Professional Indemnity Quotation - www.itsinsured.co.uk

If yes, please provide details below:

Has any principal, director, partner any association with or a financial interest in any other practice, company or organisation?

Do you sign contracts on behalf of your clients?

Yes

No

What limit of indemnity do you require?

Financial Year End:

Please detail below your 3 largest contracts, including, fee income, contract value, start date of contract and end date of contract:

Do you use consultants and/or sub-contractors

Yes

No

Company Contact Name and Number: *

Please advise us of any other information that you consider material to your insurance requirements:

What is your company turnover/fee income per annum:

Are you involved in any process of construction, manufacture, installation or supply of products (other than in a consultancy capacity)?:

Please supply details of all principals, directors and partners: *

Are Sub-Contractors required to hold their own professional Indemnity Cover?

Yes

No

Only if required

Do you currently have Professional Indemnity?

Year business Established:

Do you enter into contracts which are not subject to UK laws?

Yes

No

Has any claim been made by any principal, director or partner?

Please describe your business activities:

Has any proposal made for this insurance ever been declined, cancelled, refused or had any special terms imposed?

Do you carry out work outside of the UK/Europe (i.e. Worldwide/Canada/US)?

Yes

No

If yes, please provide full details below including, date of claim, circumstances, costs etc:

Are you a member of any professional body or trade association?

Please provide any further information relevant to your quotation enquiry:

Provide a % split between your business activities:

Tel: 01689 853345