7. Are any of the following used in connection with your business?
12. Do you supply any products that you do not manufacture?
ALL CONTRACTORS MUST COMPLETE ‘CONTRACTORS ADDITIONAL PAGE’
TO BE COMPLETED IN ALL CASES
Failure to disclose material facts could result in your policy being invalidated. Material facts are those
might influence the acceptance or assessment of your proposal. If you are in any doubt as to whether a fact
material you should disclose it.
I/WE hereby declare that to the best of my/our knowledge all the statements given on this Proposal Form are
and complete and that I/we have disclosed all material facts that ought to be communicated to the
II/WE undertake to exercise all ordinary and reasonable precautions for the safety of the insured
I/WE hereby agree that this Proposal and this Declaration shall be the basis of the contract of the insurance
between the Insurers and Myself/Ourselves.
Law Applicable to Contract : If the proposer shown on this Proposal Form is a private individual or a sole
trader then they are free to choose the
law applicable to this Insurance Contract. This Contract will be subject to English Law (or Scottish Law
Do you undertake any work in connection with the following:-