Quotation Request Pest Control Contact Details Business Details Business Activities Your Requirements Additional Covers Buildings & Contents Calc page Cover Details Backoffice Contact DetailsContact Name -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Contact EmailPlease note your email address will be your login username. Email you will log in with this Forgot your password? Email enter again Password Password enter again Contact telephone Contact address UDPRN Organisation Line 1 Line 2 Town/City County Postcode Enter address manually or Enter address manually Use address lookup Business DetailsWhat type of business do you operate? - select - Sole Trader Partnership Limited Company How many partners work manually in the business? What is your full business name?If Ltd Company – e.g – Joe Bloggs Ltd If a Partnership – e.g – Mr J Bloggs & Mr P. Bloggs T/as Joe Bloggs & Sons If Sole Trader – e.g – Mr J Bloggs T/as Joe Bloggs Is the business address the same as the contact address? YesNo Business Address: UDPRN Organisation Line 1 Line 2 Town/City County Postcode Enter address manually or Enter address manually Use address lookup Is your business a full member of the BPCA? YesNo Total number of full time manual persons in the business:Including Directors and Partners Total wage roll for non manual employees in the business if applicable:Directors who work manually less than 10% of the time are classed as non manual. £ Do you have any part time manual employees? YesNo Number of part time manual employees: Do you employ casual labour? - select - No casual labour Yes but not exceeding 30 man days in total during any period of insurance Yes but not exceeding 50 man days in total during any period of insurance Yes but not exceeding 75 man days in total during any period of insurance Yes but not exceeding 100 man days in total during any period of insurance Yes but not exceeding 150 man days in total during any period of insurance Yes but not exceeding 200 man days in total during any period of insurance Yes exceeding 200 man days during any period of insurance Have you suffered any claims in the last 5 years? YesNo Please provide further details: Business ActivitiesDoes Pest Control account for at least 50% of your business? YesNo Do you undertake work in any of the following business activities? Building maintenance Crime scene cleaning Drain surveys, cleaning, jetting and repair Fencing Gardening General cleaning Graffiti removal Hygiene services involving WCs or washrooms and any clinical, medical or sharps disposal PAT testing of general office and domestic appliances Power washing (Equipment must not exceed 3000 psi / 207 bar) Property and garden clearance Steam cleaning, sanitising and duct cleaning Trauma site cleaning Winter services such as gritting (excluding work on Public Highways.) Other business activities Other business activities Do you work at height above 25 metres? YesNo How much of your work is at heights over 25 metres from ground or floor level? % Do your activities involve any heat treatment or use of heat away from your premises, other than the use of smoke generators? YesNo What type of heat work do you carry out? Heat Treatment workUse of angle grinders or disc cutting equipmentUse of blow torches or similarUse of welding equipment Do you use any specialist contractors to carry out work on your behalf? YesNo Please provide estimated annual payments made to specialist contractors: £ Do you carry out any work at airports in areas where aircraft ordinarily manoeuvre or have access to? YesNo Do you carry out any work on any rail track? YesNo Do you carry out any work involving asbestos? YesNo Your RequirementsWhen do you need your cover to start? 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Public & Products Liability Please select your Public & Products Liability Limit of Indemnity: - select - £5,000,000 £10,000,000 Tools, Equipment and Stock Your policy will include tools, equipment and stock up to the value of £1,500 automatically. Your policy will include tools, equipment and stock up to the value of £750 automatically. Would like to increase the Tools, Equipment and Stock limit? YesNo Please enter the required limit for Tools, Equipment and Stock:Please note that the available maximum limit for Tools, Equipment and Stock is £25,000. £ Additional Covers Please select if you require the following additional covers: Buildings and/or Contents Cover YesNo Personal Accident and Illness cover Premium £175.00 + IPT per person £350.00 + IPT per person £500.00 + IPT per person Capital Benefit £25,000 £50,000 £50,000 Temporary Benefit £250 per week £500 per week £750 per week Insured PersonsMinimum age: 16 years oldMaximum age: 65 years old Directors, trustees, partnersand employees of the insured Directors, trustees, partnersand employees of the insured Directors, trustees, partnersand employees of the insured Operative time 24 hours 24 hours 24 hours Territorial Limits Worldwide Worldwide Worldwide YesNo Number of Persons Insured: - Select - 1 2 3 4 5 Please enter details for Insured Person 1: -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Please enter details for Insured Person 2: -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Please enter details for Insured Person 3: -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Please enter details for Insured Person 4: -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Please enter details for Insured Person 5: -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Please select the required level of Capital/Temporary Benefit: £25,000/£250 per week £50,000/£500 per week £50,000/£750 per week Business Interuption YesNo How much cover is required for Loss of Profits?Please note that the available maximum limit is £1,000,000. £ How much cover is required for Increased Cost of Working? £ Terrorism Cover YesNo Buildings & ContentsPremises Address: UDPRN Organisation Line 1 Line 2 Town/City County Postcode Enter address manually or Enter address manually Use address lookup Cover type: - select - Buildings only Contents only Buildings and Contents Building sum insured: £ General contents sum insured £ Stock sum insured: £ Computer equipment sum insured: £ Is the building is constructed with a flat roof? YesNo Hidden Postcode Hidden Postcode No Space Sub Postcode 5 Sub Postcode 4 Sub Postcode 3 AXA - Mapflow Flood AXA - Mapflow Subs AXA - Mapflow Subs Decline AXA - Mapflow Theft Total Content Flood Deductible 400 750 1500 2500 5000 Sub Deductible 1000 1500 2000 2500 Theft Deductible 350 500 Add new premises Property Insurance Statement The buildings of your business premises are constructed with external walls of brick, stone or concrete and roofed with slates, tiles or profile metal The buildings of your business premises have not previously suffered damage by flood and are not in a known flood area. The buildings of your business premises are free from cracks or other signs of damage that may be due to subsidence, landslip or heave and have not previously suffered damage by any of these and are not in a known subsidence area All of your business premises are occupied solely by you for the purposes of the business or with an element of ancillary residential accommodation None of your business premises are left unoccupied for more than 30 consecutive days I AGREEI DO NOT AGREE Please provide details why you could not agree to the above statements: Calc pageRatesVersionControl General Liability Full Time Manual £ General Liability Part Time Manual £ GL Full-Time Non-Manual WageRoll £ GL Casual Labour Charge £ PL Increased Limit Charge £ Custom Tools Limit Charge £ Employers Liability Full Time Manual £ Employers Liability PartTime Manual £ Employers Liability Total Manual £ EL Staff Number Sole Trader - full time EL Staff Number Partnership - full time EL Full-Time Non-Manual WageRoll £ EL Casual Labour Charge £ PA Benefit Selected PA Charge - Full Time £ PA Charge - Part Time £ Automatic discount £ PA Capital Benefit PA Temporary Benefit Terrorism £ Tool Limit Final EL included? YesNo Binder ref Historic Premium £ Cover Details Set Minimum Premium Load £ £0.00 Total Premium (Net) £0.00 + IPT @ % £0.00 + Policy Fee £ £0.00 Total Premium £0.00 Total Commission £0.00 (Due From Broker) £0.00 Backoffice Is this record Imported? YesNo Is this policy a renewal? YesNo Does the client pay on premium finance? YesNo Finance Charge (based on total premium inc IPT & policy fee)This value cannot be amended on this page - if the Finance Y / N question is changed then you must use the 'Re-run rating' found within the 'Re-run rules' option £ FinanceRateVersionControl Finance rateThis rate cannot be amended on this page - if the Finance Y / N question is changed then you must use the 'Re-run rating' found within the 'Re-run rules' option If the finance rate changes it must be updated in the rating files Total monthly payment amount(Premium + Policy Fee + Finance Charge) / 10 Does the client pay on invoice? YesNo Does the client have a fleet policy with us? YesNo Does the client have a Plant policy with us? YesNo Does the client pay by card YesNo Is this an Irish Policy? YesNo Is the PI cover to be increased above the standard limits? YesNo If yes, please enter the required limit: The file has been audited YesNo Were there any underwriting, processing or compliance issues? YesNo Please enter details here: InvoiceRef Previous WF Fountain Case YesNo