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PROPOSAL FORM FOR PROFESSIONAL INDEMNITY INSURANCE FOR

SECURITY GUARD ORGANISATIONS


*NB

LIABILITY DOES NOT COMMENCE UNTIL THE ACCEPTANCE OF THE


PROPOSAL HAS BEEN INTIMATED AND THE PREMIUM PAID.

ATTACH THE FOLLOWING DOCUMENTATION (The proposal will not be considered if any of
the required documentation is not provided)
A)

A COPY OF THE CONTRACT WORDING TO BE USED BETWEEN YOURSELVES


AND YOUR CLIENTS.
THE FOLLOWING CLAUSE SHOULD BE INCORPORATED IN THE CONTRACT
WORDING:The sole function of the security service and security personnel provided by the company is
to minimise the risk of loss or damage by theft, burglary, fire or vandalism. The company
gives no warranty or guarantee that the security service or security personnel provided will
be able to minimise or prevent such loss or damage.
The contract should also state that the client must report any event that may give rise to a claim
within 48 hours of the event.

B)

AN ORGANISATIONAL CHART INCLUDING THE NAMES OF THE PERSONNEL


EMPLOYED AT EACH LEVEL

C)

CVs AND REFERENCES FROM PREVIOUS EMPLOYERS FOR ALL DIRECTORS


AND SENIOR OPERATIONAL PERSONNEL (INCLUDING TRAINING) SHOWN ON
THE ORGANISATIONAL CHART.
(Please answer all questions fully)

1.

NAME OF PROPOSER ..

2.

POSTAL ADDRESS TELEPHONE NO. .

3.

PHYSICAL BUSINESS ADDRESS ...

4.

DATE ESTABLISHED

5.

INDEMNITY LIMIT REQUIRED .

6.

IS COVER REQUIRED IN RESPECT OF LIABILITY ARISING OUT OF WRONGFUL


ARREST?

7.

STATE ESTIMATED ANNUAL TURNOVER


(Please complete the attached Projected Income Statement)

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8.

DO YOU HOLD A SECURITY GUARDS LICENCE ?

9.

IF YES, DATE ISSUED .

10.

NAME OF PREVIOUS INSURER

11.

NUMBER OF SENIOR EMPLOYEES ..


NUMBER OF GUARDS

12.

FULL TIME

PART TIME

CAN YOU SAFELY SAY THAT YOUR COMPANY HAS BUILT A GOOD
REPUTATION WITH ITS CLIENTS?
IF YES, TO WHAT EXTENT?....................................................................................

13.

GIVE THE PHYSICAL ADDRESS OF THE OPERATIONS CONTROL ROOM


.
.
.

14.

IS THE OPERATION CONTROL ROOM MANNED 24 HOURS ?.

15.

WHAT COMMUNICATION FACILITIES ARE IN PLACE ?


.
.
.

16.

ARE THERE CLEAR-CUT CHAINS OF COMMAND WITHIN THE ORGANISATION?

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MINIMUM EXPERIENCE AND QUALIFICATIONS OF GUARDS

..
..

18.

WHAT REFERENCES DO YOU REQUIRE FROM PROSPECTIVE EMPLOYEES AND


ARE THEY SATISFACTORY REFERENCES?

19.

GIVE FULL DETAILS OF THE SCREENING PROCEDURES FOR GUARDS


.
.

20.

ARE GUARDS VETTED THROUGH THE GUARD IDENTIFICATION BUREAU?


IF THE ANSWER IS NO HOW ARE THEY VETTED?
..

21.

NUMBER OF DAYS A GUARD IS AT WORK IN A WEEK


MINIMUM.. MAXIMUM..

22.

STATE DETAILS OF ANY TRAINING GIVEN TO THE GUARDS

23.

ARE GUARDS STATIONED AT ONE PREMISE OR DO THEY CONSTANTLY


CHANGE PREMISES?

24.

WHAT CRITERIA DO YOU USE TO ALLOCATE GUARDS TO VARIOUS


PREMISES?

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HOW DO YOU ENSURE SEPARATION OF RESPONSIBILITIES AMONG GUARDS?

26.

WHO SUPERVISES/CHECKS GUARDS AT VARIOUS LOCATIONS AND HOW


OFTEN?

27.

HOW DO YOU ENSURE EFFECTIVENESS OF SUCH SUPERVISION/CHECKS?

28.

WHAT OTHER SYSTEMS OF CHECK ARE IN PLACE?


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

29.

CAN YOU CONCLUDE THAT THE SYSTEMS OF CHECK AND SUPERVISION IN


PLACE ARE EFFECTIVE (GIVE REASONS)?
.
.

30.

GIVE DETAILS OF ANY INCIDENTS DURING THE PAST 5 YEARS WHICH HAVE
OR COULD HAVE RESULTED IN A PROFESSIONAL INDEMNITY CLAIM
AGAINST YOUR ORGANISATION

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31.

DO YOU HANDLE CASH IN TRANSIT? .

IF YES IS COVER REQUIRED RELATIVE TO THE CARRYING OF CLIENTS


CASH ?
IF SO,
(i)

GIVE FULL DETAILS OF THE PRECAUTIONS TO BE TAKEN


WHEN CARRYING CLIENTS CASH INCLUDING THE NUMBER
OF GUARDS IN THE VEHICLES WHEN CARRYING CLIENTS
CASH.
....
..
..

(ii)

WHAT CRITERIA DO YOU USE TO SELECT GUARDS WHO


HANDLE THE CASH?

(iii)

WHAT IS THE LIKELY FREQUENCY OF CARRYING CASH ?


....

(iv)

MAXIMUM AMOUNT OF CASH TO BE CARRIED AT ANY ONE


TIME?
..

(v)

ATTACH SEPARATELY THE MAKE, REGISTRATION NUMBER


AND TYPE OF THE VEHICLES TO BE USED AND THE
SECURITY PROTECTION ATTACHED TO THEM; WITH
PARTICULAR EMPHASIS ON THE CAB AND BODY METAL
THICKNESS AND LOCKING DEVICES.

(vi)

WHAT ARMS ARE GOING TO BE CARRIED ?


....
..

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(vii)

WHAT TRAINING IS GIVEN TO THE PERSONS USING THESE


ARMS ?
....

..
..
(viii) ANY PAST LOSSES WITH REGARD TO CASH IN
TRANSIT?.........
IF YES, HOW BIG AND WHAT WERE THE CIRCUMSTANCES
LEADING TO SUCH A LOSS?
.
..
.
32.

DO YOU REQUIRE COVER FOR FIDELITY GUARANTEE?


IF YES
(i) HAVE YOU HAD ANY FIDELITY GUARANTEE COVER BEFORE?.............
(ii) WITH WHICH COMPANY AND FOR HOW MUCH?.....................................
.
(iii) HOW OFTEN ARE CASES OF CONNIVANCE BETWEEN GUARDS AND
BOTH INSIDERS AND OUTSIDERS REPORTED?.........................
..
(iv) WHAT MEASURES ARE IN PLACE TO MITIGATE INCIDENCES OF
CONNIVANCE? .

(v) ANY PAST LOSSES WITH REGARD TO FIDELITY GUARANTEE?.........


IF YES, HOW BIG AND WHAT WERE THE CIRCUMSTANCES
LEADING TO SUCH A LOSS?
.
..
.
-7(vi) IF THE CLAIMS EXPERIENCE WAS NOT GOOD, WHAT MEASURES
ARE BEING PUT IN PLACE TO IMPROVE
IT?.........................................................


(vii) HOW MUCH COVER DO YOU REQUIRE AND WHY?.................................
.
.
(viii) HOW MUCH ARE YOU WILLING TO BEAR ON EACH AND EVERY
CLAIM?................................

DECLARATION
We declare that the particulars entered on this proposal are correct to the best of our knowledge
and we are aware that they will form the basis of the contract.
PROPOSERS NAME (Please Print)

PROPOSERS SIGNATURE

DATE .

Name of Company .
PROJECTED INCOME STATEMENT

20
CAPITAL
INCOME
Interest
Fees
Sales
Total

EXPENDITURE
Ammunition
Uniforms
Vehicle Costs
Wages
Salaries
Stationery
Adverts & Promotions
Repairs & Maintenance
Electricity & Water
Rent
Bank Charges
Insurance
Telephone
Radio Licence
Pension/NSSA/Levies
Depreciation
Sales Tax
Miscellaneous
Total

EXCESS OF INCOME OVER EXPENDITURE


Name .(Please Print)

Occupation .

Signature.

Date ..

20