• Commercial Express: Contract Cleaners

  • Proposal / statement of fact

  • Disclosure

  • IMPORTANT NOTICE: Please check this proposal/ statement of fact for insurance very carefully.

    Please answer the questions set out below accurately and completely. For your convenience, we have included certain answers in the form however you must change these answers if they are inaccurate. This may result in Commercial Express or the Insurers requiring further underwriting information, but may not preclude Commercial Express or the Insurers from providing cover. This does not modify your/ your client's duty to disclose all material facts. You must answer all questions accurately and completely. You must provide us with all further information we request and any other information of which we should be made aware.

  • Insured

  • The following proposal/ statement of fact, together with any information supplied to the insurers, will form the basis of the Insurance and any non-disclosure or misrepresentation of a material fact could invalidate all or part of the Insurance contract.

    Please do not note the interest of any third party in the Name of the Insured field. Any third party interests to be noted can be entered during the quotation process..

    A material fact is a fact likely to influence insurers assessment of the risk. If you are in any doubt as to what constitutes a material fact you should consult your colleagues or Commercial Express.

     

  •  / /
  •  :
  • Insureds business

  • Does the insured undertake or intend to undertake any activities on or at:

  • Sums insured

    Cover required:
  • Optional covers

    Business Equipment (Anywhere in the UK) whilst contained in a vehicle or stored within the Insured's premises
  • Stock cover whilst contained in a vehicle or stored within the insured's premises

  • Policy extensions

    Do you wish to extend the policy cover to include:
  • Excesses

  • Employer reference number (ERN) / Employer PAYE reference

    Only a very tiny minority of employers that do noy pay salaries through PAYE are exempt from providing an ERN. All employers who pay PAYE must provide an ERN,
  • Disclosure and claims

    Has the Insured:
  • Should be Empty: