiry Form CAMBERFORD LAW PLC SCHEME INSURANCE Arboricultural, Horticultural and Landscaping Contractors Enquiry Form Head Office Lygon House, 50 London Road, Bromley, Kent, BR1 3RA Telephone 020 8315 5000 Website

More information

You should read this Summary of Cover in conjunction with your Policy Schedule and Policy Wording.

You should read this Summary of Cover in conjunction with your Policy Schedule and Policy Wording. Summary of Cover iprism Retail Policy About Your Policy This document provides a summary of the cover provided by the iprism Retail Policy. This summary is provided to you for information purposes only

More information

A business insurance package available for self employed persons and small businesses (including limited companies) with up to 5 employees.

A business insurance package available for self employed persons and small businesses (including limited companies) with up to 5 employees. 6758_WLI354NZ_POL.qxd 17/8/04 8:49 Page 1 VENTURE PLUS Summary of Cover A business insurance package available for self employed persons and small businesses (including limited companies) with up to 5

More information

Home Emergency Cover. Customer Services Helpline 0345 519 4960 Home Emergency Claims Helpline 0800 917 1644

Home Emergency Cover. Customer Services Helpline 0345 519 4960 Home Emergency Claims Helpline 0800 917 1644 Home Emergency Cover Customer Services Helpline 0345 519 4960 Home Emergency Claims Helpline 0800 917 1644 HOME EMERGENCY COVER Introduction This is your home emergency policy document. This policy, any

More information

PUBLIC AND PRODUCTS LIABILITY INSURANCE SCHEDULE TO THE POLICY

PUBLIC AND PRODUCTS LIABILITY INSURANCE SCHEDULE TO THE POLICY PUBLIC AND PRODUCTS LIABILITY INSURANCE SCHEDULE TO THE POLICY INSURED: POLICY NO: BUSINESS: PERIOD OF INSURANCE: From: To: (both dates inclusive) INDEMNITY LIMITS: Section A: Section B: Section C: EXCESS:

More information

Policy document. Employers Liability

Policy document. Employers Liability Policy document Employers Liability Contents Employers Liability 4 The cover 5 Exclusions 8 Conditions 9 Complaints procedure 10 A warm welcome to Zurich Thank you for taking out your Employers Liability

More information

DIRECTORS AND OFFICERS LIABILITY INSURANCE FOR RESIDENTS ASSOCIATIONS AND CLUBS

DIRECTORS AND OFFICERS LIABILITY INSURANCE FOR RESIDENTS ASSOCIATIONS AND CLUBS PLEASE READ THIS POLICY (AND THE SCHEDULE WHICH FORMS AN INTEGRAL PART OF THE POLICY) TO ENSURE THAT IT MEETS YOUR REQUIREMENTS DIRECTORS AND OFFICERS LIABILITY INSURANCE FOR RESIDENTS ASSOCIATIONS AND

More information

RENEWABLE ENERGY MANUFACTURERS LIABILITY INSURANCE PROPOSAL FORM

RENEWABLE ENERGY MANUFACTURERS LIABILITY INSURANCE PROPOSAL FORM RENEWABLE ENERGY MANUFACTURERS LIABILITY INSURANCE PROPOSAL FORM Introduction The information you provide on this proposal is vital to Underwriters consideration of the relative risks associated with your

More information

Public and Product Liability Claims Made Insurance (UK) Insurance Summary

Public and Product Liability Claims Made Insurance (UK) Insurance Summary Public and Product Liability Claims Made Insurance (UK) Underwritten by a member of the QBE Insurance Group (QBE) This insurance is an annual contract unless stated otherwise in the quotation or renewal

More information