Full business name:
Your name:
Business correspondence address:
Business correspondence postcode:
Contact email address:
Contact telephone number:
How did you hear about us:
When would you like the cover to start:
Is this policy replacing a current insurance policy:
Please confirm the renewal date of your policy and the current Retroactive Date shown on your schedule:
Have you made any indemnity or liability claims in the past 5 years or have incidents that could lead to a claim:
Please supply details of the incident/loss, date of the incident/loss, is this now settled, total claim payout, any preventative measures input to prevent further loss:
Have you or any of the directors had any previous CCJ's, bankruptcies, or were director of liquidated companies:
Please supply further details:
Have you or any of the directors had any insurance declined, terminated, refused or special terms imposed:
Please supply further details:
Have you or any of the directors had any criminal convictions other than motoring:
Please supply further details:
Please confirm all business activities:
Property/Deal Sourcing
Rent-to-Rent
Property Management
Property Lettings
Estate Agency
Project Management
Project Co-Ordination
Other (please specify)
Other business activities:
Please confirm % split between Commercial Properties & Residential Properties
Commercial Properties:
Residential Properties:
How many years experience do you have in the above:
Will you undertake any project management of refurbishment for clients:
What is the maximum fee income per deal:
What is the average fee income per deal:
Please confirm the % income from this work within the turnover declared:
What is the maximum contract/refurb value managed:
What is the maximum property value you will work upon:
Will you manage any structural works i.e. extension, loft conversions, load bearing wall removal etc:
Can you confirm the approximate annual payments to contractors for refurb works if you pay the contractor on behalf of client:
Or does the client pay the trades directly so you are more of project co-ordinator:
Do you source any commercial properties:
How do you ensure the quality of trades? i.e. use the same trades, obtain insurance docs etc:
Estimated first year turnover or annual turnover if already trading:
Please confirm your largest any one contract size:
Do you have any employees:
How many employees do you have:
What is the annual wage roll:
Do you engage with Bona-Fide Sub-Contractors:
Will annual payment to sub-contractors exceed 25% of your annual turnover:
What % of turnover will be paid to sub-contractors
Please select the level of Professional Indemnity cover you would like:
£100k
£250k
£500k
£1,000,000
£1,500,000
£2,000 000
Higher Limit
Please select the level of Public Liability cover you would like (if this cover is required):
Not required
£1,000,000
£2,000,000
£5,000,000
£10,000,000
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