Professional Indemnity Insurance for Miscellaneous Professions including Management Consultants - Quotation Form - For an informal chat call 01332 607056

Note: Consulting Engineers, Building Services Designers, Draughtsmen and Interior Designers should use the Architects form.

To obtain your quotation please submit the on-line form below * = required field

1. Name and Address of Business
Contact Name: *
Business Name:
Address 1:
Address 2:
Address 3:
Town:
County:
Postcode:
Telephone: *
Fax:
E-mail: *
Date Established:
2. Please give a brief description of the type of work carried out:
3. Please provide details of each principal/partner/director as follows:
Name Age Qualification Years experience
4. Please give an approximate percentage split by type of work
Type of work %
5. Please give gross fees for the last financial year and estimate for the coming year:
Last Financial Year Estimate for the Current Year
6. Please give details of the 3 largest contracts in the last 5 financial years (give details of current projects if new business):
Client Start Date Description Total Contract Value Fee Approximate completion date
7. Do you work other than from a UK office?
If so please give details:
8. Have any claims ever been made against you?
If so please give details:
9. Are you aware of any circumstances that may give rise to a claim?
If so please give details:
10. Current Insurance Information
Name of current Insurer
Expiry Date of current policy
11. Limit of Indemnity Required, please select preference/s
     

If you experience problems with the on-line quotation form please contact us

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