Do you operate under any form of Yes No “master service agreement”? to either of the above, do you always advise your Yes No If “Yes” customers that your standard contract conditions apply? Please supply copies of all contract conditions under which you operate. to a) or b) please give details: If “Yes” What approximate percentage of clients accept your standard % form of contract? What approximate percentage of your business is subcontracted % to others? SECTION 4 Insurance/claims history – Are you currently insured against the risks covered by ITIC? Yes No If answer the following. (If please give details of most “Yes”, “No” recent insurance) Name of insurer Limit of indemnity Excess/Deductible Premium Expiry date Retroactive date Has any insurer Declined to insure you Yes No Cancelled your insurance Yes No Refused to renew your insurance Yes No
Do you operate under any form of “master service agreement”? Yes No If “Yes” to either of the above, do you always advise your customers that your standard contract conditions apply? Please supply copies of all contract conditions under which you operate. If “Yes” to a) or b) please give details: Yes No What approximate percentage of clients accept your standard form of contract? % What approximate percentage of your business is subcontracted to others? % SECTION 4 – Insurance/claims history Are you currently insured against the risks covered by ITIC? If “Yes”, answer the following. (If “No” please give details of most recent insurance) Yes No Name of insurer Limit of indemnity Excess/Deductible Premium Expiry date Retroactive date Has any insurer Declined to insure you Yes No Cancelled your insurance Yes No Refused to renew your insurance Yes No