Professional Indemnity for Rail Industry Professionals

For an informal chat call 01332 607056

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
d) Are you a member of any Trade Association? If Yes please advise which
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
£10 Million
8. Quality Assurance
Have you obtained quality assurance accreditation in accordance with BS57501/ISO9002?
     

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

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