Get Quote Please answer the following questions which will enable us to offer the best quote to suit your needs. If you need any assistance, please contact Ian or Gillian on 01837 650030 between 8am and 5pm Monday to Friday. 1 2 3 4 About YouIn which country is your business domiciled? * REQUIREDUK including Northern IrelandOtherWhat areas of Fire Safety work are you engaged in? * REQUIRED Fire Risk Assessments Fire Engineering Fire Safety Plans Fire Strategy Advice Fire Audits Fire Legislation Advice Fire Management Plans Disaster Recovery Plans Fire CAD Drawings Fire Warden Training General Fire Safety Training Fire Extinguisher Training (not Live Fire) Live Fire Training Personal Emergency Evacuation Plans First Aid Training CDM Co-ordination Health & Safety Consultancy Forensic Investigation Expert Witness Other Please Describe * REQUIREDChanges To Your Activities – Past And FutureIs cover required for any previous, now ceased, activity which is different from those declared above? * REQUIREDYesNoPlease describe the type of ceased activities previously undertaken below: * REQUIREDFor the forthcoming 12 months, will there be any different activities to those shown above? * REQUIREDYesNoPlease provide full details below: * REQUIRED HistoryHas any claim, whether successful or not, ever occurred, been made or threatened against you, your predecessors in business or any past or present partner, principal, director or employee in respect of any risk to be insured (whether previously insured or not)? * REQUIREDYesNoAre you aware of any shortcoming in your work for a client which is likely to lead to a claim against you? This includes i) a shortcoming known to you, but not your client, which you cannot reasonably put right; ii) a complaint from your client about your work or anything you have supplied which cannot be immediately resolved; iii) an escalating level of complaint from your client on a particular project; iv) a client witholding payment due to you after any complaint. * REQUIREDYesNoHave you or any partner/director/employee been investigated or charged with a criminal offence or been reprimanded or otherwise sanctioned by any disciplinary/regulatory body? * REQUIREDYesNoWho is your current insurer? * REQUIREDCatlin Insurance Company (UK) LtdRoyal & Sun Alliance Insurance plcMore ThanHiscoxNot Previously InsuredOther Insurer Not ListedInsurances RequiredPlease select the insurance that you require:Professional Indemnity Insurance * REQUIRED£250,000£500,000£1,000,000£2,000,000£3,000,000£5,000,000Public Liability Insurance * REQUIREDNot Required£2,000,000£5,000,000£10,000,000Employers Liability Insurance * REQUIREDNot Required£10,000,000FINANCESWhat is your Gross Fee Turnover for the past year? (Or, if this is a new business, please provide an estimate). * REQUIREDPlease enter a value greater than or equal to 1.What is your annual PAYE Wageroll (excluding Dividend payments)?Please enter a value greater than or equal to 1.PERSONNELHow many Directors, Principals and Partners work in your business? * REQUIREDExcluding Directors and Partners how many Employees work in your business? * REQUIRED BUSINESS ACTIVITIESDo you undertake any Asbestos inspections, sampling or treatment? * REQUIREDYesNoWhat percentage of your turnover relates to Asbestos inspections, sampling or treatment? * REQUIREDPlease enter a value between 0 and 100.Do you sell, supply, install or maintain any equipment and/or products? * REQUIREDYesNoPlease provide further information below regarding the type of products you supply, install or maintain. * REQUIREDDo you undertake work in connection with or at any of the following locations? * REQUIREDYesNo(a) aircraft, airports, ships, tunnels, chemical works, oil refineries, power stations or railways (b) offshore installations or bulk oil, petrol, gas or chemical storage tanks or chambers. Please provide further information e.g. the locations visited, the type of work undertaken and the approximate percentage of your annual fee turnover relating to this work. * REQUIREDHave you made any significant changes to work currently undertaken in the last 5 years or are you planning any significant changes to the business in the forthcoming year? * REQUIREDYesNoPlease provide further information. * REQUIREDDo you do any work which would be considered unusual or different from that which would normally be practised by your profession? * REQUIREDYesNoPlease provide further information. * REQUIREDWhat percentage of your turnover is derived from work outside of the UK, Northern Ireland, the Channel Islands and/or the Isle of Man? * REQUIREDPlease enter a value between 0 and 100.Have you ever undertaken work in the USA, Canada or Australia? * REQUIREDYesNoPlease provide further information regarding your overseas work including dates of work undertaken, territories visited, legal jurisdiction applicable, your role and fee income relating to this. * REQUIRED COMPANY DETAILSWhen did your Business start trading? - must be dd/mm/yyyy format * REQUIRED Do you have more than three years experience and you are suitably qualified/trained in your profession? * REQUIREDYesNoPlease select your Business Type: * REQUIREDSole ProprietorPartnershipLimited CompanyYour Business or Company name? * REQUIREDDo you use any Trading Names in connection with your business? * REQUIREDYesNoPlease provide below all trading names used in connection with your business: * REQUIREDPlease select your current membership of any Professional Body, Association or Certification Scheme:- * REQUIRED IFSM IFE FPA FRACS IFEDA IOSH CIEH RICS RIBA YOUR CONTACT DETAILSContact Name: * REQUIREDContact Number: * REQUIREDContact Email: * REQUIRED First Line of your Address: * REQUIREDYour Business Postcode: * REQUIREDData Protection * REQUIRED By using this form you agree with the storage and handling of your data by this website This iframe contains the logic required to handle Ajax powered Gravity Forms.