Home
About Us
Contact Us
Links
Van Insurance
Building and Allied Trade
Hairdressers
Licenced Trade
Liability Insurance
Manufacturers
Motor Trades
Goods In Transit Quotation
Fleet Related Policies
Individual Bonus Policies
Office Insurance
Professional Indemnity
Work From Home
Property Owners
Retailers
Beauty Salons
Wholesalers & Suppliers
Building & Allied Trades Quotation
To help us provide you with out best possible quotation, please complete as much of the following quotation form as you can.
More information about this quotation
Title
Mr
Mrs
Miss
Ms
Dr
Name
Trading Name
Address
Address 2
Address 3
Address 4
Postcode
Telephone
Email
Occupation/Trade
Years Trading
Types of property worked on
Industrial Premises
Non Industrial Premises
Maximum Depth of Dig
(in metres)
Maximum External Height
(in metres)
Claims/Losses in the last five years
Any heat application:-
None -
Blowlamps -
Welding -
Gas Cutting
Geographical limits
UK only
UK & Europe
Off Shore
Other
Basic Liability Cover Section
Public Liability
(amend if higher limit required)
Products Liability
(amend if higher limit required)
Additional Covers Required
No
Yes
Personal Accident
(max £250 per week)
Tools
(max £1,500)
In order to calculate the premiums for the Liability sections we will require the following information
No. of Partners/Principles working manually
No. of Working directors
No. of Direct Manual Employees (Excluding Directors)
No. of
Labour Only Sub Contractors
Projected Approximate Annual Turnover
Contract Works Cover Required
No
Yes
Maximum Contract value
Own Plant & Tools
Temporary Buildings
Hired in Plant & Tools
Employees Tools
Ever been declared bankrupt or insolvent?
Please Select
Yes
No
Been convicted of any criminal offence, which is not 'Spent'?
Please Select
Yes
No
Had any County Court Judgements entered in the last six years?
Please Select
Yes
No
WestPennine Insurance Services Group is the trading name of WestPennine Insurance Consultants Limited. Registered Office 84 Church Street, Littleborough. OL15 8AU. Registered in England number 939318
Telephone 01706 378990 Fax 01706 371417
Site Map
Terms & Conditions