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13+ years specialist broking experience

Tradesmen Insurance – Quote Request

Please complete as much as possible. We’ll come back with tailored terms for your business.

Your details

Proposer first name *

Proposer last name *

Company name *

Trading name (if different)

Correspondence address *

Postcode *

Telephone number *

Email address *

Preferred contact method

Best time to contact you

Business details

Nature of trade / description of work * e.g. electrician, plumbing & heating contractor, general builder, painter & decorator, etc.

Any other trades carried out?

Years trading * Enter the number of years. If you are a new start, enter 0.

Legal status *

Number of directors * If you are a sole trader or partnership, enter the number of proprietors or partners.

Number of manual employees (including you) *

Number of clerical-only staff

Do you use labour-only subcontractors? *

How many labour-only subcontractors do you use? *

Estimated annual payments to labour-only subcontractors (£)

Do you use bona fide subcontractors? *

How many bona fide subcontractors do you use? *

Estimated annual payments to bona fide subcontractors (£)

Typical working area

Height, depth & use of heat

Do you work at heights above 10m? *

Maximum height worked (if applicable)

Do you work below ground deeper than 2m? *

Maximum depth worked (if applicable)

Any work involving heat (e.g. welding, blowlamps, hot cutting, roofing torches)? *

If heat work, please give details and approximate % of overall work

Do you work in any of the following locations?

Airports Offshore / over water Power stations Petrochemical sites Railways Tunnels / underground works Nuclear facilities None of the above

If yes to any of the above, please provide details

Turnover & wageroll

Estimated annual turnover (UK) £ *

Estimated annual turnover (USA/Canada) £

Estimated annual turnover (Rest of World) £

Estimated annual wageroll – directors (manual) £ * Directors who carry out manual work on site. Enter 0 if none.

Estimated annual wageroll – directors (clerical) £ * Directors whose work is office based only. Enter 0 if none.

Estimated annual wageroll – manual staff £ *

Estimated annual wageroll – clerical staff £

Estimated annual payments – labour-only subcontractors £

Estimated annual payments – bona fide subcontractors £

Cover required

Cover start date (or renewal date)

Public & Products Liability required? *

Limit of indemnity (Public / Products Liability)

If Other limit, please specify

Employers Liability required? * Required by law if you have employees in most situations.

Number of people to be covered under Employers Liability

Cover for own tools required?

Sum insured – own tools (£)

Cover for employees’ tools required?

Sum insured – employees’ tools (£)

Cover for own plant required?

Sum insured – own plant (£)

Cover for hired-in plant required?

Sum insured – hired-in plant (£)

Maximum value any one item (hired-in plant) £

Continuing hire charges limit (if required) £

Contract works cover required?

Maximum contract value any one contract (£)

Estimated annual contract value / turnover for contract works (£)

Claims & history

Any claims or incidents (paid or outstanding) in the last 5 years? *

If yes, please provide details Please include dates, type of claim, amount paid / outstanding and circumstances.

Have you or any partner / director ever had insurance cancelled, declined, refused, or had special terms imposed, or any unspent criminal convictions? *

If yes, please provide full details

Current insurance (if applicable)

Current insurer

Renewal date

No claims discount (years)

Approximate annual premium (£)

Anything else we should know?

Additional information Any other details which may help us obtain the most competitive terms for you.

Fields marked with * are required.

By submitting this form you are providing consent for Miller & Partner Ltd to contact you in relation to this quotation and any related insurance products.

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.