Groundworks and Civil Engineers Scheme Presentation
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Groundworks and Civil Engineers scheme presentation
For the Client:
2 Oakberry Road,
Oakberry Industrial Estate,
Lutterworth, Leicestershire,
LE17 4PP
Phone: 01455 203377 Fax: 01455 203388 www.wwgroup-insurance.com [email protected]
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Authorised and Regulated by the Financial Conduct Authority
Firm reference number: 308777
07/05/2018 The Business:
Proposer(s) and/or full trading name (including names of all subsidiary Companies to be insured):
Postal address of the Business:
Does the Business trade from any additional location Yes / No
Year Commenced Trading:
Full Business Description:
Does the proposer carry out any activities outside: Groundwork & Civils (e.g Demolition, plant hire) Yes / No
COVER LIMITS REQUIRED
Employers Liability £10,000,000
Public / Products Liability £ ,000,000
HISTORY & CLAIMS
Has the proposer(s): a) Ever been convicted of, charged (but not yet tried) with a criminal offence other than motoring offences? Yes / No b) Received an official caution for a criminal offence (other than motoring offences) within the last 3 years? Yes / No c) Ever declared bankrupt whilst being a director of any company which went into liquidation? Yes / No d) Has any insurer ever declined your proposal form, refused to renew or cancelled your policy, increased your premium or imposed special terms or restrictions?
Yes / No
Previous Insurance / Existing Insurance a) Name of Insurer: b) Current Broker: c) Renewal Date: d) Target Premium / Last Years Premium:
07/05/2018 CLAIMS:
Date of Claim Type of Loss Cause of Loss Paid/Reserve Status
OPERATIONS OF BUSINESS
The working procedures of the business:
The Proposer has: a) Written Health & safety policy brought to the attention of all employees? Yes / No b) ensures that all employees are supplied with necessary and adequate personal protective Equipment (PPE) and the use or wearing of PPE rigorously enforced and that a formal record maintained, and additionally, signed by employees confirming receipt of PPE? Yes / No c) Ensures that the premises in a good state of repair and the ways, all plant and machinery (at the proposer(s) own premises and all contract sites) is properly fenced and guarded and in good order and condition? Yes / No d) Has been prosecuted under the Factories act, Health & safety at work act, the consumer protection act, or any other statute or regulation? Yes / No e) Enter into any arrangements or contracts under which liability is assumed by you for which you would not otherwise been under statute or common law? Yes / No f) Undertake any manual work outside the UK, Isle of Man or the channel isles? Yes / No g) Workforce Enter into a contract and resident in the UK Yes / No h) Designs, Gives advice or prepare specifications for a fee? Yes / No
07/05/2018 EQUIPMENT USED
Are any of the following used in connection with your business: a) Woodworking or power driven machinery (other than hand held power tools)? Yes / No
Does the machinery have safety guards or protectors? Yes / No b) Lifts, Cranes, Hoists or other lifting apparatus (including slings or cradles)? Yes / No c) Scaffolding? (Work from if required - no erection) Yes / No d) Any other mechanical plant or equipment not listed? Yes / No e) Use of burning and/or welding equipment? Yes / No f) Any processing machinery or equipment where noise level is in excess of 80db? Yes / No g) Does the business discharge any hazardous waste products (e.g chemicals, gases, liquid, radioactive substances, dust, fumes, or vapours) into the atmosphere, sewers, waterways, elsewhere. h) Does the proposer only used licensed sites for muck away / waste disposal
Products a) Does the proposer sell salvaged or reclaimed materials as finished products Yes / No
If yes please provide details of products and percentage of turnover
HAZARDOUS ACTIVITIES
Does the proposer(s) undertake any work in connection with the following: a) Work in or about an airport or airports? Yes / No b) Work in or about refineries or oil, gas, or petro storage depots? Yes / No c) Demolition of any structure? Yes / No d) Vessels for heating? Yes / No e) Asbestos or silica PCB’s? Yes / No f) Explosives, acids, gases, chemicals, or chemical works? Yes / No g) Towers or steeples? Yes / No h) Bridges or similar? Yes / No i) Chimney Shafts? Yes / No j) Blast furnaces? Yes / No k) Viaducts? Yes / No l) Mines? Yes / No m)Pile driving? Yes / No n) Tunnelling? Yes / No o) Dams or reservoirs? Yes / No p) docks, harbours, piers, wharfs and jetties? Yes / No q) ships, vessels, watercraft or cushioned vehicles? Yes / No r) Railways? Yes / No s) Radioactive substances or other sources of ionising radiation? Yes / No t) Height work above 15 metres? Yes / No u) depth limit? ……..………..Metres If you have answered yes to any of the above please provide further information such as what work exactly is done and what percentage of the turnover would relate to this activity /activities
07/05/2018 WAGES AND TURNOVER
Estimated gross annual wages, salaries and all other earnings for the next 12 months.
Premises
Clerical / Administration, Non-Manual Employees and directors £ Manual £
Manual Away
Supervisory £ Manual £ Drivers £ Labour Only Subcontractors £
Estimated gross annual turnover for the next 12 months
UK / EU £ EIRE £ USA and / or Canada £ Rest of the world £ Payments to bona-fide subcontractors (BFSC’s) £ including supply and fix
Does the proposer(s) check the adequacy of employers / public Liability insurances held by all bona-fide sub- contractors? Yes / No
Failure to disclose material facts could result in your policy being invalidated. Material facts are those facts which might influence the acceptance or assessment of your proposal. If you are in any doubt as to whether a fact is material you should disclose it. Are there any material facts or any other information which needs to be disclosed to the insurers which has not already been answered in the previous questions and statements?
07/05/2018 Contractors All Risks
Details Insured Turnover £
Maximum Value of Any one Contract £
Own Plant - New Replacement £ Single Item Limit £ Market Value £
Annual Hiring Fees £ Any One Loss Limit £
Employees Tools £ Limit per employee £500
Temporary buildings/ site huts £
Maximum length any one contract Months Average length any one Months contract
Maximum Site Limit / Loss Limit £ Including Contract Works Limit
**Erection / Alteration of Timber Framed Buildings are excluded unless otherwise declared and agreed in full by underwriters**
CLAIMS:
*What measures have been undertaken to prevent future losses or a re-occurrence:
07/05/2018 Optional Policies
EXCESS LAYER – YES/NO – TOTAL LIMIT OF INDEMNITY REQUIRED: £
LEGAL EXPENSES – YES/NO
DIRECTORS & OFFICERS – YES/NO - £500k / £1m / £2m
PROFESSIONAL INDEMNITY – YES / NO
ENGINEERING INSPECTION – YES / NO
07/05/2018