Company Name:

Address:

Postcode:

Contact Name:

Contact Telephone:

Contact Email:

Business Activity / Training:

FOFATO Member:

Year Established:

Approximate Turnover:

Do you use the services of labour only sub-contractors (Associates):

Do you undertake any work outside the UK?

Do you undertake any consultancy work?

Do you have an intruder alarm?

Alarm Signalling:

Employers Liability:

£10 million as standard

Public Liability:

£ 5 million as standard

Products Liability:

£ 5 million as standard

Professional Indemnity:

Buildings:

Tenants Improvements:

Contents:

Computer Equipment:

Stock:

Money Cover:

Group Personal Accident:

Legal Expenses:

Directors & Officers Liability:

If you selected yes to Directors or Officers liability, please select an amount:

Have you had any claims in the past 3 years?

If you said yes to the above question, please give details: