| Personal/Company Details |
|
Proposers Name(s)
(incl. all partners names if partnership): | |
| Limited Company Name (if applicable): | |
| Trading Name: | |
| Trading Status: | |
| Trading Address: | |
| Postcode: | |
| Daytime Telephone Number: | |
| Mobile Telephone Number: | |
| E-Mail Address: | |
|
| General Information |
|
Description of your security activities:
(Please describe as fully as possible) | |
| Trading Experience |
| How many years has the business been trading? | years |
| Number of years experience (if different): | years |
If you are a new company,
please give details of experience: | |
Please give details of any trade association
or regulatory body you are a member of: | |
| SIA Licensing |
Are all relevant employees
licensed by the Security Industry Authority? | Yes No |
| Is your company ACS approved? | Yes No |
| Type of Security Work Carried Out |
| Please select from the following options |
| Static / Mobile Guarding: | Yes No |
| Door Supervisor(s): | Yes No |
| Retail Security: | Yes No |
| Cash Carrying: | Yes No |
| Alarm Installation & Other Security Systems: | Yes No |
Any Other Work (Please describe below):
|
| Type Of Contracts |
| Please state the percentage split of your contracts: |
| Offices: | % |
| Warehouses & Factories: | % |
| Shopping Precincts: | % |
| Buildings Sites: | % |
| Garages/Car Compounds: | % |
| Residential Guarding and Patrols: | % |
Other Work (please specify):
| % |
| Total: | 100% |
| Guard Dogs |
| Do you provide guard dog security? | Yes No |
| Please state if permanently under the control of the handler: | Yes No |
| Please confirm the number of guard dogs used: | |
Are all dogs properly kennelled
when not used for guard duty? | Yes No |
Are all dogs professionally trained
prior to being used for guard duty? | Yes No |
| Is there a one to one relationship between dog and handler? | Yes No |
| If not, please provide details of your method of operation: | |
| Additional Information |
Do you undertake any work outside England,
Scotland, Wales, the Channel Islands or the Isle of Man? | Yes No |
If yes, please provide details:
(i.e. area's worked and type of
work carried out at these locations) | |
Do you undertake any work Airside (except work
inside terminal buildings) or any work Offshore? | Yes No |
If yes, please provide details:
(i.e. area's worked and type of
work carried out at these locations) | |
| Screening Procedures |
If you have employees, are satisfactory
screening procedures in place for all employees?
(i.e. BS7858 for screening and/or BS7499 for security guarding
and/or BS7960 for door supervisors/stewards & written references) | Yes No N/A |
| General Information |
Have you had any previous insurance declined,
cancelled or refused to be renewed by an insurer? | Yes No |
| If yes, please provide details: | |
Have you or any director or partner
ever been declared bankrupt or insolvent? | Yes No |
If yes, please provide details:
(i.e. date of bankruptcy/insolvency, amount of
bankruptcy/insolvency, whether or not discharged, etc.) | |
Have you or any director, partner or employee ever
been convicted of or charged (but not yet tried) or
been given an Official Police Caution in respect of
any criminal offence other than a motoring offence? | Yes No |
If yes, please provide details:
(i.e. date of offence, amount of
any fine, any custodial sentence, etc.) | |
| Claims History |
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:
(i.e. date of claim, amount claimed,
circumstances of claim, etc.) | |
| Details Of Liability Cover Required |
|
| Public Liability |
| Public Liability limit of indemnity required: | |
| | Manual Principals | | Non-Manual/Clerical Principals |
| Number of Proprietors/Company Directors: | No. | | No. | |
| Total annual wages of Proprietors/Co. Directors: | £ | | £ | |
| |
| Additional Covers |
| Do you require cover for Efficacy / Contractual Liability? | Help? |
| If yes, please state limit of indemnity required: | £ | |
| Do you require Fidelity Guarantee cover? | Help? |
| Do you require cover for Loss of Keys? | Help? |
| Do you require cover for Wrongful Arrest? | Help? |
| |
| Employers' Liability |
Is Employers' Liability Required?
(Compulsory if you have employees) | |
| | Manual Workers | | Non-Manual/Clerical Workers |
Number of Employees:
(Do not include proprietors, partners and directors) | No. | | No. | |
| Total annual wages of Employees: | £ | | £ | |
Total annual payments to Bona-
Fide Subcontractors (if used):
(BFSC's must hold their own liability insurance) | £ | |
| |
| Turnover |
| Estimated Annual Turnover for the forthcoming year: | £ | |
| Please provide a split of your above annual turnover into the following categories: |
| Security Guarding and Keyholding: | £ | |
| Door Supervision: | £ | |
| Intruder Alarms and Central Station Monitoring: | £ | |
| CCTV and Access Control: | £ | |
| Locks and Safes: | £ | |
| Grilles and Shutters: | £ | |
Any other turnover (please specify):
| £ | |
|
| Details Of Current / Previous Policies |
|
| Current Annual Premium: | £ |
This may help us to get you a better quote |
| Current Insurance Provider: | |
| Start/Renewal Date: | (dd/mm/yyyy) |
