Helpline: 01444 228160

Quotation Request

Energy Contractors Insurance (Direct Clients)

Cover Period
You & Your Business
Your Cover
Disclosure
Calculations

Cover Period

What date would you like your policy to begin?

You & Your Business

Please give us your full name:
Does the policy need to be insured in a company name?
Please provide the name of the Company to be insured:
Please enter your address:
Please enter your contact number:
Please enter your email address:


Please provide names of all partners in the business:
Name
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Are you domiciled or is your company registered outside of the UK?
If yes, please select the country from this list:
Do you undertake any design or give any advice for a specific fee?
Do you need a quote for Professional Indemnity Insurance Only?
No Public Liability insurance or Employer's Liability insurance will be available if you state Yes to this question.
Do you currently have a separate Liability policy with us?
What was your actual Turnover figure for the last financial year in GBP(£):
£
What is your estimated Turnover figure for the forthcoming 12 months in GBP(£):
£
Select a trade / role type that bet describes what you do:
Select a trade / role type that best describes what you do:
Please enter the Business category/Job description you would like this insurance for:
Will you be working on Vessels and/or Windfarms?
Will you be working on an Offshore rig or Offshore platform?
In insurance speak this ‘means from the time an Employee of the Insured embarks onto a conveyance at the point of final departure to an Offshore rig or Offshore platform, until such time the Employee disembarks from the conveyance onto land upon returning from an Offshore rig or an Offshore platform’.
If Yes to working on an Offshore rig or Offshore platform, please provide details of the maximum number of days spent offshore in any one year and describe FULLY the work undertaken:
Please advise: Name of Person to be Covered / Scope of Work below:
Name of Person to be Covered:Scope of work:
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Have you been in Business for less than 3 years?
Do you undertake any work in USA and/or Canada?
Please advise: Name of Person to be Covered / Scope of Work / Location / Duration below:
Name of person to be covered:Scope of work:Location:Duration:
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Do you undertake any manual work?
If Yes, please provide full details/description of this work and details of tools that will be used and including any Heat Work or Work at Height?
Please advise: Name of Person to be Covered / Scope of Work below:
Name of person to be covered:Scope of Work
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Does your work involve the use of portable hand tools?
Does your work involve the use of fixed machinery?
Will any work you undertake be categorised as confined space work?
Will any work undertaken require the use of heat?
Do you use sub contractors for any of the work outlined above?
Please note sub contractors are not covered by this policy however it is a condition that you check the insurance of the sub contractor.
Please advise estimated Turnover relative to the use of Sub-Contractors:
£
Please advise the type of work undertaken by Sub-Contractors:
Please advise if you undertake work which could be deemed as safety critical.
A Safety Critical Report is a report relating to systems and/or procedures that may result in one (or more) of the following outcomes:

Death or Serious injury to people.
Loss or severe damage to equipment/property.
Environmental harm.
Please provide a full description of the work undertaken including any offshore work:

Your Cover

Employers Liability

Are all employees (incl Labour Only Sub Contractors, trainees, apprentices) paid below the PAYE threshold?
If No, please provide the company’s Employers Liability Reference Number (ERN):
UK businesses employing one or more people are required to have an ERN (Employer’s Reference Number, also commonly referred to to as the ‘Employer PAYE Reference’), which is a unique reference number for your employees’ income tax and national insurance contributions. You will find your ERN printed or written on mandatory documents including the P45, P60, P11/D and on most payslips. It looks something like this: NNN/Aznnnnn (maybe with up to 7 digits).
/

Public Liability

Do you require 30 Days Only Offshore Cover?
Date of Liability Proposal Form (if applicable):

Professional Indemnity

Do you currently hold Professional Indemnity insurance?
Retroactive Date:
Date of Proposal Form (if applicable):

Disclosure

Have there been any incidents in the last 5 years that have or could have been subject of a claim?
Details of Claims
Please provide details of any claims or losses within the last 5 years below:
Date of ClaimCircumstancesCost of Claim
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In respect of the covers proposed have you ever had any proposal for insurance declined (whether at renewal or otherwise), any insurance cancelled or any special terms or conditions:
Please provide full details:

Have any of the directors or principals, either personally
or in any business capacity, ever been:
a) Convicted or charged with (but not yet tried for) a criminal offence involving fraud or dishonesty:
b) bankrupt:
c) A director or partner of a company or partnership of a company or partnership which has been subject of receivership or administration or insolvent liquidation or has been dissolved by reason of insolvency:-
i) either at the time of such receivership, administration, liquidation or dissolution, OR
ii) within the six months immediately preceding the appointment of a receiver, administrator, liquidator or the dissolution:
d) disqualified under the provisions of the Company Directors Disqualifications Act 1986 from holding office as a director of a company:
If you have answered yes to any of the questions above, please provide details:
 
Set PL Uplift @ % £0.00
 
 
 
 

Calculations

EL / PL
EL Limit of Indemnity
£
PL Limit of Indemnity
£
Liability Premium (Net of IPT)
£
Cover Period Factor
Total Liability Premium
£
USA / Canada Base Premium
£
USA / Canada Extension (rated per person)
£
USACanadaManualWorkLoad
£
USA/Canada Extension Premium
£
Professional Indemnity
Base PI Premium (Net of IPT)
£
Total PI Premium
£
USA/Canada Extension Premium
£
Limit Uplift
£
Stamp Duty
Stamp Duty
£