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Professional indemnity insurance indemnifies you from the
legal liability and legal defence costs you may incur as a result
of breaching a duty of care to your clients. We offer professional
indemnity insurance to agricultural consultants and those
offering professional advice in all areas of agriculture,
farming and land use.
Please
complete this form as fully as possible and submit to us for a
quotation. Alternatively call us on 0845 838 7960 for immediate
quotes and assistance.
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Professional Indemnity Insurance Quotes for
Agricultural Consultants |
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Proposed policyholder’s
full name: |
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Proposed policyholder’s
business activity: |
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Proposed policyholder’s
website: www. |
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If any other entities
are to be covered, please list the names of such
entities |
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Proposed
policyholder’s main office address: |
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Postcode |
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Telephone |
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Email |
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How long has the
proposed policyholder been established. |
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Do at least 50% of the
partners/directors have at least five years relevant
experience? |
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Does the firm
currently have professional indemnity insurance? |
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Does any one client
represent more than 50% of the total income of the
entities to be covered? |
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Is 20% or more of the
total income of the entities to be covered paid to
sub contractors? |
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Do the entities to be
covered ensure that sub contractors are fully
qualified and carry professional indemnity
insurance? If No please give full details in
the Additional Information Box below. |
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Has any insurer
declined, cancelled or non-renewed any prior policy
or application for professional indemnity or similar
insurance of any of the entities to be covered? If
Yes please give full details in the
Additional Information Box below. |
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Has any entity to be
covered sustained any loss due to fraud or
dishonesty by an employee or third party or has any
entity to be covered reason to suspect such
activity? If Yes please give full details in
the Additional Information Box below. |
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Has any entity to be
covered been subject to any disciplinary or
regulatory enquiry or proceedings or fines,
penalties or other sanctions by a governmental,
regulatory or professional body? If Yes
please give full details in the Additional
Information Box below. |
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Is any entity to be
covered aware of any claim (whether insured or not)
ever having been made against any entity to be
covered or its predecessor? If Yes please
give full details in the Additional Information Box
below. |
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Is any entity to be
covered aware of any facts or circumstances that may
give rise to a claim against any entity to be
covered or its predecessor? If Yes please
give full details in the Additional Information Box
below. |
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Names of partners
and directors (CV if less than five years
experience) |
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Gross fee income for
the last completed year: |
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Estimated Gross fee
income for the forthcoming year: |
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Largest
contracts/projects carried out by the firm in the
last five years |
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of Indemnity Required for Quotation- you may select
more than one box |
£100K£250K£500K£1M
£2M
£5M |
Other |
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Additional Information
Box |
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I
declare
and agree, on behalf of the proposed policyholder
and all proposed insured's, that to the best of
their knowledge and belief the statements set forth
herein are true and that, if the Company agrees to
insure, the material statements in this proposal or
in any other information supplied, shall be the
basis of the contract and shall be incorporated into
and constitute part of the policy.
It is hereby agreed that
the Company is authorised to make any investigation
and inquiry in connection with this proposal that it
deems necessary. |
I
Agree |
