11. a.   Please give details of the seven largest contracts commenced during the last five years where the design and consulting department has been involved

Date started

Name and type
of project

Service performed

Total contract value

Estimated date
of completion

b.   Please give details of any major new operations being undertaken during the next twelve months

c.   Does any contract of client represent more than 50 % of annual work?
If 'Yes', please give full details

        Yes                             No

12. Details of the design and consulting department:

Does your design and consulting department operate as a separate entity and is each contract billed with the actual fees?

        Yes                             No

If 'No', then:

a.   what method is used to determine a notional fee for each contract?

b.   how do you identify and define the design and consulting department for which insurance coverage is now sought?

13.  Fees:
Please give details based on normal accepted professional scales of notional or actual fees developed by the design and consulting department

During past financial year

Estimate for current
financial year

Home

Overseas

Home

Overseas

a.   Where company constructs from own design by this department

b.   Where design and consulting services are performed for others and the company does no construction brief details

Total fee

14. Please provide any further details of the functions of your design and consulting department that may be of interest to underwriters

15. Are all associated and/or subsidiary companies design or department or sections work, checked by head office?
Please give details

      Yes                      No

16. a.      Please give details of existing or previous insurance

a.   Name of insurers..................................................................................................................................................

b.   Indemnity limit

...................................

Excess of  .......................................................

each and every claim

c.     Date of expiry of coverage...............................................................................................................................................

b.   Has any proposal for similar insurance made on behalf of the company, any predecessor in business, or present partners, ever been declined or has any such insurance ever been cancelled or renewal refused?
If 'Yes', please give details.

      Yes                      No

17. Have any claims for professional negligence, error or omission been made by or against the company or its present directors or partners (whether insured or not)?
If 'Yes', give full details of circumstances, amounts involved or paid

      Yes                      No

18. Are any of the directors or partners after enquiry, aware of any circumstances allegations or incidents which are likely to give rise to a claim against the company or its predecessors in business or any of its present or former directors or partners?
If 'Yes', please give full details of circumstances and amounts involved

      Yes                       No

19. Do you require insurance for:

a.   loss of documents
If 'Yes', then what limit

      Yes                       No

b.   dishonesty of employees

      Yes                       No

c.   libel or slander

      Yes                       No

20. What is the amount of the indemnity required?

21. What is the amount of the excess which your company would be prepared to carry in respect of each claim?