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Tradesman Insurance
Proposer Information
Name
*
Address
*
Eircode
*
Phone
*
Email
*
Trading as / Business Name
*
Legal Trading Status
*
Sole Trader
Partnership
Private Individual
Limited Company
Charity
Partners and their Qualification
*
Business Description
*
Years Trading
*
Details of Experience / Qualifications or Company History
*
Do you Perform Work on Roofs
*
Yes
No
Please select the below work locations applicable to you
*
Domestic
Commercial
Industrial
Required Covers
Public/Products Liability Limit of Indemnity
*
€2,600,000
€6,500,000
Projected Annual Turnover
*
Do you Require Employers Liability Cover
*
Yes
No
Number of Employees
*
Annual Wages
*
Total Payments to Bonafide Sub-Contractors
*
Total Payments to Labour only Sub-Contractors
*
Do you Require Cover for Tools
*
Yes
No
Value of Tools
*
Where are your Tools stored Overnight
*
Do you require Contractors All Risks Cover
*
Yes
No
Description of the Current or Upcoming Contract
*
Value of the Current or Upcoming Contract
*
Maximum Value of Any One Contract
*
Value of Own Plant & Machinery
*
Annual Charges for the Hiring in of Plant and Machinery
*
Maximum Value of any one Items of Hired in Plant
*
Insurance Details
Have you made any Claims in the past 5 years
*
Yes
No
Details of Claims
*
Including status of all claims from the past 5 years
Currently Insured
*
Yes
No
Current Insurer
*
Renewal Date
*
Policy Start Date
*