Are all principals, partners, members, directors and consultants suitably qualified for the services they provide or have at least 5 years relevant experience?

Please confirm the following statements are true:

1. The business has never done any work in any territories that are subject to United Nations or UK government sanctions.

2. You do not currently have a Professional Indemnity policy with Elmlake Underwriting.

3. In the last 10 years the business has not had any insurance cancelled, had an insurance renewal refused or special terms imposed by an insurer.

4. In the last 10 years the business, no director or partner of the business has been served with a County Court Judgement (or Decree if in Scotland), whether paid or not, has never been a director or partner of any company which went into receivership, administration or liquidation, has never been disqualified from being a company director, declared bankrupt or subject to an IVA, trust deed or debt relief order.

5. In the last 10 years the business, no director or partner in the business has either personally or in any business capacity been charged with a criminal offence apart from a motoring conviction dealt with by the issue of a fixed penalty notice or an offence that is now considered "spent" under the Rehabilitation of Offenders Act 1974.

6. All contracts including changes are confirmed in writing with precise scope of services stated.

7. The business in the last 6 years has not included any contracts where your client's total contract spend is in excess of £5,000,000.

8. Your work has never included any involvement with asbestos or materials containing asbestos, nuclear installations or with any nuclear materials, oil, gas, petrochemical or chemical works or any such storage facilities, offshore facilities, railway or airport infrastructure including trains and aeroplanes or other aeronautical devices, the automotive sector, public utility infrastructure (for example: power transmission lines, gas or water supply systems), docks, harbours, canals, watercourses or boatyards, bridges, tunnels, dams or mines or hospitals or other medical facilities, medical equipment, the provision of medical staff or the pharmaceutical sector.

Please confirm the following statements are true:

1. The business has never done any work in any territories that are subject to United Nations or UK government sanctions.

2. You do not currently have a Professional Indemnity policy with Elmlake Underwriting.

3. In the last 10 years the business has not had any insurance cancelled, had an insurance renewal refused or special terms imposed by an insurer.

4. In the last 10 years the business, no director or partner of the business has been served with a County Court Judgement (or Decree if in Scotland), whether paid or not, has never been a director or partner of any company which went into receivership, administration or liquidation, has never been disqualified from being a company director, declared bankrupt or subject to an IVA, trust deed or debt relief order.

5. In the last 10 years the business, no director or partner in the business has either personally or in any business capacity been charged with a criminal offence apart from a motoring conviction dealt with by the issue of a fixed penalty notice or an offence that is now considered "spent" under the Rehabilitation of Offenders Act 1974.

6. All contracts including changes are confirmed in writing with precise scope of services stated.

7. The business in the last 6 years has not included any contracts where your client's total contract spend is in excess of £2,000,000.

8. Your work has never included any involvement with asbestos or materials containing asbestos, nuclear installations or with any nuclear materials, oil, gas, petrochemical or chemical works or any such storage facilities, offshore facilities, railway or airport infrastructure including trains and aeroplanes or other aeronautical devices, the automotive sector, public utility infrastructure (for example: power transmission lines, gas or water supply systems), docks, harbours, canals, watercourses or boatyards, bridges, tunnels, dams or mines or hospitals or other medical facilities, medical equipment, the provision of medical staff or the pharmaceutical sector.

Employers’ Liability cover?

Are you a member of the ICAEW, ICAS or ICAI?

Are you a member of the ACCA?

Have you ever undertaken any of the following:

- Work for Quoted Companies or PLCs; or
- Work for Lloyd's of London companies or names; or
- Work involving Insolvencies, Liquidations and Receiverships (other than Individual Voluntary Arrangements); or
- Corporate taxation work (other than compliance taxation); or
- Work for clients in the entertainment or sporting industry or celebrity clients; or
- Investment &/or financial services work including pensions advice, sales or planning; or
- Mergers and acquisitions or disposals work; or
- Trusteeships, Executorships or directorships; or
- Tax avoidance or mitigation Schemes even as an introducer; or
- Probate work, Estate Administration, Will Writing or other legal services?

Are you a member of the Royal Institute of Chartered Surveyors and require RICS-compliant cover?

Have you ever undertaken any contracts that involve any of the following:

- Chat rooms or bulletin boards; or
- Design of computer games or games publishing; or
- Design of systems used by financial institutions to transact securities, currencies, commodities or other tradeable financial instruments; or
- Cryptocurrency; or
- Acting as an Internet Service Provider (ISP) or a Managed Service Provider (MSP); or
- Control of medical decision-making processes?
- Manufacturing process control systems or control of flood or pollution control systems?

Have you ever undertaken work for financial services companies?

Have you ever undertaken the role of Statutory Actuary or work in a role that involves product pricing or setting reserves?

Have you only ever undertaken risk modelling and compliance work?

Have you only ever provided services which are approved by your principals before being implemented?

Have you ever undertaken any interim management roles?

Have you only ever placed:

- Permanent staff; and/or
- Temporary clerical & IT staff?

Have you ever placed any staff into the offshore, nuclear, rail, aviation, safety critical, medical or care sectors?

Have you ever undertaken any structural design work?

Have you ever acted as an attorney under an enduring or lasting power of attorney?

Have you ever provided:

- any reserved legal services under the regulation of the Law Society or Bar Council; or
- any conveyancing?

Have you only ever acted as a Commissioner For Oaths, Judge, Justice of the Peace or Expert Witness?

Are you a practising Solictor or Lawyer?

Have you ever had authority to undertake any claims settlements?

Do you provide energy assessments?

Do you only provide assessing services in respect of insurance, insurance claims, NVQ and other qualifications and/or education & training assessments?

Have you ever undertaken any contracts involving any of the following:

- Setting out, soil or site engineering; or
- Own property development; or
- Non destructive testing or safety-critical design work; or
- Stand-alone foundations, underpinning or piling; or
- Basement excavations; or
- Geotechnical work; or
- Cavity wall insulation; or
- Cladding (including rainscreen systems) or curtain walling?

Have you ever undertaken any contracts involving any of the following:

- Developments of more than 5 houses; or
- Lifting equipment or bulk handling equipment; or
- Structural engineering; or
- process engineeering &/or process control systems; or
- Civil engineering projects; or
- High rise projects over 18 metres; or
- Renewable energy including solar, wind and Hydro; or
- Anaerobic digesters; or
- Sports facilities used for professional sport or any swimming pool; or
- Flood defence, water, drainage or sewerage treatment schemes; or
- Clean rooms and medical equipment; or
- Amusement rides?

Have you ever undertaken any contracts involving any of the following:

- Developments of more than 5 houses; or
- Lifting equipment or bulk handling equipment; or
- process engineeering &/or process control systems; or
- Civil engineering projects; or
- High rise projects over 18 metres; or
- Renewable energy including solar, wind and Hydro; or
- Anaerobic digesters; or
- Sports facilities used for professional sport or any swimming pool; or
- Flood defence, water, drainage or sewerage treatment schemes; or
- Clean rooms and medical equipment; or
- Amusement rides?

Have you ever undertaken any work for radio and television adverts?

Have you ever undertaken any contracts involving mailshots or other direct marketing?

Have you ever organised events specifically for children?

Have you ever arranged and retained any liability for transport or accommodation for clients and their guests?

Have you ever valued property for lending purposes?

Are the services you provide purely estate agency, lettings agency and/or property management?

Have you ever undertaken any setting out?

Have you ever undertaken technical authorship involving medical products or systems?

Have you ever written any biographies or ghost-written any autobiographies?

Have you ever undertaken sampling or site testing work?

Have you ever consulted, sampled or tested for waste or contamination?

Have you ever worked offshore or worked for the oil, gas or petrochemical industries?

Have you ever provided NHS community-based eye care services?

Have you only ever provided tuition in computing, secretarial skills or academic subjects?

Have you ever tutored vulnerable adults or persons under 18 years of age?

Have you ever undertaken sports coaching?

Have you ever undertaken user training for either:

- Manual handling; or
- Use of construction plant and equipment?

Have you ever undertaken demonstrations involving:

- Live fire fighting; or
- Welding; or
- Hot roofing?

Have you ever:

- Undertaken any design work; or
- Issued any variation notices or are any issued on your behalf?

Have you ever worked at any facility used for professional sport?

Has all your work always been undertaken at domestic premises?

Have you only ever tiled internal floors and walls, excluding swimming pools?

Have you ever participated in the clinical trial of a medicine or medical device?

Have you ever undertaken work as a Qualified Person?

Have you only ever undertaken work in respect of regulatory compliance?

Have you ever provided Legal and/or Financial advice

Are you only involved in domestic goods?

Does any of your work involve process engineeering &/or process control systems?

Has your work ever involved destructive fire risk assessments, external wall combustibility assesssments, fire doors, safety systems design &/or fire engineering services?

Do you only provide heath & safety audits, provision of health & safety policies and/or heath & safety training services?

Have you ever provided services in relation to site investigation, planning appraisal and/or investment advice?

Has your work ever involved valuation, fire safety, cladding, basements, swimming pools, construction projetcs including project management, pollution & contaminated land, structural design, accountancy, audit, taxation work, medical advice, medical diagnosis, medical treatment, financial advice, legal advice, investments, mergers & acquisitions, disposals, liquidations, receiverships, insolvency and/or any work regulated by the Financial Conduct Authority?

Have you ever provided any insurance intermediation services?

Do you assume liability in contract for any persons placed?

Have you ever undertaken any contracts involving any of the following:

- Developments of more than 5 houses; or
- Lifting equipment or bulk handling equipment; or
- process engineeering &/or process control systems; or
- Structural engineering; or
- High rise projects over 18 metres; or
- Renewable energy including solar, wind and Hydro; or
- Anaerobic digesters; or
- Sports facilities used for professional sport or any swimming pool; or
- Flood defence, water, drainage or sewerage treatment schemes; or
- Clean rooms and medical equipment; or
- Amusement rides?

Has your work ever involved non-destructive fire risk assessments?