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The Professional Indemnity for Rail Engineers
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 provide details of each partner as follows:
Name
Age
Qualification
Years experience
3. Business Activities
a)Please describe the nature of the work you do
b) Please name the principals for whom you regularly act
c) Are you involved in the manufacture, construction, alteration repair or sale of products other than in a consultancy capacity? If Yes please supply details
Yes
No
d) Are you a member of any Trade Association? If Yes please advise which
Yes
No
4. Please state the 3 largest contracts where construction has commenced in the last 3 years:
Start
Date
Completion
Date
Contract Description
Contract
Value
5. Please state the 3 largest contracts where construction is expected to start shortly:
Expected Start
Date
Expected Completion
Date
Contract Description
Contract
Value
6. Please give amount of income for the last 3 financial years plus estimate for the coming financial year.
Year
Income
7. Limit of Indemnity Required, please select preference/s
£250,000
£500,000
£1 Million
£2 Million
£5 Million
£10 Million
8. Quality Assurance
Have you obtained quality assurance accreditation in accordance with BS57501/ISO9002?
Yes
No
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