Helpline: 03301 249590

Quotation Request

Kingsbridge Recruitment Scheme

Client Details
Business Profile
Optional Covers
Office Contents Cover
Declaration
Additional Information
*Hidden* General Calculations
*Hidden* Recruiters Calculations
*Hidden* Umbrella Calculations
*Hidden* Endorsements tab
*Hidden* SODAN tab

TELL US ABOUT YOU

Contact Name
Contact email


Contact phone number

PICK THE POLICY START DATE

Policy start date

TELL US ABOUT THE BUSINESS

Proposer's company name or company number
Please left click the correct company once loaded
Company Name
Company Number
Registered Address
Does the business have a separate trading address to that listed above?
Trading Address
Is the business ERN exempt?
Trade
Is this a KCI partner case?

BUILD THE POLICY

Sections of Cover Required

BUSINESS DETAILS

Business description
Employment Agency Business as defined in the Employment Agencies Act 1973 and subsequent legislation
Business description
Umbrella Company and/or Payroll Services Company
Business Description Continued box
Do any of the business activites fall outside of the above description, such as statement of works, consultancy or other professional services?
Does the business provide any additional advice or services for contractors which fall outside the above business description, such as IR35 status, company formation, contract drafting or accounting services in addition to payroll?

LIMITS OF COVER

Employers' Liability - Please select the limit required
Public/Products Liability - Please select the limit required
Professional Indemnity - Please select the limit required
D&O retroactive date
Corporate liability retroactive date
Cyber retroactive date

RISK INFORMATION

Does the business supply permanent workers only?
In regards to the supply of temporary workers, does the business accept the client's terms of business?
Is the supervision, direction and control of placed temporary workers always the responsibility of the end client?
Does the business ever accept contractual liability for the workers negligence?
Does the business expect the insurance to extend to the actions of the contractors?
Does the business supply manual workers under non-standard terms of business to any of the following industries;
Aviation, nuclear power generating, petrochemical industries, demolition, any work on bridges or towers or steeples or chimney shafts or blast furnaces or viaducts or mines, pile driving, tunnelling, quarrying, use of explosives, excavations below 5 metres or heights above 15 metres?
Are all contractors supplied through bona fide recruitment agencies?
Maximum number of drivers on the road at any one time, where drivers' negligence is required?
Estimated payroll of the agency's own staff?
£
Excluding contractors please confirm the estimated payroll of the agency's own staff?
£
Estimated payroll and number of placed personnel in the following categories:
a) Standard terms of business, b) Non-standard (the clients) terms of business

Payroll is to be allocated to domiciliary care, only if the business is CQC registered and provides genuine domiciliary care services directly into service user’s homes. If the business only supplies labour to CQC registered entities such as care homes, hospices or hospitals, please transfer this entry to the Medical / Care category
Number of Contractors p/a
Average
Number of Contractors p/a
Maximum
Estimated Payroll p/a
Standard
Estimated Payroll p/a
Non Standard
*HIDDEN* Standard Cover Action*HIDDEN* Full Cover Action*HIDDEN* Rating Band
Add row
Please provide full details:
Estimated payroll of placed personnel in the following categories:

Payroll is to be allocated to domiciliary care, only if the business is CQC registered and provides genuine domiciliary care services directly into service user’s homes. If the business only supplies labour to CQC registered entities such as care homes, hospices or hospitals, please transfer this entry to the Medical / Care category
Agency NOT accepting supervision, direction & control of labour suppliedAgency accepting supervision, direction & control of labour supplied*HIDDEN* Standard Cover Action*HIDDEN* Full Cover Action
Add row
Please provide full details:
Is the business CQC regulated?
Does the business provide domiciliary care services directly to end users in their private homes?
Is the business CQC regulated?
Does the business provide domiciliary care services directly to end users in their private homes?
Please provide additional information:
Is your organisation accredited by a respected industry body?
Please provide additional information:
Please provide additional information:
Please provide additional information:

Please confirm the turnover in the below categories

Turnover
Last financial year - UK
£
Estimate for current financial year - UK
£
Estimate for next financial year - UK
£
Last financial year - USA
£
Estimate for current financial year - USA
£
Estimate for next financial year - USA
£
Last financial year - Other (inc. EU)
£
Estimate for current financial year - Other (inc. EU)
£
Estimate for next financial year - Other (inc. EU)
£
 
Temporary Placements
*Temporary Placements*
*hidden question used as header on the Matrix
£
Last financial year - UK
£
Estimate for current financial year - UK
£
Last financial year - USA
£
Estimate for current financial year - USA
£
Last financial year - Other (inc. EU)
£
Estimate for current financial year - Other (inc. EU)
£
Permanent Placements
*Permanent Placements*
*hidden question used as header on the Matrix
£
Last financial year - UK
£
Estimate for current financial year - UK
£
Last financial year - USA
£
Estimate for current financial year - USA
£
Last financial year - Other (inc. EU)
£
Estimate for current financial year - Other (inc. EU)
£
Is cover required for overseas offices or perhaps the business has employees located outside of the UK? Then please speak to a member of our team who will be happy to assist in providing a solution tailored to your needs.

OPTIONAL COVERS

Management Liability

A limit of £250,000 in the aggregate is included as standard, please confirm if a higher limit is required?
Management Liability (Directors' and Officers' Liability and Corporate Liability) - Please select the any one claim limit required
Employment Practice Liability - Please select the aggregate limit required
Directors and Officers retroactive date
Please provide additional information:
Please provide additional information:
Please provide additional information:
Please provide additional information:
Please provide additional information:
Please provide additional information:
Please provide additional information:

OFFICE CONTENTS COVER

Property Details

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Please confirm the below statements are true and correct in regards to all premises listed:

Constructed with external walls of brick, stone or concrete and roofed with slate, tiles concrete, metal, asbestos or any other non-combustible material.
Free from cracks or other signs of damage that may be due to subsidence, landslip or heave and have not previously suffered damage by any of these causes.
In an area free from flooding and not near the vicinity of any rivers, stream or tidal waters.
In a good state of repair.
Self contained with a lockable door.
Heated by conventional electric, gas, oil or solid fuel heating system.
Fitted with electrical installations which are inspected at least every 5 years by a qualified electrician and any defects remedied.
Lifts, boilers, steam and pressure vessels inspected and approved to comply with all of the statutory requirements.

DECLARATION

Please confirm the below statements are true and correct:

You are not aware of any incidents over the last 5 years that have given rise to a claim, or loss or which would have been covered by the proposers insurance should such policy have been in force, other than those which have been declared to us.
After enquiry you are not aware of any pending claims or circumstances that might reasonably be expected to give rise to a claim or loss against, the firm, the firm's predecessors in business or any persons proposed in the insurance, that would fall within the scope of the insurance cover.
The proposer, or any principal, director or partner under a current or previous trading title, has never been declared bankrupt or insolvent or been convicted of arson or any other criminal offence (other than motoring offence) or has any prosecution pending.
Never had insurance declined, cancelled or an insurer refused to continue or agreed to continue only on special terms.
Not had to initiate or defend any Legal Expenses insurance claims or legal proceedings (including hearings before Employment tribunal) in the last 3 years.
Not had any Inland Revenue in depth investigation into the company or any of its directors, VAT dispute, PAYE or P11D compliance dispute in the last 3 years.
Should you need assistance or have any queries please contact a member of our team on 03301 249590.

ADDITIONAL INFO

Based on the information provided, the details will be submitted to our team for further review ahead of offering a quotation. We ask that you provide the additional information requested below, or alternatively leave blank and one of our team will call you to discuss further.
Please advise of any additional business activities or contractor services which you provide:
Please provide an example contract or agreement, which features the client's terms of business.
Please provide further details in respect of the placement of workers under non-standard terms of business to the following industries:
Aviation, nuclear power generating, petrochemical industries, demolition, any work on bridges or towers or steeples or chimney shafts or blast furnaces or viaducts or mines, pile driving, tunnelling, quarrying, use of explosives, excavations below 5 metres or heights above 15 metres?
Please give details of the accountant's professional body of which the director, principal or employee belongs to:
What percentage of your placements are via a recruitment company?
%

*Hidden* General Calculations

Document Version
Scheme Number
Agency Number
Policy Number Prefix
Policy Number
If this is a New Business case, leave this field blank - the policy number will be populated automatically when the case is placed On Cover.
PolicyWordingVersion
Registered Address Postcode Letters
*for IPT rules & IM postcodes to refer
Trading Address Postcode Letters
*for IM postcodes to refer
Agent Or Direct Client case?
True = Agent
False = Direct or Admin user
Broker Email
 

Drivers Negligence

Up To 20 Drivers Charge
£
Additional Driver(s) Charge
£
 

Legal Expenses

Legal Expenses Charge
£
Contract Disputes & Debt Recovery Charge
£
 

Material Damage & BI Totals

*all locations
Total Buildings SI - all locations
*automatically populated via rating file
£
Total Computers & Electronic Equipment SI - all locations
*automatically populated via rating file
£
Total Tenants Improvements SI - all locations
*automatically populated via rating file
£
Total All Other Contents SI - all locations
*automatically populated via rating file
£
Total Section SI - all locations
*automatically populated via rating file
£
Total All Risks Portable Devices SI - all locations
*automatically populated via rating file
£
Total Increased Cost Of Working SI - all locations
*automatically populated via rating file
£
Total Loss Of Gross Revenue SI - all locations
*automatically populated via rating file
£
Portable Equipment Excess
 

Terrorism Cover

Terrorism Charge
£
 

Management Liability

Management Liability Charge
£
Employment Practice Liability Charge
£
 
*Hidden* EL OffShore YN?
*Automatically populated via rating file
*Hidden* Is the Buildings cover requested at any one location?
*Automatically populated via rating file whenever the Buildings Cover is requested at any one location
*Hidden* Is the Contents/Tenants/Computers cover requested at any one location?
*Automatically populated via rating file whenever the Contents/Tenants/Computers Cover is requested at any one location
*Hidden* Money Cover requested?
*Automatically set to be Yes whenever the MD cover is requested
*Hidden* Specified and Unspecified Items "All Risks" cover requested at any one location?
*Automatically populated via rating file whenever the All Risks Cover is requested at any one location
*Hidden* Is the Business Interruption cover requested at any one location?
*Automatically populated via rating file whenever the BI Cover is requested at any one location
 
D&O Retro Date
 
ENDORSEMENT REASON:
*to be manually updated in order to be pulled through the MTE document and the MTA Schedule*
LAPSE/NTU REASON:
*to be manually updated
Additional Information
Is this a Renewal?
*to be manually updated or via case importer - please note if this is changed to Yes it will show 'Renewal' as transaction type on the BDX
DirectClientPaymentMethod
*automatically populated via rule and used to generated - or not - the invoice document
VIP case?
*to be manually updated.
Please note: if the answer is set to 'Yes' the case will refer at any record type.
Currently paying by Direct Debit?
*to be manually updated or via case importer for the migration of clients who currently pay by direct debit onto the system.
SchemeServe will generate a different renewal invite email template if the answer to this question is found 'Yes'.
Underwriter
Introducer/Business Development Exec
Percentage of our commission

*Hidden* Recruiters Calculations

Table Rating Premium Total *for calculation purposes
£
Recruiters EL Limit
£
Recruiters PL Limit
£
Recruiters PI Turnover to be used
£
Recruiters PI Limit
£
Recruiters Last Financial Year Total UK Turnover (mix temp & perm)
£
Recruiters Current Financial Year Total UK Turnover (mix temp & perm)
£
Recruiters Last Financial Year Total US Turnover (mix temp & perm)
£
Recruiters Last Financial Year Total EU Turnover (mix temp & perm)
£
100% Permanent Placements?

*Hidden* Umbrella Calculations

PI Table Rating Premium Total *for calculation purposes
£
PI Minimum Premium *for calculation purposes only
£
PL Table Rating Premium Total *for calculation purposes
£
PL Minimum Premium *for calculation purposes
£
Umbrella EL Limit
£
Umbrella PL Limit
£
Umbrella PI Turnover to be used
£
Umbrella PI Limit
£
PI Full YN?
*automatically populated via rating file

*Hidden* Endorsements tab

NS5 - USA/CANADA JURISDICTION – AMENDMENT TO TERRITORIAL LIMITS AND COURTS JURISDICTION IN RELATION TO SECTION 7 OF THE POLICY
Limit of Indemnity
£
NS5 - USA/CANADA JURISDICTION – AMENDMENT TO TERRITORIAL LIMITS AND COURTS JURISDICTION IN RELATION TO SECTION 7 OF THE POLICY
Excess
£
ZS5 - SUBROGATION WAIVER – PUBLIC AND PRODUCTS LIABILITY
Name
ZS6 - INDEMNITY TO OTHER PARTY EXTENSION
Name
ZS13 - AMENDMENT TO EXTENSION 18 DRIVERS NEGLIGENCE
Name a)
ZS13 - AMENDMENT TO EXTENSION 18 DRIVERS NEGLIGENCE
Name b)
ZS13 - AMENDMENT TO EXTENSION 18 DRIVERS NEGLIGENCE
Excess
£
Business Interruption

*Hidden* SODAN tab

First paragraph
*to be manually filled in and printed to the SODAN*
Demands and needs section
*to be manually filled and printed to the SODAN*
Monthly Instalments
*to be manually populated to be printed to the SODAN*
£
Monthly Instalments TOTAL
*to be manually populated to be printed on the SODAN*
£
Monthly Instalments Interest
*to be manually populated to be printed on the SODAN*
£
Monthly Instalments APR Rate
*to be manually populated to be printed on the SODAN*
%
Allocated Underwriters name
*to be manually overtype with the Allocated UW name if necessary and printed to the SODAN*
Email Address
*to be manually populated to be printed to the SODAN*