The Professional Indemnity for Surveyors - Quotation Form

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

Premiums from £491.00

Quantity Surveyors and Project Managers use the Architects Form

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 Qualification Years experience

3. Please give an approximate percentage of your fee income split according to type of work

Type of work % of your fee income Building Surveying Residential Estate Agency / Letting Agency Commercial Estate Agency Residential Property Management Commercial Property / Land Management Rent Reviews / Lease Renewals Land / Mineral / Hydrographic Surveying * Please ask for a supplementary questionnaire Planning & Development Consultancy (without detailed plans) Project Co-ordination Project Management Architectural Work Residential Surveys / Valuations for lending purposes Other Residential Surveys / Valuations Commercial Surveys / Valuations for lending purposes Other Commercial Surveys / Valuations Auctioneering Other

4.Please state the largest valuation for lending  purposes carried out within the last 3 years for each of the following:

Residential Survey Reports Other Private Clients Commercial Clients Other - Specify Below

5. Please give amount of income for the last 3 financial years plus estimate for the coming financial year.

Year Income

6. Current Insurance Information

Name of current Insurer Expiry Date of current policy

7. Have any claims ever been made against you?

Yes No If so please give details:

8. Are you aware of any circumstances that may give rise to a claim?

Yes No If so please give details:

9. Limit of Indemnity Required, please select preference/s

£100,000 £250,000 £500,000 £1 Million £2 Million £5 Million

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

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