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1. Employers Liability
Is cover required for Employer's Liability?
Yes
No
If Yes, please provide the following details:
Type of Employee
Number
Estimated Wages
Clerical/Managerial
Close Protection Officers
Others
a) Sub Contractors:
(i) Do you employ any Sub Contractors? (If Labour only please include under Employers Liability section
Yes
No
(ii) Do you ensure that Sub Contractors maintain Employers Liability and Public/Products/Products Efficacy Liability Insurances with Limits of indemnity no less than the Limits Proposed under this Insurance
Yes
No
(iii) Estimated Annual Payments to Bona-Fide Sub Contractors
£
2. Public Liability
Is cover required for Public Liability?
Yes
No
What limit of indemnity do you require?
2m
5m
Annual estimated turnover
£
3. Personal Accident
Is cover required for Personal Accident?
Yes
No
(a) Number of persons to be insured
(b) Are you and your staff physically fit and in good health?
Yes
No
If No, please provide brief details
Page 2 of 4
Guidance Notes
Clerical/Managerial Employees
Please insert Directors/Partners/Sole Trader gross wages against this section unless the Director/Partner/Sole Owner carries out Close Protection Duties or other Duties in which case the Gross Salary should be split appropriately between the boxes.
If any Sub Contractor is under your control or direction their salary/fee should be included in this question.
Sub Contractors
Those persons directly under your supervision and control should be included within the Employers Liability Section as a Court will regard them as an Employee.
Public Liability
Should you need a higher Limit of Indemnity than £5,000,000 then please advise so when you forward the proposal form in a covering email as this can be provided.
T: 020 8315 5000
F: 020 8460 2118
E:
mail@camberfordlaw.com