Primary Liability




Proposer
1. Full Name (including trading name and names of all Partners)
2. Postal Address
Postcode

Business
3. Fully describe the business activities undertaken
4. Full address of business premises (if different from postal address)
Postcode
5. Date business established (or years experience if sole trader)

Cover
6. a) Inception Date required - renewable annually on this date
b) Include Employers Liability - Limit of Indemnity £10,000,000	YesNo
c) Public & Products Liability	£1m£2m£5m

Financial Data
7. Please state number of people working and annual estimated wageroll/renumeration and turnover
	Number	Wageroll/remuneration/turnover in £'s
Clerical & non-manual Principals
Direct manual Employees
Labour-only Sub-contractors
Bona-fide Sub-contractors
Manual Principals
Annual Turnover