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Please select Sole Trader Partnership Limited Company Select level of Public Liability Insurance you need Please select £2m £3m £4m £5m £6m £500 Excess £1000 Excess Do you require employers liability insurance?YesNo Total number of manual workers (including subcontractors and if limited company or partnership, manual principles) will be covered? On what date would the insurance commence? What is your email address? Please confirm your email address You are already a registered customer.Please enter your password [Forgotten my password] What is your contact phone number What is the annual turnover of the business £? (only numbers please) Total number of manual workers (including subcontractors and if a Ltd Company or partnership, manual principles) (only a number please) Which of these match your business activities:Plant HireGroundworksBoth Continue Specifically, what type of Groundworks are you involved in?Laying of Pipes, Cables and UtilitiesRoad / Car Park SurfacingSewer and Drainage ContractingSite ClearanceOther Do you undertake work on the road / public highway?YesNo Do any of the roads you work on have a central reservation?YesNo Percentage of work time spent on (a total of 100%):GroundworkPlant Hire During a working week what depths (in metres) do you work at: Using the sliders, please enter a percentage for each depth (a total of 100%)1 Metre0%02 Metres0%03 Metre0%05 Metre0%08 Metre0%0Total:0% Plant hirers: Please enter a percentage (a total of 100%)CPA with Op0%0CPA no Op0%0No CPA with Op0%0No CPA no Op0%0Total:0% How many claim free years have you had? Please select 0 1 2 3 4 5 6+ Do you have an up to date Health & Safety policy?YesNo Do you regularly undertake risk assessments and are these up to date?YesNo Do you offer specific training to your employees as required?YesNo Are you a main contractor under CDM?YesNo Plant hired out under CPA condition?YesNo Is your plant and equipment regularly inspected?YesNo If you hire plant out without an operator, do you provide instructions for use of the Plant if required?YesNo GoBack Your annual insurance premium, including insurance premium tax at 6% is .... Your Insurance Keyfacts Policy Optional Extras DAS Policy Wording DAS Summary DAS Legal Expenses: If not required please untick the box GoBackContinue My Details Name* Mr Mrs Miss Ms TitleFirstLast Business Name**Indicates a Required Field Address* Post Code Address not listed? Change Address Street addressAddress line 2 City County Save Address GoBack My Details Please tell us about any claims you have from the last five years? Add Claim 1. Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 2.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 3.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 4.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 5.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: Remove above claim From what year have you been in business? What is your Employers Reference Number? Have you ever been refused insurance?YesNo Have you been convicted of a crime?YesNo Have you been declared bankrupt?YesNo Have you any Health and Safety prosecutions?YesNo GoBack Review your Quote... Your Quote including insurance premium tax at 6% Terms of Business Keyfacts This quote is based on the following details that you have provided: Your Insurance Details Your type of business: Your level of public liability: Excess Level: Do you require Employers Liability Cover: Workers to be covered be Employers Liability Cover: Insurance Start Date: Your Confirmed Email Address: Your Business Turnover: £ Total Number of Manual Workers: Plant Hire, Groundworks or Both: Your Type(s) of Groundworkers: Does your business perfom work on the road? Do you work on roads that have a central reservation? How your business time divided: Groundwork [%] - Plant Hire [%] Working Depth (percentage of the week): 1 metre - 2 metre - 3 metre - 5 metre - 8 metre - Plant Hirers (percentage of the week): CPA with Op - CPA no Op - No CPA with Op - No CPA no Op - Number of claim-free years: Do you have an up to date health policy?: Recent risk assessments?: Specific Training?: Main contractor under CDM?: CPA condition?: Inspection?: Without op inst?: DAS Legal expenses cover required: No Your Details Full Name: Business Name: Full Address: Phone Number: Claims:None In business since... Employers Reference Number Have you ever been refused insurance? Have you been convicted of a crime? Have you been declared bankrupt? Have you any Health and Safety prosecutions? Please confirm that all these details are correct and that you have read our Terms and Conditions by clicking this tick box before continuing. GoBack
My InsuranceMy DetailsPreviewPaymentConfirmation Insurance Details What type of business are you? Please select Sole Trader Partnership Limited Company Select level of Public Liability Insurance you need Please select £2m £3m £4m £5m £6m £500 Excess £1000 Excess Do you require employers liability insurance?YesNo Total number of manual workers (including subcontractors and if limited company or partnership, manual principles) will be covered? On what date would the insurance commence? What is your email address? Please confirm your email address You are already a registered customer.Please enter your password [Forgotten my password] What is your contact phone number What is the annual turnover of the business £? (only numbers please) Total number of manual workers (including subcontractors and if a Ltd Company or partnership, manual principles) (only a number please) Which of these match your business activities:Plant HireGroundworksBoth Continue Specifically, what type of Groundworks are you involved in?Laying of Pipes, Cables and UtilitiesRoad / Car Park SurfacingSewer and Drainage ContractingSite ClearanceOther Do you undertake work on the road / public highway?YesNo Do any of the roads you work on have a central reservation?YesNo Percentage of work time spent on (a total of 100%):GroundworkPlant Hire During a working week what depths (in metres) do you work at: Using the sliders, please enter a percentage for each depth (a total of 100%)1 Metre0%02 Metres0%03 Metre0%05 Metre0%08 Metre0%0Total:0% Plant hirers: Please enter a percentage (a total of 100%)CPA with Op0%0CPA no Op0%0No CPA with Op0%0No CPA no Op0%0Total:0% How many claim free years have you had? Please select 0 1 2 3 4 5 6+ Do you have an up to date Health & Safety policy?YesNo Do you regularly undertake risk assessments and are these up to date?YesNo Do you offer specific training to your employees as required?YesNo Are you a main contractor under CDM?YesNo Plant hired out under CPA condition?YesNo Is your plant and equipment regularly inspected?YesNo If you hire plant out without an operator, do you provide instructions for use of the Plant if required?YesNo GoBack Your annual insurance premium, including insurance premium tax at 6% is .... Your Insurance Keyfacts Policy Optional Extras DAS Policy Wording DAS Summary DAS Legal Expenses: If not required please untick the box GoBackContinue My Details Name* Mr Mrs Miss Ms TitleFirstLast Business Name**Indicates a Required Field Address* Post Code Address not listed? Change Address Street addressAddress line 2 City County Save Address GoBack My Details Please tell us about any claims you have from the last five years? Add Claim 1. Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 2.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 3.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 4.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: 5.Claim Date: Claim Type: Please select Underground Services (Pipes & Cables) Injury – Employee Injury – Member of the Public Third Party Property Claim Amount: Description: Remove above claim From what year have you been in business? What is your Employers Reference Number? Have you ever been refused insurance?YesNo Have you been convicted of a crime?YesNo Have you been declared bankrupt?YesNo Have you any Health and Safety prosecutions?YesNo GoBack Review your Quote... Your Quote including insurance premium tax at 6% Terms of Business Keyfacts This quote is based on the following details that you have provided: Your Insurance Details Your type of business: Your level of public liability: Excess Level: Do you require Employers Liability Cover: Workers to be covered be Employers Liability Cover: Insurance Start Date: Your Confirmed Email Address: Your Business Turnover: £ Total Number of Manual Workers: Plant Hire, Groundworks or Both: Your Type(s) of Groundworkers: Does your business perfom work on the road? Do you work on roads that have a central reservation? How your business time divided: Groundwork [%] - Plant Hire [%] Working Depth (percentage of the week): 1 metre - 2 metre - 3 metre - 5 metre - 8 metre - Plant Hirers (percentage of the week): CPA with Op - CPA no Op - No CPA with Op - No CPA no Op - Number of claim-free years: Do you have an up to date health policy?: Recent risk assessments?: Specific Training?: Main contractor under CDM?: CPA condition?: Inspection?: Without op inst?: DAS Legal expenses cover required: No Your Details Full Name: Business Name: Full Address: Phone Number: Claims:None In business since... Employers Reference Number Have you ever been refused insurance? Have you been convicted of a crime? Have you been declared bankrupt? Have you any Health and Safety prosecutions? Please confirm that all these details are correct and that you have read our Terms and Conditions by clicking this tick box before continuing. GoBack