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Contractor Professional Liability

Complete this form and submit for a really competitive quote.

Date Cover to Start:
(dd/mm/yy)
Name:
Trading Name:
Address:
Town:
County:
Postcode:
Contact Number:
Contact Fax:
Email:
Trade:
Is it a limited company:
(yes/no)
Experience in trade:
(years)
Public Liability indemnity limit required?
(please select)
Employers Liability @ £10,000,000
(if required):
(yes/no)
Proprietors:
Employees:
Any temporary employees?
(yes/no)
Any claims:
(yes/no)
Convictions:
(yes/no)
Previous Insurer?
Renewal Date:
(dd/mm/yy)
Renewal Premium:

 

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We are Bridges Insurance Brokers Ltd. Trading as Bridge Insurance Brokers. Registered in England No. 1066
Bridges Insurance Brokers Limited is authorised and regulated by the Financial Services Authority.

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