Offshore Quote

Offshore Wind Farm Contractors Insurance Indication

Please fill out the required information as accurately as possible as this is an indication of premium specifically for single person off shore wind farm contractors.

(*) denotes required field

Your Details

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Company Details

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Your Details

 

 

 

 

Your Details

Nature of Offshore Wind Farm Offshore Work*

 

Are you a new business?YesNo

Are you a limited company?YesNo

What is your company registration number?
(where applicable)

Public Liability Limit :

Your Details

Declaration Statements

Has any Principal, Partner or Director in the business ever been prosecuted under any safety legislation during the last 5 years or have any such notices pending?*

YesNo

Has any Principal, Partner or Director in the business ever been convicted of or charged (but not yet tried) with any criminal offence other than motoring offences? *

YesNo

Has the business, or any Director or Partner of this business – in relation to this business, in relation to any other business or in a personal capacity – been declared bankrupt or insolvent or been a Director of a company or organisation that has gone into liquidation, administration or receivership?*

YesNo

Has any Principal, Partner or Director in the business ever had a proposal for insurance refused or declined or ever had an insurance cancelled, renewal refused or had special terms imposed?*

YesNo

- Any claims in the last 5 years? *

YesNo

Please tick to accept & agree to our terms & conditions*