Schedule to the Policy
|
|
- Derek Ball
- 8 years ago
- Views:
Transcription
1 Schedule to the Policy 1 Policy Number: SAL Form Number: SJC2010SAUA 3 Insured Name: Global Brigades UK Ltd 4 Insured Address: 290 Woolwich Church Street, London, SE18 5ND 5 Policy Period: From: 16 January Information provided to Underwriters on: To: 15 January 2015 Both dates Inclusive Local Standard Time at the Insured s address as above stated. 8 January Business: Charity who carry our recruitment for overseas placements and also undertake fundraising within the UK. This policy is covering the UK liabilities only. 8 Limit of Indemnity: Employers Liability: GBP 10,000,000 Any One Claim, including costs and expenses Public Liability: GBP 2,000,000 Any One Claim, costs and expenses in addition Products Liability: GBP 2,000,000 in the aggregate, costs and expenses in addition 9 Excess: Property Damage GBP Premium: Employers Liability: GBP for the Policy Period Adjustable on Clerical Employees at: % Adjustable on All Other Employees at: % Public/Products Liability: GBP for the Policy Period Adjustable on UK Turnover at: % Adjustable on EU/ROW Turnover at: % Insurance Premium Tax: GBP Deposit & Total Premium: GBP Endorsements: As attached 16 January 2014 Signed on behalf of certain Underwriters at Lloyd s, London Date 1
2 Schedule to the Policy ENDORSEMENTS The following endorsement attaches to and forms part of Policy Number SAL61176 in the name of Global Brigades UK Ltd :- Excess We shall not indemnify You in respect of the first GBP 500 of all claims (including costs and expenses) arising from Damage to Property. If any amount paid by Us includes the above amount You shall reimburse Us. Premium Payment Warranty It is a condition precedent in respect to liability insurance that the minimum and deposit premium due to SAUA under this insurance is paid to SAUA within 60 days after the effective inception date of the insurance, renewal or adjustment date (as appropriate) of the insurance. Should the premium not be paid within the given period all cover under the insurance will be cancelled and of no further effect and treated as Not Taken Up. Bona Fide Sub Contractors Condition We will not indemnify You under this Insurance in respect of any claim arising out of or in connection with work undertaken on Your behalf by bona fide independent contractors (not defined as a Person Employed under this Insurance) unless at the time of engaging such contractors You obtain and retain a copy of the relevant insurance policy schedule or other proof thereof that such contractors have in force: 1 an approved Employers Liability insurance in accordance with any law relating to compulsory insurance of liability to Persons Employed and 2 Public and Products Liability insurance suitable for the nature of the work undertaken on Your behalf and with a Limit of Indemnity not less than that applying to this Policy and containing an indemnity to principals clause Participant to Participant Exclusion We shall not indemnify You under Sections 1 & 2 of this Insurance against liability arising from Injury caused by the acts or omissions of any participant towards another participant. Inflatable & Amusement Exclusion We shall not indemnify You under Sections 2 & 3 of this Insurance against liability arising from the following inflatables amusements or activities: 1 Mechanically or electrically powered rides of any nature (other than static coin operated rides) 2 Children s playground or soft play equipment including inflatables of any nature 3 Any equipment or amusement which involves the kicking or punching of any objects 4 Any equipment or amusement for use outside Your premises 2
3 Schedule to the Policy Bodily Treatment Exclusion We shall not indemnify You under Sections 2 & 3 of this Insurance against liability arising from the provision of any medical or other bodily treatment (other than first aid and ambulance services). Pyrotechnics Exclusion We shall not indemnify You under Section 2 of this Insurance against liability arising from the use of pyrotechnics or dry ice machines. Spectator Stands/ Stage Exclusion We shall not indemnify You under Sections 1, 2 & 3 of this Insurance against liability arising from any erection and or dismantling of any spectator stand stage or seating of temporary or portable design or construction. Professional Indemnity Exclusion We will not indemnify You in respect of liability arising out of or in connection with the failure of You to fulfil Your professional duties. Libel/Slander Exclusion We shall not indemnify You under Sections 2 & 3 of this Insurance against liability arising from: 1 Libel slander defamation or malicious falsehood 2 Slander of title of goods or other injurious falsehood 3 Wrongful misrepresentation. 3
4 Certificate of Employers Liability Insurance (a) In accordance with Regulation 5 of the Employers Liability (Compulsory Insurance) (Amendment) Regulations 2008 (the Regulations), one or more copies of this Certificate must be displayed at each place of business at which the Policyholder employs persons covered by this Policy. This requirement 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 Number: SAL Name of Policyholder: Global Brigades UK Ltd 2 Date of Commencement of Insurance: 16 January Date of Expiry of Insurance: 15 January 2015 We hereby certify that subject to paragraph 2: 1 The Insurance to which this Certificate relates satisfies the requirements of the relevant law applicable to Great Britain, Northern Ireland, the Isle of Man, the Island of Guernsey, the Island of Jersey, the Island of Alderney (b) ; and 2 (a) The minimum amount of cover provided by this Policy is no less than GBP 5,000,000 (c) Signed: On behalf of certain Underwriters at Lloyd s, London Notes: (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 policy covers the holding company and all its subsidiaries, or that the policy covers the holding company and all its subsidiaries except any specifically excluded by name, or that the policy 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 policy. Paragraph 2(b) does not apply and is deleted.
5 Statement of Facts Important Notice This Statement of facts is a record of the information and Material Facts advised to the Underwriters. The Proposed Insured by accepting this Statement of Facts confirms the truth of the information contained and that this is accurate and has not been misrepresented or mis-stated. The information contained in this statement of facts forms the basis for the acceptance of the proposal for insurance and the calculation of the premium and will form the basis of the contract of insurance between the Proposed Insured and Underwriters. Failure to disclose any Material Facts, which would be likely to influence the acceptance and assessment of the proposal, may result in the Underwriters refusing to provide indemnity or avoiding the policy in every respect. A Material Fact is one which an Underwriter would regard as likely to influence their assessment and acceptance of this insurance. Should the Proposed Insured have any doubt as to what may constitute a Material Fact they should contact you as their insurance broker. The insurance broker acting for the Proposed Insured should check this Statement on behalf of the Proposed Insured and if any of the information is incorrect you should amend the document and resubmit. Policy Number: Name of Proposed Insured: Correspondence Address Of Proposed Insured: Trade or Business: The Proposed Insured is a: Cover and limits of indemnity: i) Employers Liability: ii) Public Liability: iii) Products Liability: SAL61176 Global Brigades UK Ltd 290 Woolwich Church Street, London, SE18 5ND Charity who carry our recruitment for overseas placements and also undertake fundraising within the UK. This policy is covering the UK liabilities only. Sole Proprietor GBP 10,000,000 GBP 2,000,000 GBP 2,000,000 Annual Wage rolls as declared: a) Clerical: GBP b) All Other Employees: GBP 9,000 Annual Turnover as declared: GBP 500,000 Payments to Bona-Fide Sub Contractors: GBP 1
6 No Proprietor, partner or Director of the Proposed Insured has ever: The work of the trade or business does not involve: The trade or business for which insurance is being sought is done within: Is there any use of heat equipment in connection with the trade or business?: Are any subsidiary companies included within this insurance quotation?: 1 had a proposal declined by an insurer 2 had an insurance renewal refused by an insurer 3 had an insurance cancelled by an insurer 4 had special terms imposed on an insurance 5 had any convictions for any criminal offence involving dishonesty arson theft or wilful damage or any prosecutions pending 6 been declared bankrupt or insolvent or been the subject of bankruptcy proceedings 7 for any of the classes of insurance under this Statement of Facts /policy for which cover is sought suffered any loss or had any claim made against them whether insured or not in the last five years (including current knowledge of any impending circumstances which could give rise to a claim) 1 work at heights exceeding 5.00 metres or depths exceeding 0.50 metres 2 the use of chemicals or other substances which could be harmful to health 3 the use of fixed woodworking machinery by employees Great Britain, Isle of Man and the Channel Islands No, No It is assumed unless advised by the proposer to the contrary that there is no work carried out at or on or in connection with: demolition except demolition solely undertaken with hand held tools and of structures not exceeding 5 metres in height when such work forms an ancillary part of a contract for construction alteration or repair construction alteration maintenance or repair of bridges viaducts towers steeples spires pylons or chimney shafts underpinning pile driving tunnelling quarries collieries mines ships blast furnaces power stations offshore gas or oil installations chemical works or gas refineries or storage facilities or any installation where nuclear processing is undertaken use of explosives airside or on or in the immediate vicinity of aircraft docks harbours railways or watercraft 2
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 informationPOLICY 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 informationCONFIRMATION OF ORDER
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
More informationEffective 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 informationCAMBERFORD 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 informationNICEIC 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 informationContractors 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 informationLIABILITY 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 informationTradesman & Contractors Policy Statement Of Facts
This Statement of Facts was issued on 03/08/2015 14:46:23 Your iprism reference is Your Policy Number is 0000RLSY I11/052014/TR/013442 Your insurance is effective from 03/08/2015 13:06:11 Agency Agent
More informationEMPLOYER 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 informationS 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 informationProposal Form for Bespoke Cover
AIR Artists Insurance Policy Developed in conjunction with a n The Artists Information Company, acting on behalf of members of AIR (Artists Interaction and Representation) Proposal Form for Bespoke Cover
More information2. 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 informationCONTRACTORS 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 informationExclusively 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 informationCombined 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 informationTRADESMEN 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 informationLiabilities Proposal Form
Liabilities Proposal Form www.towergate.co.uk IMPORTANT INFORMATION Your insurance contract will be prepared based on the information supplied by you, which is shown on this Proposal. To the best of your
More informationSummary 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 informationNFRC 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 informationSchedule - 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 informationTHE 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 informationCertificate 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 informationC.B.A.I. GENERAL EMPLOYER S AND PUBLIC LIABILITY 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 C.B.A.I. GENERAL EMPLOYER S AND PUBLIC LIABILITY
More informationOPTIMA 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 informationSchedule 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 informationPlease 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 informationContractors All Risks Plant and Equipment
1. Full Name of the Insured (including the name of all subsidiary companies): 2. Full Business Description: 3. Business Address & Postcodes (if more than one location please state all premises on an additional
More informationCAMBERFORD LAW PLC. RECRUITMENT AGENCY and EMPLOYMENT BUSINESS INSURANCE PROPOSAL FORM
CAMBERFORD LAW PLC RECRUITMENT AGENCY and EMPLOYMENT BUSINESS INSURANCE PROPOSAL FORM Please note that 'You' or 'Your' in the context of this Enquiry Form means the persons named as Proposer and/or any
More informationProposer 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 informationPROPOSAL 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 informationCERTIFICATE 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 informationSemploy Extra Statement of Fact and Schedule
POLICY NUMBER: 9051938L Page 1 of 7 Semploy Extra Statement of Fact and Schedule Effective Date: 27 May 2015 00:00 Expires On: 26 May 2016 24:00 Agent Number 23303W Date of Issue 27 May 2015 Agency Reference
More informationCOMBINED 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 informationInsurance Scheme. For. Cleaning & Facilities Management Companies
Insurance Scheme For Cleaning & Facilities Management Companies Proposal Form Darwin House, 20 Mount Ephraim Road Tunbridge Wells, Kent, TN1 1ED Tel: 01892 511144 Fax: 01892 511455 Email: Info@dcuk.co.uk
More informationThe 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 informationCertificate 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 informationRECRUITMENT 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 informationContractors' 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 informationPOLICY 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 informationFreelancers choice. Single person limited companies. Your business. Our focus. Arranged by. Underwritten by
Freelancers choice Single person limited companies Arranged by Your business. Our focus. Underwritten by 1. Your details Company/name Address Postcode Telephone Fax Email What is your estimated annual
More informationEmployers 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 informationRENEWABLE 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 informationCAMBERFORD 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 informationDuplicate forms & other stationery are available from our website www.ssr.co.uk.
As you are no doubt aware, the above policy falls due for renewal on. To enable us to calculate renewal terms, please complete and return the attached Declaration, Estimate and Renewal Questionnaire. Should
More informationContractors All Risks Proposal
P 1800 096 829 F 1800 096 680 A.F.S Licence 244370 A.C.N 096 939 169 Contractors All Risks Proposal IMPORTANT NOTICE This Proposal Form must be typed, or completed in ink and signed and dated by the Proposer:
More informationEssential business legal expenses policy schedule
This document is an outline of your cover. It includes your details, details of the business you have insured, the cover given, the cover limits, the excesses and any changes to the standard policy wording
More informationUmbrella and payroll service companies
Umbrella and payroll service companies Important notice This will assist you to select the cover you require. Please answer the questions fully and do not withhold or misrepresent any facts which are likely
More informationCONTRACTORS INSURANCE SPECIFIC CONTRACT INSURANCE PROPOSAL
CONTRACTORS INSURANCE SPECIFIC CONTRACT INSURANCE PROPOSAL A FULL POLICY WORDING IS AVAILABLE ON REQUEST PLEASE COMPLETE IN CAPITAL LETTERS USING AN INK PEN AND TICK BOXES AS APPROPRIATE Where requested,
More informationGet 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 informationLiability & 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 informationThe 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 informationKerry 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 informationAccountants Proposal Form
Accountants Proposal Form Proposal Form IMPORTANT: In this proposal: You / Your refers to all firms to be insured under this arrangement, including any predecessor or previous business for which cover
More informationCERTIFICATE 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 informationCleaning 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 informationpolicy 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 informationMARINE SURVEYORS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE
HCC International Walsingham House, 35 Seething Lane London EC3N 4AH, United Kingdom main +44 (0)20 7702 4700 facsimile +44 (0)20 7626 4820 MARINE SURVEYORS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE
More informationProfessional 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 informationCONSULTING ENGINEERS PROFESSIONAL INDEMNITY PROPOSAL FORM
CONSULTING ENGINEERS PROFESSIONAL INDEMNITY PROPOSAL FORM Please read the following questions carefully and answer them all providing additional information where required. Should you require more space
More informationCONSULTING ENGINEERS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE
HCC International Walsingham House, 35 Seething Lane London EC3N 4AH, United Kingdom main +44 (0)20 7702 4700 facsimile +44 (0)20 7626 4820 CONSULTING ENGINEERS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE
More informationSHORT TERM THEATRE INSURANCE PROPOSAL
*A FULL POLICY WORDING IS AVAILABLE ON REQUEST* Please complete in full selecting the covers you require or have been quoted. Name of Proposer in full: SHORT TERM THEATRE INSURANCE PROPOSAL. Limited Company
More informationAV 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 informationHEALTH 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 informationLIABILITY 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 informationARCHITECTS PROFESSIONAL INDEMNITY PROPOSAL FORM
ARCHITECTS PROFESSIONAL INDEMNITY PROPOSAL FORM Please read the following questions carefully and answer them all providing additional information where required. Should you require more space please provide
More informationCOMMERCIAL INSURANCE PROPOSAL FORM COVER DESIGNED FOR YOUR BUSINESS
COMMERCIAL INSURANCE PROPOSAL FORM COVER DESIGNED FOR YOUR BUSINESS This Proposal is for use by special agreement with NIG in connection with their range of Commercial Non-motor Policies other than Motor
More informationZURICH TRADESMAN SCHEDULE
ZURICH TRADESMAN SCHEDULE Policy Number ZT0002903 Date 20/03/2014 The Insured Mr Matthew Watson T/A Signal Solutions The Agent Grayside Ltd Agency Number 35021 Agents Reference WAMX11TM02 The Business
More informationLiability & Construction. Construction Quote Form
Liability & Construction Construction Quote Form Towergate Underwriting Liability and Construction is able to provide cover for general liability and contractors liability for up to 1,000 trades. Full
More informationContractors' Combined Liability Insurance Policy
Contractors' Combined Liability Insurance Policy Contents 1 Our agreement in general... 3 2 Insured section - Employers liability... 4 3 Insured section - Public liability... 9 4 Insured section - Products
More informationSelections Proposal form
Selections Proposal form High quality insurance for the recruitment industry. Important Note Before completing the proposal form please refer to the summaries of cover. This will assist you to select the
More informationRENEWABLE 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 informationMISCELLANEOUS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE
HCC International Walsingham House, 35 Seething Lane London EC3N 4AH, United Kingdom main +44 (0)20 7702 4700 facsimile +44 (0)20 7626 4820 MISCELLANEOUS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE
More informationDesign and Construct. Professional Indemnity Insurance proposal form
Design and Construct Professional Indemnity Insurance proposal form Please complete all the questions in this proposal form in black ink, continuing your answers on page 7 where there is insufficient space.
More informationACTIVITIES 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 informationCombined General Liability
Combined General Liability Proposal form Policy number Intermediary Completion notes Please read the following before completing this document. Answer all questions in full. If you need extra space, attach
More informationUnoccupied Commercial Property Owners
Unoccupied Commercial Property Owners Insurance Schedule Please check this document. This Insurance is subject to the information detailed in this document. The Insured and their insurance intermediary
More informationARCHITECTS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE
HCC International Walsingham House, 35 Seething Lane London EC3N 4AH, United Kingdom main +44 (0)20 7702 4700 facsimile +44 (0)20 7626 4820 ARCHITECTS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE IMPORTANT
More informationArchitects Professions
Architects Professions Application Form IMPORTANT: In this Application: You / Your refers to all firms to be insured under this arrangement, including any predecessor or previous business for which cover
More informationDesign & Construct Professional Indemnity Insurance Proposal Form
Your Professional Indemnity Specialists www.brian-thornhill.co.uk Design & Construct Professional Indemnity Insurance Proposal Form Please complete this form in BLOCK CAPITALS IMPORTANT INFORMATION This
More informationTradesmen. 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 informationPROFESSIONAL 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 informationAccountants Application Form
Accountants Application Form Application Form IMPORTANT: In this application: You / Your refers to all firms to be insured under this arrangement, including any predecessor or previous business for which
More informationRail Contractors Liability Insurance
Rail Contractors Liability Insurance (Please ensure that proposal is completed in full and is clear and legible) 1. Applicant Details Full Trading Name: (this should be name required in the policy) Address:
More informationInsurer Thistle Underwriting acting in an underwriting capacity on behalf of those Lloyd s Underwriters subscribing to the above policy.
CONTRACTORS & ENGINEERS POLICY Please read this document carefully This is a summary of the cover provided by your Policy. It contains references to the key features and benefits of the Policy as well
More informationPROPERTY OWNERS INSURANCE PROPOSAL
PROPERTY OWNERS INSURANCE PROPOSAL Please use BLOCK CAPITALS and tick boxes where applicable. Where requested enter further details in the space provided. If there is insufficient space please continue
More information(Accountants) Proposal Form
Office Use: Company Ref Pos Caunce O Hara & Co Ltd City Wharf New Bailey Street Manchester M3 5ER Tel: 0161 833 2100 Fax: 0161 839 2100 (Accountants) Proposal Form PLEASE ENCLOSE WITH THIS PROPOSAL FORM:
More informationW.R. Berkley Insurance Ireland
W.R. Berkley Insurance Ireland ARCHITECTS PROFESSIONAL INDEMNITY PROPOSAL FORM IMPORTANT NOTICE TO THE PROPOSER TO COMPLETION OF THIS PROPOSAL FORM 1) Disclosure - Any material fact must be disclosed to
More informationPublic 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 informationQBE European Operations
QBE European Operations STATEMENT OF FACT Policy Number: QBE22879/Y072953QBE0112A Period of Insurance: From: 21/03/14 To: 27/05/14 both days inclusive Greenwich Mean Time and for such further period or
More informationPublic & Products Liability Proposal Form IMPORTANT NOTES
Public & Products Liability Proposal Form IMPORTANT NOTES Completing this Proposal Form does not mean that you will automatically be granted insurance cover proposed. However, if insurance is granted,
More informationCOMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
COMMERCIAL GENERAL LIABILITY UI GL 39 04 14 COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT The Commercial General Liability Enhancement Endorsement is an optional endorsement that provides coverage
More informationOur head office and registered address is: Sportsguard One Overstone Heights, Sywell, Northamptonshire, NN6 0AT
Public Liability proposal form Our head office and registered address is: Sportsguard One Overstone Heights, Sywell, Northamptonshire, NN6 0AT Sportsguard is a trading and product name of The Admin Bureau
More informationSIGNIFICANT 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 informationBuilding and Engineering Contractors Proposal Form
Building and Engineering Contractors Proposal Form This Proposal form must be completed in ink, signed and dated by a Principal, Partner or Director of the Proposer. All questions must be answered and
More informationSecurus Insurance Limited. Property Owners Proposal Form
Securus Insurance Limited Property Owners Proposal Form Securus Insurance Limited Unit C2, Airside Enterprise Centre Swords Co Dublin Phone (01) 8074550 Fax (01) 8074553 Email info@securus.ie Web www.securus.ie
More informationEVENT LIABILITY INSURANCE APPLICATION FORM & SUMMARY OF COVER
EVENT LIABILITY INSURANCE APPLICATION FORM & SUMMARY OF COVER Comprehensive Proposal Form app/liabilitysp/251012 Your event, our risk There is a summary of key features of this insurance at the end of
More informationTradesman Insurance Policy Summary Tradesman Insurance Policy is underwritten by QBE Insurance (Europe) Limited (QBE)
Tradesman Insurance Policy Summary Tradesman Insurance Policy is underwritten by QBE Insurance (Europe) Limited (QBE) This Tradesman Insurance Policy is an annual insurance contract unless stated otherwise
More informationDICKSON MANCHESTER. Charity and Association Liability Proposal Form. Proposal form for Insurance effected through Dickson Manchester & Co Ltd
DICKSON MANCHESTER Charity and Association Liability Proposal Form Proposal form for Insurance effected through Dickson Manchester & Co Ltd A SUBSIDIARY OF HCC INSURANCE HOLDINGS, INC. Member of the General
More informationA&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