Tel: 01623 641 386    
Roofers Public Liability Insurance Quotes
 
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Roofers Liability Insurance Quotation Form

For UK Customers Only

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

This form is designed for quotes for Roofing Contractors 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
(incl. partners names if partnership):
Trading Name:
Trading Status:
Occupation/Trade:
Trading 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, been declared bankrupt/
insolvent or had any insurance refused or cancelled?		Yes     No

Type of premises worked on
Please state the percentage of work carried out at the following locations:
Private dwelling houses and flats?%
Commercial buildings? (e.g. shops, offices, etc.)%
Industrial buildings? (e.g. factories, etc.)%
All other work? (please state below)
%
Total:100%
Is work carried out at
any hazardous locations?
(i.e. railways, motorways, bridges, viaducts, nuclear installations,
refineries, airports, quarries, mines, ships, docks,
piers, towers, steeples, offshore installations, etc.)
If yes, please state the type of locations
and the frequency at these locations:
Work Activities
Please state the maximum height worked (metres): m
Do your activities involve the use of heat?
If yes, please state the type of heat used
(e.g. blow torch) and how frequently it's used:
Do you work with asbestos?
If yes, please provide details:
Do you use Slings or Cradles?
If yes, please provide details:
Do you use any other hydraulic
lifts, access plant or equipment?
If yes, please give details of the
type of situation the equipment would
be used for, height and frequency:
Health & Safety
Do you have a written
Health & Safety policy in force?
Do you have a formal
safety training plan for employees?
Is your company a member of the NFRC?
Trading Experience
How many years has the business been trading?
Number of years experience (if different):
Please provide details of 2 contracts recently completed:
(Not applicable if company is a new venture)
Contract 1:
(e.g. work on private dwelling, church, etc.)
Contract Price/Value (£'s):
Contract 2:
Contract Price/Value (£'s):
Claims History
Details of any claims within the last 5 years:

Details Of Liability Cover Required

Public Liability
Amount of Public Liability cover required:
Please state the annual turnover (£'s):
      Manual PrincipalsNon-Manual/Clerical Principals
Number of Principals/Company Directors:
Annual Wages of Principals/Co. Directors (£'s):
 
Employers Liability
Is Employers Liability Required?
(Compulsory if you have employees)
      Manual WorkersNon-Manual/Clerical Workers
No. of Employees/Labour Only Subcontractors:
(Do not include proprietors, partners and directors)
Annual Wages of Employees (£'s):
Annual payments to Labour-
Only Sub-Contractors if used (£'s):
(LOSC's are sub-contractors who supply
only labour and not materials on site)
Annual payments to Bona-
Fide Subcontractors if used (£'s):
(BFSC's are sub-contractors who supply their own
materials on site and hold their own insurance)

Details Of Current / Previous Policies

Current Annual Premium:        
This may help us to get you a better quote
Current Insurer:
Renewal Date: (e.g. dd/mm/yyyy)

Request Quotation

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


Estimated Quote Time: 0 - 3 days