Quotation Request

Insurance 4 Plant

Client Details
Activities
Equipment
Processes
Hire Security Checks
Plant and Equipment
Declaration Questions
Claims
Survey

Client Details

The Hire Company:
Please select the hire company that the plant has been hired from. If the hire company is not currently listed, please select ‘other’ and complete the hire companies details.

If you are a hire company and are not currently listed, please register your interest to be added as a new agent by contacting us
Name of the Hire Company
Address of the Hire Company
Telephone number of the Hire Company
Email Address of the Hire Company


Please select your business structure:
The Policyholder
Business Name:
Correspondence Address
Total number of business owners / partners:
Business description:

Activities

Activities
Are you engaged in the following activities:
(a) reclamation, recycling, scrap, waste, skip hire or landfill
(b) aggregate extraction, mining or quarrying (including Underground Mining)
(c) agriculture or farming
(d) arboriculture, forestry, tree felling or lopping
(e) cement works
(f) demolition other than where it is incidental to other activities or trades
(g) rail or tramway construction, maintenance or repair
(h) ship building, maintenance or repair
(i) timber or wood processing
(j) tunnelling
(k) work directly associated with any river, waterway, lake, reservoir or tidal shore.
(l) working on or from barges or dredging
(m) construction of seawalls, docks or marinas

We are unable to provide a quotation under this facility, please contact us directly for a quotation.

Equipment

Is the property you wish to insure any of the following:
(a) All terrain vehicles
(b) Process machinery
(c) Site surveying equipment
(d) Unmanned aerial vehicles (also known as drones)
(e) Road surfacing sprayers and paver
(f) Lorry mounted sweepers
(g) Drilling rigs
(h) Vehicle mounted concrete mixers
(i) Concrete pumps.


Note : the definition of Process machinery is: Plant used to perform mechanical or chemical operations on any material in order to change or preserve it including but not limited to bailers, compactors, crushers, harvesters, picking stations, shears, shredders, trommels and washing plant. Such operations shall include but not be limited to baling, compacting, crushing and washing, granulating, grinding, harvesting, pulverising, screening, shredding.

We are unable to provide a quotation under this facility, please contact us directly for a quotation.

Processes

Is the equipment you wish to insure involved in any of the following areas:
(a) Businesses involving the processing of toxic waste materials other than where such processing is an incidental non-core activity, and importantly where this is compliant with all environmental regulations and legislation. (Toxic waste being any chemical or substance that presents a significant hazard to health or the environment as defined by local legislation and regulations)
(b) Manufacture of tobacco products
(c) Manufacture, sale or supply of arms and munitions
(d) Businesses where the sole activity is animal testing
(e) Manufacture, sale or supply of matches, fireworks and explosives
(f) Oil, and Gas extraction/refining
(g) Stand alone prisons, detention centres and high security psychiatric units, asylums and detention centres
(h) Any risk outside the UK
(i) Any risk offshore

We are unable to provide a quotation under this facility, please contact us directly for a quotation.

Hire Security Checks

For Pre-Paid Hires
I will provide any two of the following forms of identification (one containing an address):

1. Driving Licence,
2. Bank/credit card,
3. Passport,
4. Warrant or company identity card with photograph.

Alternatively, I will ensure that point-of-hire photographs are taken and retained, or the Hirer undertakes a telephone check with my employee, or if already known to the Hirer, prior identification verification has been completed.

For Credit Account Hires
I will provide either a written company order with the employee’s name recorded by the Hirer or ensure the Hirer records the name and position of the person ordering by phone. If the person ordering is already known and previously identified by the Hirer, these requirements are waived.

Plant and Equipment

When does the hire contract start?
Please note that quotations can only be issued up to 30 days before the hire period commences.
The cover period should not exceed 6 months.
If you require cover for a period of more than 6 months or for an annual quotation please contact us directly.

When does your hire contract end?
Total Hire Charges
£
Property Insured
Item(s) of plant and equipment described below.
Total machinery value cannot exceed £100,000.

If the information entered does not match those of the items hired then cover may be invalidated

MakeModelValue
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Machinery value cannot exceed £100,000.

Declaration Questions

Have you or any principal in the business or any company in which you or such principal have or have had an interest:

Ever had an insurance proposal declined, renewal refused or insurance cancelled or special terms imposed?
Ever been convicted of or charged (but not yet tried) or been given an Official Police Caution in respect of any criminal offence, other than a motoring offence, unless spent by the Rehabilitation of Offenders Act?
Ever been declared bankrupt or insolvent or been the subject of bankruptcy proceedings or insolvency proceedings or been disqualified from being a Company Director?
Ever been the subject of a County Court Judgement, an Individual Voluntary Arrangement, a Company Voluntary Arrangement or a Sheriff Court Decree?
Ever been prosecuted or received notice of intended prosecution under Health & Safety at work of Consumer Protection Act?
Ever been subject to an investigation by HM Revenue and Customs which has resulted in a prosecution?
Had any insurance claims in the last 3 years?

We are unable to provide a quotation under this facility, please contact us directly for a quotation.

Claims

Have you suffered a claim in excess of £50,000?
Have you suffered two or more theft claims at the same location in a three year period?
Have you suffered three or more claims of the same cause at the same location in a three year period?
Claims Details:
Claim DetailsDate of ClaimClaim AmountClaim Status
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Survey

Is a Survey required?
Survey Deadline Date
Premises that require a Risk Management Survey
Date Survey completed
As a result of the survey, are risk improvements required?