Motor Traders Public Liability Insurance Quotes

Please insert your details below and one of our commercial advisers will contact you shortly with a liability insurance quotation.

This form is designed for quotes for Motor Traders Public Liability / Employers Liability Insurance only.

If you have any problems with completing this form, please phone us on 01623 641 386 for assistance.

Personal/Company Details
Proposers Name(s): (incl. all partners names if partnership)
Limited Company Name (if applicable):
Trading Name:
Trading Status:	- - - - - - Please Select - - - - - Sole Trader Partnership Limited Company Limited Liability Partnership Unincorporated Association
Occupation/Trade:
Postal Address:
Postcode:
Daytime Telephone Number:
Mobile Telephone Number:
E-Mail Address:
General Information
Have you, or any other partner or director ever been convicted of any offences or had any insurance refused or cancelled?	Yes     No
If yes, please provide details: (e.g. type of conviction, date(s) of conviction, details of any fines, custodial sentence, or details of any insurance refused/cancelled, etc.)
Have you, or any other partner or director ever been declared bankrupt or insolvent or been subject to any County Court Judgements?	Yes     No
If yes, please provide details: (e.g. date(s) of bankruptcy/insolvency, amount of bankruptcy/insolvency, date discharged, circumstances, etc.)
Have you, or any other partner or director ever been prosecuted or served a prohibition order by the Health & Safety Executive?	Yes     No
If yes, please provide details: (e.g. date of prosecution(s), details of offence(s), etc.)
Business Activities
Description of your business activities: (e.g. vehicle sales, mechanical repairs/sevicing, etc.)
Please describe the type of vehicles you work on: (e.g. cars, vans, commercial vehicles over 3.5 ton, etc.)
Where do you trade from?	- - Please Select - - Home Business Premises Mobile
Please confirm the percentage of your 'work away' from your base: ('base' being your home or business premises)	- - - - - - - - - - - - - Please Select - - - - - - - - - - - - - 100% work away from base, 0% work at base 90% work away from base, 10% work at base 80% work away from base, 20% work at base 70% work away from base, 30% work at base 60% work away from base, 40% work at base 50% work away from base, 50% work at base 40% work away from base, 60% work at base 30% work away from base, 70% work at base 20% work away from base, 80% work at base 10% work away from base, 90% work at base 0% work away from base, 100% work at base
Are you or your business involved in vehicle salvaging, dismantling (even for spare parts), breaking, scrap, sale of parts or recovery for such purposes?	Yes     No
Are you or your business involved in selling, repairing or restoring scooters, motorcycles, quad bikes or trikes?	Yes     No
Are you or your business involved in the importing or exporting of vehicles?	Yes     No
Do you or your business specialise in selling, repairing, servicing or restoring the following:
i. Sports or high performance cars?	Yes     No
ii. Veteran, vintage or classic cars?	Yes     No
iii. Vehicles other than motor cars or light commercial vehicles including agricultural, horseboxes, HGV's, etc?	Yes     No
iv. Grey imports?	Yes     No
Is the motor trade activity you carry out, yours and any director or partners full time self employed occupation?	Yes     No
If no, please provide details of your other occupation / work:
Do your activities involve the use of heat?	Yes     No
If yes, please state the type of heat used (e.g. welder) and percentage used:	Type Used: Percentage Use:
Is any paint spraying carried out away from your base premises:	Yes     No
Trading Experience
How many years has your business been trading?	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years 20 Years 21 Years 22 Years 23 Years 24 Years 25 Years 26 Years 27 Years 28 Years 29 Years 30 Years 30+ Years
Number of years experience (if different)	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years 20 Years 21 Years 22 Years 23 Years 24 Years 25 Years 26 Years 27 Years 28 Years 29 Years 30 Years 30+ Years
Claims Experience
Have you or any other partner or director suffered any loss or had any claims made against you in the last 5 years?	Yes     No
If yes, please provide details:	Date of claim: Cost of claim:£ Details of claim: ---------------------------- Date of claim: Cost of claim:£ Details of claim: ---------------------------- Regrettably, if you have more than 2 claims, we will be unable to provide you with a quotation.

Details Of Cover Required
Public/Product Liability
Public/Product Liability limit of indemnity:	£	1 Million 2 Million 5 Million Not Required
Do you wish to include cover for Sales and Service Indemnity?		Yes     No
Do you wish to include cover for Damage to Customers Vehicles?		Yes     No
		Manual Principals		Non-Manual/Clerical Principals
Number of Proprietors/Partners/Co. Directors:	No.		No.
Annual Wages of Proprietors/Partners/Co. Directors:	£		£
Please confirm your annual payments to Bona-Fide Sub-Contractors (if used): (BFSC's are sub-contractors who supply their own materials on site and hold their own insurance)	£
Employers' Liability (Compulsory by Law if you employ staff)
Is Employers' Liability Cover Required?		Please Select Yes No
		Manual Employees		Non-Manual/Clerical Employees
Number of Employees: (Do not include proprietors, partners or directors)	No.		No.
Total Annual Wages of Employees:	£		£
Employers' Reference Number (ERN) (if known):
Turnover
Annual Turnover:	£
Additional Information
Details of any additional information that you wish to disclose or any other cover required:
Under the legal principle of Utmost Good Faith, you are required to disclose all material facts which could affect acceptance of this insurance quotation. Failure to disclose a material fact could invalidate any future claims. By submitting this quotation you are confirming that there are no other material facts to disclose other than those shown above.
Details Of Current / Previous Policies
Current Annual Premium:	£	This may help us to get you a better quote
Current/Previous Insurer:
Renewal Date / Cover Start Date:		(dd/mm/yyyy)

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Disclosure
Please ensure that all the information you have provided is correct, then press the Request Liability Quotation button and we will contact you shortly with a quotation.