Helpline: 01392 287400

Quotation Request

Alarm Installers

Client Details
The Business
Financials
PI Extension
Buildings/Contents
Contractors All Risks & Plant Cover
Directors & Officers Liability
Statement of Fact
Cover Details
Notes
Documents Only

Client Details

Proposer/Company Name
Trading Name(s)
Including the name of any subsidiary companies insured under this policy
Contact Name
Correspondence Address
Any additional addresses
Line 1Line 2TownCountyPostcode
Add row
Original Inception Date
This field must be set to the inception date of the policy prior to creating any MTA's or Cancellations.
What is the renewal or expected start date of this policy
Are you a current member of any industry inspectorate bodies?
Membership
Add row
Professional Accreditations
Add row
Details of any other accreditations or memberships
Please provide a target premium if you have one
£
Trade% of Turnover
Add row
Full Business Description
Highest EL (HIDDEN)
£
Highest PL (HIDDEN)
£
Highest EL Per Capita
£
Highest PL Per Capita
£
Membership
Highest PL Rate

The Business

Have you or any of your Partners or Directors in connection with any business which you/ they have been involved had any losses whether insured or not, had any claims made against you, or been made aware of any incidents or circumstances that could possibly give rise to a claim?
Please provide details of all claims below
Type of LossDate of LossAmount of LossClaim StatusClaim Details
Add row
Do you or any of your employees engage in the application of heat?
Please provide details of the type of heat work carried out
Please give details:
Please provide details:
Do you or any of your employees handle, transport or work with any of the following: Radioactive substances or devices, explosives, asbestos, silica, toxic or hazardous chemicals, materials giving rise to dust or fumes?
Please provide details of any work involving the materials above
Do you or any of your employees handle, transport or work with any of the following: lifts, cranes, hoists, slings, cradles ?
Please provide details of any work involving the above
Do you or any of your employees use processes involving a noise level in excess of 85db?
Please provide details of any work involving the processes above
Do you or any of your employees work on, manufacture or sell products used in aircraft, spacecraft, marine craft, offshore, in nuclear installations, in safety critical parts, motor vehicles or railways?
Please provide details of any work in connection with the above
Are all contracts entered into subject to UK Law?
Please provide details:
Do all installations comply with the current required European &/or British Standards?
Please provide details:
Is any of your work undertaken outside the UK?
Please give further details on work outside the UK including where you work, how long for and how often ?

The Financials

Cover Required:
What is your total annual wage-roll including payments to labour only subcontractors?
This figure should always be less than your total Turnover.
£
Manual Staff/LOSC's - PL
Manual Staff/LOSC's - EL
Employee typeWage Percentage
Add row
/
Please provide details below of additional companies insured under this policy:
Company NameERN / PAYE RefPrincipal or Subsidiary CoAddress
Add row
Cover Provided:
Products Liability £1,000,000
Professional Advice £1,000,000
Efficacy £1,000,000
Cover Provided:
Products Liability £2,000,000
Professional Advice £2,000,000
Efficacy £2,000,000
Cover Provided:
Products Liability £3,000,000
Professional Advice £3,000,000
Efficacy £3,000,000
Cover Provided:
Products Liability £5,000,000
Professional Advice £5,000,000
Efficacy £5,000,000
Cover Provided:
Products Liability £10,000,000
Professional Advice £5,000,000
Efficacy £5,000,000
What is your total Annual Turnover
£
Annual USA / Canada Turnover
£
Annual Rest of World Turnover
£
Annual payments to bona-fide subcontractors
£
Professional Indemnity - Please select the limit of indemnity required
£
Keys Premium
Fidelity Premium
£
Defective Workmanship Premium
£
Cover automatically included in premium for Inspectorate members:
Fidelity / Dishonesty £150,000
Deffective Workmanship £150,000
Hidden - Tools SI
£
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £2,000
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £100
Stock, items or products to be installed in the course of transit £500
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £3,000
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £150
Stock, items or products to be installed in the course of transit £750
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £4,000
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £200
Stock, items or products to be installed in the course of transit £1,000
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £5,000
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £250
Stock, items or products to be installed in the course of transit £1,250
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £6,000
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £300
Stock, items or products to be installed in the course of transit £1,500
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £7,500
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £500
Stock, items or products to be installed in the course of transit £2,000
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £10,000
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £500
Stock, items or products to be installed in the course of transit £2,250
Sums insured
Portable hand held power tools &/or measuring/ levelling devices (including drills, drivers, saws, vacuums, laser levels, test meters etc) £11,500
Non powered portable hand tools & associated equipment (including spanners, socket sets, supports, tables, jigs etc) £750
Stock, items or products to be installed in the course of transit £2,750
We can include Commercial Legal Expenses cover which provides added protection for Legal Costs and Expenses up to £100,000 and includes advice and support for a range of business law, contract, employment and tax issues. Do you wish to add this cover?
Do you wish to add cover for Buildings and/or Business Contents
Do you wish to include cover for Directors & Officers Liability?
Please CLICK HERE for help with Directors and Officers Liability insurance.
Number of persons working within the business at any one time
Clerical Principals/Directors - PL
Clerical Principals/Directors - EL
Manual Principals/Directors - PL
Manual Principals/Directors - EL
Clerical Staff - PL
Clerical Staff - EL
Manual Staff - PL
Manual Staff - EL
Total Number of Persons Working within the Business
Extensions Package
£
 
Wageroll - Clerical
£
Wageroll - Manual
£
Wageroll - Other
£
Percentage - Vehicle Security Systems
Percentage - Live Fire Training
Percentage - Sprinklers
Consultancy / Commissioning (For a separate fee)
Percentage - Manned Guarding
Percentage - Monitoring
Percentage - Retail Sales
Percentage - Miscellaneous
Percentage - Solar Panel
Percentage - TVAerial
Percentage - Risk Assessments / Survey / Training (For a separate fee)
£
Percentage - Wind Turbine
Percentage of wageroll to Turnover
£
Per Capita Load
£
Percentage - BFSC

PI Extension

What Limit of indemnity do you currently buy?
£
Please provide a split of the services / activites you undertake
ActivitiesPercentage
Add row
What is the total fee income derived from these activities?
£
What Percentage of this work is undertaken by Bona-fide Subcontractors?
%
Please give more details

STATEMENT OF FACT

All fire risk assessments / surveys are carried out in accordance with current legislation
Please provide details
All training is carried out in accordance with H & S legislation and current fire safety regulations
Please provide details
All personnel are kept up to date with current industry legislation and undertake continual professional development (CPD) training as required.
Please provide details
There have been no Professional Indemnity claims, incidents or circumstances in the last 5 years
Please provide details
Is any work undertaken outside of the UK including Northern Ireland?
Please provide details

Buildings/Contents

Address of Property to be insured if different to above
The names of any Joint Insureds or Mortgagees having an interest in the property being insured
Year building originally constructed
Please provide details of usage
Is the property self-contained and occupied solely by you with all entrances and/or exits under you sole control?
Please provide details of all other tenants at the property
Name of TenantTrade UndertakenPortion Occupied
Add row
Do you have sole control of the security of your portion of the property
Full description of the business activities you undertake at the property
Is any work involving radioactive, explosive, corrosive, toxic or hazardous materials or substances carried out at the property?
Please provide details
Is any process involving the use of heat undertaken at the premises?
Please provide details
How many years have you traded at this location ?
Does the property have a current electrical inspection certificate?
Is the property heated by any portable heating appliances?
Please provide details
Is the building situated within 250m of any river, stream or tidal or similar water course, or ever been flooded?
Please provide details
Does the property have any visible signs of cracking / movement or ever been monitored for subsidence?
Please provide details
Is there a safe installed on the premises?
Please provide details of the safe
Have you, any partners, directors or principals suffered any claims relevant to this insurance within the last 5 years?
Please provide additional claims details (dates of loss, cause, amount paid)
Claim TypeDate of LossAmount Settled / OutstandingDetails
Add row
Please provide details
Please provide details
Are all external doors fitted with 5 lever mortice deadlocks conforming to BS3621 ?
Please provide details
Are all accessible windows fitted with Key operated window locks?
Please provide details
What Theft Protections are in use at the property?
Intruder Protections in Use
Add row
Please provide details
What Fire Protections are in use at the property?
Fire Protection in Use
Add row
Please provide details
Details of any other protections in use at the property

Select the cover required / operative perils

Material Damage Perils
Fire, Lightning, Earthquake, Explosion & Aircraft
Theft &/or Attempted Theft
Flood
Storm, Impact, Falling trees, Escape of water from any tank apparatus, pipe or sprinkler system, Escape of fuel from any fixed oil installation, Malicious persons, Riots, civil commotion, strikes, locked out workers or labour disturbances
Material Damage Extensions to Cover
Accidental Damage Extension
External Glass
Subsidence Extension
Business Interruption Cover
Please select the basis of cover
Business Interruption Extensions to Cover
Additional Increased Cost of Working
Customers Extension
Suppliers Extension
Murder, Suicide, Infectious Disease, Vermin & Sanitary Defects
Rent Receivable
Terrorism applicable to Material Damage & Business Interruption

Sums Insured

Fixtures, Fittings & Tenants Improvements
£
Glass and Signage
£
General Contents
£
Machinery, Plant, & All Other Contents
£
Electronic Business Equipment (Premises)
£
Portable Electronic Business Equipment
£
Stock
£
Other (Please Specify)
DescriptionSum Insured
Add row
Business Interruption - Annual Gross Profit
£
Business Interruption - Gross Annual Revenue
£
Additional Increased Cost of Working
£
Annual Rental Income Receivable
£
Business Money / Cash - Estimated Annual Carryings
£
Business Money / Cash - Maximum Limit on the premises any one time
£
Goods in Transit - Estimated Annual Carryings
£
Goods in Transit - Limit any one load / carrying
£
Do you wish to disclose any additional information that you feel may be important to, or influence an underwriter’s assessment of this risk?
PLEASE PROVIDE ANY ADDITIONAL INFORMATION OR FURTHER DETAILS HERE

Contractors All Risks & Plant Cover

Is all work undertaken under Contract Conditions
Please provide full details.
What types of contract conditions are used ( e g JCT Contracts)
Do any contracts last more than 12 months?
Please provide full details
Will the contract site(s) be secured against illegal entry with the following measures, please select:-
Security
Add row
Please provide full details
Do you currently hold Contractors All Risks Insurance?
Who is the current insurer?
What is the premium payable?
£
When do you anticipate cover will be required from
Do you require cover for Contract Works
Contract Works Sum Insured
This figure represents the maximum contract value of the work undertaken and should include materials and temporary structures
£
Do you require cover for Hired in Plant
Hired in Plant Sum Insured
This figure represents the replacement value of the equipment being hired
£
Hired in Plant estimated annual hire charges
This figure represents the hire charges paid to hire equipment during the year.
£
What is the highest value item hired
This value forms part of the Hired in Plant Sum Insured
£
Number of items of Hired In Plant
Will all plant, tools & equipment be kept within the secured site outside of normal working hours
Please provide full details
Do you require cover for Employees Own Tools & Equipment
Employees Own Tools & Equipment sum insured
£
Will all tools & equipment be kept within the secured site outside of normal working hours
Please provide full details
Do you require cover for Your Own Plant & Tools
Your Own Plant & Tools Sum Insured
£
What is the highest value item owned
This value forms part of the Your Own Plant & Tools Sum Insured
£
Please specify all items with an individual value of £5,000 or more
Item DescriptionSerialNo.Approximate AgeReplacement Value £
Add row
Will all plant, tools & equipment be kept within the secured site outside of normal working hours
Please provide full details.
Have you made any claims in the last 5 years that would have been covered by this type of insurance?
Please provide details of all claims below
Type of LossDate of LossAmount of LossClaim StatusClaim Details
Add row
You have a duty to disclose all facts that are material to the risk insured, before the cover is placed and throughout the entire duration of the Insurance. A material fact is a fact which may influence the Insurers assessment of a risk, including its terms and pricing. If you are in any doubt whether a fact is material it should be disclosed, as failure to disclose such a fact may entitle an Insurer to avoid the Policy from inception.
Do you wish to disclose any further details or additional information you feel may influence insurers assessment of your risk?
Please provide additional information here

Directors & Officers Liability

Directors & Officers Liability Insurance covers individual directors, officers and employees (acting in a managerial capacity) against allegations of wrongful acts undertaken in their capacity as a director or officer of the company.

Does this application relate solelyto a UK registered private company with no publicly traded shares and where all turnover is derived from the UK, Channel Islands or Isle of Man?
Has the Company / Business been established for more than 3 years?
Do the principal business activities involve financial services or any activities regulated by the FCA or PRA?
Does the Company / Business have net assets / net shareholder funds as declared in the latest Report & Accounts?
Does any one individual or Company (other than Directors) hold 20% or more of the share capital?
Are you aware of any claims, circumstances or notices ever being made against the company, directors, officers, employees or agents that may be subject to cover under this or any previous D&O policy?
Details of any claims, circumstances or notifications
Are you aware of any known or pending suits,claims, notifications or proceedings against the company, directors, officers, employees or agents that may be subject to cover under this or any previous D&O policy?
Details of any known or pending suits, claims, notifications or proceedings
Is there any additional material information you wish to declare to support this application
Please provide additional information

Statement of Fact

You or any of your Partners or Directors either personally or in connection with any business which you/they have been involved with have never :-
been declared bankrupt or are the subject of any current bankruptcy proceeding or any voluntary or mandatory insolvency or winding up procedures?
Please give details
been disqualified from being a Company Director?
Please give details
had a County Court Judgement or Sheriff Court Decree?
Please give details
been convicted of or charged with (but not yet tried) a criminal offence other than a motoring offence or a spent conviction in accordance with the "Rehabilitation of Offenders Act 1974"?
Please give details
been prosecuted or have prosecutions pending under the Health and Safety at Work Act or any other statute or regulation?
Please give details
had any insurance proposal declined, renewal refused, a policy cancelled mid-term by Underwriters, a policy declared void, a claim repudiated, or had any special or increased terms applied?
Please give details
Do you have a formal written Health and Safety policy?
Have you carried out the following risk assessments in respect of the Management Of Health And Safety At Work Regulations 1999:?
a) manual handling b) COSHH c) working with machinery d) work at height
Do you record in document form the above risk assessments?
Do you have a formal safety-training plan for employees?
Do you have a documented procedure for high-risk activities?
Do you wish to disclose any additional information that you feel may be important to an underwriters assessment of this risk?
Please provide any additional information or further details here

DECLARATION

Please note the following information, dependent and relevant on whether you are a proposed consumer or business insured :

If you are a consumer insured ( i.e. a person buying insurance wholly or mainly for personal purposes unrelated to your employment ), you have a duty to take reasonable care to answer questions fully and accurately. This duty exists before the cover is placed and throughout the entire duration of the Insurance. If you do not do so, your Insurer may be able to avoid the Policy from inception.

If you are a business consumer ( i.e. not a consumer insured ) you have a duty to disclose all facts that are material to the risk insured, before the cover is placed and throughout the entire duration of the Insurance. A material fact is a fact which may influence the Insurers assessment of a risk, including its terms and pricing. If you are in any doubt whether a fact is material it should be disclosed, as failure to disclose such a fact may entitle an Insurer to avoid the Policy from inception.

I agree to inform Insurer's of any changes in my circumstances from the date of this application and understand that cover will not commence until the Policy, Certificate or Acceptance Letter has been issued.I declare that the information given is true and complete to the best of my knowledge and belief.

SISS would like to contact you occasionally with details of relevant new products or services and keep you updated on any enhanced covers that may be of benefit to you or your business. This will be sent by email and you will have the opportunity to unsubscribe or update your preferences on each occasion. All personal &/or sensitive information is handled securely in accordance with Data Protection legislation, including General Data Protect Regulations (GDPR) and is only used for the purposes it was supplied. SISS do not share, sell or rent any details with any other marketing companies.
Please CLICK HERE to see our Data Protection Privacy Notice

Cover Details

Claims 3yr Count
£
Claims 3yr Amount
£
Claims 5yr Count
£
Claims 5yr Amount
£
Claims EL Count
£
Claims EL Amount
£
 
 
Set Minimum Net Load £ £0.00
 
 
Set Fire Accreditation Discount @ % £0.00
Set Discretionary Discount @ % £0.00
Set Membership Discount @ % £0.00
Set Accreditation Discounts @ % £0.00
Set Claims Load @ % £0.00
Set Minimum Net Load £ £0.00
 
Set Fire Accreditation Discount @ % £0.00
Set Discretionary Discount @ % £0.00
Set Size Discount @ % £0.00
Set Claims Load @ % £0.00
Set Minimum Net Load £ £0.00
 
Set Buildings Useage Load @ % £0.00
Set Intruder Protections Discount @ % £0.00
Set Fire Protections Discount @ % £0.00
Set Flood Load @ % £0.00
Set Crime Area Load @ % £0.00
Set Windstorm (Buildings) Load @ % £0.00
Set Display Text @ % £0.00
Set Claims Load @ % £0.00
Set Excess Discount @ % £0.00
Set Discretionary Discount @ % £0.00
 

Additional Notes - These do not appear on any documentation

Additional Notes

Documents Only

Contact email address for Scheme
Broker name to appear of documents
Broker Address to show on Documents
Policy prefix to show on Documents
Broker telephone number to show on documents
Broker FSA Number to show on Documents
Liability Wording Ref
Liability Cert Ref
MD Wording Ref
MD Cert Ref
Legal Wording Ref
Legal Cert Ref
TestCoverBox
PolStatus
Cancellation Reason
Axis Cert Ref
Axis Wording Ref
LPG Legal Wording reference
LPG Legal cert reference