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Contact

FS Register FRN 1029698

52 Five Star Google Reviews

13+ years specialist broking experience

Combined Liability Insurance – Quote Request

Public, products and employers’ liability under one policy. Please complete as much as possible. We’ll come back with tailored terms.

Proposer first name *

Proposer last name *

Company type *

Year the business started trading *

Business or trading name *

Correspondence address *

Telephone number *

Email address *

What does the business do? *

Please list every activity you carry out, however small a part of the business.

Annual turnover (£) *

Where is the work carried out? *

Do you use subcontractors? *

Annual payments to subcontractors (£)

Bona fide subcontractors only – those who work under their own direction and carry their own liability cover.

Any work at height, use of heat, or work below ground? *

For example roofing or scaffolding, welding or other hot works, excavation or basement work.

Please describe the work, including maximum height or depth

Public liability limit required *

Date cover is needed from *

Do you need products liability? *

Needed if you make, import, supply, sell, install or repair goods.

What products do you make, supply or sell?

Your role with the products

Turnover from products (£)

Any sales to USA or Canada?

Do you need employers’ liability? *

A legal requirement for most businesses with staff, including labour-only subcontractors, casual workers and volunteers.

Number of directors / partners

Number of clerical staff

Number of manual staff

Clerical wages per year (£)

Manual wages per year (£)

Labour-only subcontractors (£)

Any claims or incidents in the last 5 years? *

Any CCJs, bankruptcy or liquidation in last 5 years? *

Claims or incidents – dates, what happened and amounts paid

CCJs, bankruptcy or liquidation – please provide details

Ever had cover declined, cancelled or refused? *

Current insurer (if any)

Cover declined, cancelled or refused – please provide details

Any further information?

Office: Vivian House, Roman Bridge Close, Mumbles, Swansea, SA3 5BG

Call 01792 001350

Email: [email protected]

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Miller & Partner Ltd is an Appointed Representative of Gauntlet Risk Management Ltd, which is authorised and regulated by the Financial Conduct Authority (FRN 308081). Miller & Partner Ltd is entered on the Financial Services Register under firm reference number 1029698. You may check this on the Financial Services Register by visiting the FCA website at https://www.fca.org.uk/firms/financial-services-register or by contacting the FCA on 0800 111 6768. Miller & Partner Ltd is registered in England & Wales, company number 16206282. Registered office: 20 Vivian House, Roman Bridge Close, Swansea, SA3 5BG.