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Disclosure

The proposer(s), or any partner, or any director, or any officer, have:-

  • a) never been declared bankrupt or disqualified from being a company director
  • b) no outstanding County Court Judgement(s) or Sheriff Court Decree(s)
  • c) never been officers of a company that has been declared insolvent, or had a receiver or liquidator appointed, or entered into arrangements with creditors in accordance with the Insolvency Act 1986
  • d) never been convicted or have any prosecutions pending or been given an official police caution, in respect of any criminal offence other than motoring offences
  • e) never had any insurance proposal declined, renewal refused, had any special or increased terms applied or had insurance cancelled or avoided by Underwriters
  • f) never had any prosecution, prohibition notice or improvement order placed on them under any Health & Safety legislation within the last 5 years

I confirm that I have read and agree that the above statement is true


Your business:-


has a written health and safety policy in place which is regularly updated and all employees are aware of it’s content

I confirm that I have read and agree that the above statement is true

If you cannot agree with the above statement please give your reasons below.