| Name |
|
| Email Address |
|
| Postcode |
|
| Contact Phone Number |
|
| Business / Occupation |
|
| Unlisted Occupation |
|
| Maximum Height |
|
| No of Manual Directors/Partners |
|
| Number of Manual Employees |
|
| Number of Clerical Partners |
|
| Number of Clerical Employees |
|
| Limit of Indemnity Required |
|
| Extensions to cover not
included in all standard public liability insurance
policies. |
Professional Negligence - Electrical
Wiring Certification
for full PII Cover go
here |
|
| Alarm Installation - Failure to
Perform |
|
| Financial Loss |
|
| Damage to Property being worked upon |
|
| Hired in Plant |
|
| Contract
Works/Contractors All Risks (Max
Contract Value) |
|
| Tools Cover Required per person |
|
Personal Accident for partners,
directors and principals
For PA Sickness Cover go
here. |
|