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Public & Employers Liability Insurance Quotation Request

Arrange a free insurance quote for public and employers liability. Simply complete the quotation form below, submit the form to us and we’ll come back to you shortly. Alternatively give our office a call and we can collect information over the phone.

Public Liability Insurance Quotation Form

Company Details

Company/Trading name:

Full names of principals, partners and directors:

Company Status:

Business Address:

Business Postcode:

Please select your trade or business (You can select more than 1 occupation, by holding down the 'ctrl' button):

Date business established:

How many years experience in the trade:

How many continuous claim free years have you been insured for?:

Do you operate from commercial premises or home address:

Estimated annual turnover: £

How many people are involved in manual work?...

a) Principals, partners, and directors:

b) Full Time Employees including labour only sub-contractors, and people working under Government Schemes (maximum number required at any one time is required) :

How many people are involved in clerical only work?

Do you employ any 'Temporary Staff' during the year (Excluding Bona-Fide Contractors)?

YesNo

If 'Yes' How many days during the year will you have temporary employees working for you?

The Cover You Require

Public liability cover (compulsory indemnity limit required):

Is employer's liability cover required?:

YesNo

Your Business Activities, Previous Insurance And Claims History

What are your payments to bona-fide or supply and fix sub contractors per annum ( i.e. contractors who supply their own materials, plumbers, electricians, etc )?:

What is the maximum depth you may work at (Metres)?

What is the maximum height you may work at (Metres)?

Do you undertake work away from your premises involving the use of heat, (Excl welding/flame cutting equipment?):

YesNo

Do you undertake work away from your premises involving the use of welding or flame cutting equipment?

YesNo

Do you hire out plant and/or machinery to other persons or firms?:

YesNo

Do you undertake work involving the installation, service, maintenance, or repair of gas appliances, pipe work, equipment or flues?:

YesNo

if YES: Are you CORGI Registered or will such work be undertaken solely by CORGI registered persons?:

YesNo

Has any insurer cancelled, declined to provide or renew cover or imposed special terms in respect of the risks now proposed?:

YesNo

Have you or any partner or director been convicted in the last 5 years of any offence relating to the Health & Safety of your employees or members of the public in connection with your business?:

YesNo

Have you or any partner or director been convicted or is any prosecution pending for any offence involving dishonesty of any kind including for example

YesNo

Have you made any claims or suffered any losses during the last 5 years whether covered by insurance or not?:

YesNo

if you have answered 'YES' to the above questions, please put full details in the box opposite:

If your trade or business is a BUILDER or PROPERTY MAINTENANCE only, state whether:

your annual turnover for SEPARATE CONTRACTS will exceed 15% for painting & decorating, roofing, groundwork's or plumbing & heating?:

YesNo

your annual turnover for SEPARATE CONTRACTS will exceed 5% for timber treatment, damp proofing or civil engineering?:

YesNo

For the trade of BUILDERS and BRICKLAYERS state whether:

you solely undertake work on private dwellings, shops, offices, hotels, public houses, guest houses, schools, colleges, residential, retirement or nursing homes, of not more than four floors including basement and attic (including the grounds thereof)?:

YesNo

Current Insurance and Contact Information

Renewal/Inception date:

Current insurers (If applicable):

Renewal/Target premium: £

Contact Name:

Email address:

Telephone number:

Preferred choice of quotation contact:

Preferred payment method:

N.B - We can also extend the public liability policies to include cover for 'own tools', hired in plant', 'goods in transit' and 'contractors all risks' cover for an additional premium. If you require this cover then please phone us on 01288 353999.

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Office Address:
Chapter House,
Burn View, Bude,
Cornwall.
EX23 8BZ.

Phone:
01288 353999

Main Email:
[email protected]

Hodgson Insurance Services are authorised and regulated by the Financial Conduct Authority. Our Firm Reference Number (FRN) is 306339. You can check this on the FCA register by visiting www.FCA.org.uk.