Wednesday, February 22, 2012
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 Contractors Plant Questionnaire
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Name 
Company Name / Insured 
Email:  
Phone: 
Address 
Your Website Address 
Trade/Business Description 
Target premium/Excess 
No of yrs in business /Renewal Date current co Previously Insured –how long /name of old insurers 
Make /Model/Year of Plant & Serial No  
Own Plant Sum Insured EMV/NRV  
Own Plant Max Single Item Value  
Hired in Plant –Charges & Conditions of Hire / Type of Plant Hired in  
Hired in Plant Max Single Item/ Estimated Max Loss  
Hired Out Plant Charges & Conditions of Hire  
Where is Plant Kept when not in use or Overnight  
Level of Security Clients Premises /Site  
Security Fitted to Plant – Physical restraining devices or Immobilisers Fitted  
Comments: 

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Authorised and regulated by the Financial Services Authority (FSA) under firm reference number  141800 .You may check this on the FSA's register by visiting the FSA's website, www.fsa.gov.uk/Pages/register or by contacting the FSA on 0845 606 1234.
 
Bruce Burke & Co Limited are registered in England,registration No.1494855 registered office:819 High Road,Goodmayes,Ilford,Essex IG3 8TD
 
Authorised and regulated by the Financial Services Authority (FSA) under firm reference number  141800 .You may check this on the FSA's register by visiting the FSA's website, www.fsa.gov.uk/Pages/register or by contacting the FSA on 0845 606 1234.
 
Bruce Burke & Co Limited are registered in England,registration No.1494855 registered office:819 High Road,Goodmayes,Ilford,Essex IG3 8TD
 Hours of Business
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Monday - 9am til 7pm   Tuesday - Friday 9am til 5.30pm   Closed All day Saturday & Sunday  Closed Bank Holidays

Monday - 9am til 7pm   Tuesday - Friday 9am til 5.30pm   Closed All day Saturday & Sunday  Closed Bank Holidays

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Copyright 2010 by Bruce Burke & Co Limited