About Base Portfolio
Entrepreneur Insurance Package
Professional Liability Insurance +
Professional liability Insurance (
In less than 5 minutes)
General liability and contents coverage optional
Indicates required field
Name of Firm/Applicant
This is the name that will be shown on the Policy as the Insured. This should be the name under which the Applicant is incorporated or registered.
This should be the main address where the Applicant undertakes their business. If they operate from home, please enter their home address.
Confirm Coverage Amount
Did someone refer you?
We are happy to disclose that we compensate recognized parties for sending business through Base Portfolio Inc.
Revenue and Activities
Applicants's fees/revenue for the last complete financial year? CAD ($)
If the Applicant has been established within the last 12 months, please enter the projected fees/revenue for the first year. If the Applicant is a Travel Agent, please declare the fee/commission earned, and not the total value of all booking forms.
Select Business Activities:
Answering Services (non-medical)
Appraiser (non-real estate and no fine art)
Aqua Zumba Instructor
Auctioneer (No Fine Art)
Badminton Coach (non-professional)
Ballet Teacher (non-professional)
Basketball Coach (non-professional)
Bookkeeper/Annual Tax Returns (Non-accountancy Practice - No Tax
Business Advisory Service
Careers Advisory Service
Circuit Training Instructor
Clerical / Secretarial Services
Computer Consultant (other than engineering and bespoke financial application trading platforms) utlilizing proprietary hardware and/or software
Computer Software (design/development/customization and testing)
Computer Software and Hardware Consultant
Computer Software and Hardware Installation
Conference and Exhibition Management/Organisation
Cricket Coach (non-professional)
Dance Instructor (non-professional)
Database Management Consultant
Education Advisory Service/Consultant
Energy Conservation Consultant - Commercial/Industrial
Energy Conservation Consultant - Domestic
Energy Consultant/Assessment - Commercial/Industrial
Energy Consultant/Assessment - Domestic
Environmental Health Consultant
Event Organiser/Party Planner - NO General Liability
Fashion Consultant (Including Design)
Field Hockey Coach (non-professional)
Fire Protection Consultant
Fire Safety Consultant
First Aid Instructor
Fitness Instructor/Personal Trainer/Sports Coach
Food Safety and Hygiene Consultant
Football Coach (Non-professional football)
Forensic Analysts (non-financial)
Fuel Efficiency Consultant - Commercial/Industrial
Fuel Efficiency Consultant - Domestic
Gymnastics Coach (no trampolining activities, non-professional)
Health & Safety Consultant (excluding Asbestos)
Health and Social Care Consultant
Heating Costs Consultant - Commercial/Industrial
Heating Costs Consultant - Domestic
Hotel and Catering Consultant
Human Resources Consultant
Ice Hockey Coach (non-professional)
Insurance Claims Adjuster
Latin Fit Instructor
Local Tour Guide (excluding travel tour organizers/operators
Management Accountant (not C.A.'s)
Market Research Consultant
Marketing and/or Advertising Agent/Consultant
Netball Coach (non-professional)
Noise and Vibration Consultant
Noise Pollution Control
Occupational Health Consultant
Public Relations Consultant
Quality Control/Quality Assurance Consultant
Salsa Fit Instructor
Soccer Coach (non-professional)
Sports Coach (non-professional)
Teacher/Tutor (Excluding sports activities)
Tennis Coach (non-professional)
Theatre Lighting (Consultant)
Thermal and Insulation Consultant - Domestic
Training Advisory Service
Transportation and Distribution/Logistics Consultant (excluding Freight Forwarders)
Travel Agent (Retail Only)
Triathlon Sports Coach (non-professional)
Volleyball Coach (non-professional)
Wedding and Event Planner
If more than one please declare with the percentage of fees/revenue. Cover is only provided for those activities declared. (Example: Marketing 50%, Coaching 50%)
Please provide a percentage breakdown of the Applicant's fees/revenue for their last financial year. Cover is only provided for those activities declared!
Does any of the Applicant's work involve: Oil & Gas facilities? Inspection services?
Do all of the Applicant's fees/revenue emanate from within Canada?
Our standard policy provides cover for law suits brought against the Applicant in Canada only. Is Professional Liability cover required for actions brought against them in USA as well as Canada?
Is the Applicant registered to transact business in Canada and, in the case of a corporate legal entity, at least 50% of all directors, partners, principals and consultants suitably qualified or with at least three years relevant experience and, where required, licensed in accordance with provincial requirements?
If less than three years relevant experience we will be required to ask more details about your qualifications.
Has the Applicant (including any of the Partners, Executive Officers, Directors or Employees) had their licence suspended, been fined or reprimanded during the past five years?
Additional Coverage ( Optional General Liability)
General Liability Coverage
Coverage for bodily injury and property damage.
Does the Applicant manufacture or sell any products undertake any manual work away from the Proposers premises undertake any trackside work or safety signalling work for railways undertake any airside work (at airports etc) undertake any offshore work?
Manual work includes non-destructive testing, load bearing testing and use of access systems (other than hydraulic platforms). Installation and maintenance of computer systems and office equipment would not be considered manual work.
Is Office Contents and/or Business Interruption cover required?
Enter the Sum Insured required in respect of Office Contents (up to $1,000,000)
Up to 20% of the Sum Insured specified may apply to portable equipment carried by the Applicant away from their business premises. Our policy includes a warranty that theft of items from an unoccupied vehicle will only apply if the vehicle is securely locked and such theft results in visible signs of forced entry.
We will automatically provide a quotation for Loss of Income, which provides cover for the reduction in the Applicant’s income when their insured premises have been damaged and they are unable to go about their normal business activities. Insurance is also provided for additional expenditure incurred in order to continue their normal business activities.
In an effort to reduce the premium, does the Applicant also require a quotation to insure Extra Expenses ONLY?
Extra Expenses provides cover for additional expenditure
incurred by the Applicant in order to continue their normal business activities, such as renting temporary premises whilst theirs are being repaired.
Please note that Loss of Income is
Have any claims been made to the knowledge of the Applicant against them, any business predecessors, or any of their present or former partners and/or officers within the last five years?
Is the Applicant aware of any act, error, omission or circumstances which could give rise to a claim against the Applicant or any business predecessors, or any of the present or former partners and/or officers?
To the knowledge of any Partner, Executive Officers, Director or Employee, has any company declined or terminated the insurance for the Applicant, any business predecessors, or any of the present or former partners and/or officers?
By submitting this application you declare that the above statements and particulars are true and that you have not suppressed or misstated any material facts, and that you agree that this declaration shall be the basis of any binder or contract of insurance with the Insurer, and that the limits and deductibles as stated in the said binder or contract of insurance shall govern.
It is understood and agreed that the completion of this application does not bind the Insurer to the issue of the insurance nor the Applicant to the purchase of the insurance.
It is further understood and agreed that if, following submission of this application to the Insurer and prior to the date requested for coverage to be effective, the Applicant becomes aware of any information which has a bearing with regards to this application, the Insurer shall be immediately notified in writing of such information.
Note: The policy does not cover any claim or circumstance stated above or any act, error, omission or circumstance which could give rise to a claim, of which the Applicant has knowledge prior to the inception of the policy.
**Policy is not in force until coverage is confirmed and you have been sent the documents.
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Base Portfolio Inc. 2016.
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