Thank you for your interest in our public liability insurance.  If you fill in the simple questions below we will send you a quote as soon as possible.

* Shows fields that are required

* Title

* First Name

* Surname

* Insured Name

* Occupation

* Business Description

* Email Address

* Address Line 1

* Address Line 2

Address Line 3

* Post Code

Mobile Number

* Contact Number

* Limit of Indemnity

£2,000,000 £5,000,000

* Geographical Limit Required

UK & Europe Worldwide Inc. USA & Canada

Further Details

If you can answer Yes to any of the following statements, please provide details in the text box below.

1. Will you handle, use, store or transport any of the following? Silica, asbestos (including substances containing asbestos), acids, gases, explosives, radioactive or other dangerous or harmful substances?

2. Does your work away from your business premises involve the use of Woodworking machinery, blow lamps, blow torches or hot air guns? Please contact us if you use welding and/or flame cutting equipment

3. Will you be working at height?

4. Is any work undertaken on or within the following: Aircraft, airports, ships, docks, mines, chemical works, gas works, oil refineries, nuclear installations, offshore installations or bulk oil, petrol, gas or chemical storage tanks or chambers

5. Within the last 5 years have you made any insurance claim, had any claims made against you, or have any knowledge of any incidents that may lead to a claim

6. Have you been prosecuted / convicted during the last 5 years of any offence relating to the health and safety of members of the public?

7. Have you ever had an insurance policy declined, cancelled, refused or had any special terms imposed by an insurer

8. Have you ever been convicted of a criminal offence other than motoring offences

9. Do you undertake work involving water sports, motor sports, underground activities, mountaineering, bungee jumps, abseiling, inflatable’s, trampolines, fairground rides, fireworks & other than stage pyrotechnics.

10. Are you responsible for engaging or employing other contractors, freelancers or employees at a third party premises or sites

11. You undertake to exercise all ordinary and reasonable precautions for the safety of third party persons and property.

12. Have you ever been declared bankrupt nor been involved in any company or business which has gone into liquidation, receivership or come to an arrangement with creditors in the last 5 years

* Cover Commencement Date

Please give details of any claims you have had in the past 5 years.