Camberford Law PLC

Do you carry out work: (continued)

c) Involving stone, tank or boiler cleaning or the user of high-pressure equipment?	Yes No
d) Involving the cleaning of computers?	Yes No
e) Involving the use of drying/de-humidifying equipment?	Yes No

If 'yes', please provide full details including type and method of work, equipment and chemicals used, maximum PSI etc, below. Please also ensure an amount has been indicated in the boxes provided above.

Do you require your Insurance cover to include your legal liability for the following:

a) Treatment Risks - Damage to carpets, Soft furnishing, upholstery and the like caused by any cleaning process.

Yes No

i) Do your issue a written disclaimer of liability in respect of the treatment of carpet/upholstery cleaning?

Yes No

	b) Security of your clients' premises	Yes No
	c) Loss of or damage to property taken off site for cleaning	Yes No

Loss of keys

Do you require this cover which may be subject to an additional premium

Yes No

If cover is required please complete the following questions:

a) Who are the key holders?

b) What reference checks are made on persons before allowing them to hold keys?

c) How are keys kept safe?

	i) Whilst in possession of employees?

	ii) Whilst kept in office?

Employment Protection - Legal Expenses

Do you require this cover which may be subject to an additional premium

Yes No

If cover is required please complete the following questions

i) Has your business, you or your employees been involved in any legal dispute, action or prosection (excluding driving offences) during the last five years whether insured or not?

Yes No

	If 'YES' please provide full details in respect of the nature, date, outcome and the amount of any legal costs incurred (including employment awards if applicable) in respect of such disputes, actions or prosecutions: