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Full Name
 
   
County
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Telephone
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E-mail Address
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Projected Fee Income €
 
     
Domestic BER New & Existing Automatically Covered
     
Do you Require Professional Indemnity cover to extend for any of the following   Blower Door
     
  Thermal Imaging
     
  Commercial
     
€1.5 million limit of indemnity automatically given for any one claim,
please tick this box if €2 million limit required.
     
Claims or Known Incidents
  if Yes please contact us directly.
     
Public Liability required
  Limit of €6.5 million any one claim
   
Employers Liability required
  Limit of €13 million
   
Currently registered with SEI
 
     

If you held professional indemnity insurance prior to this please confirm previous

insurer’s details    
Insurer Name (not broker)
 
     
Retroactive date
 
     

Dual occupation not acceptable – if you require cover for other activities other than BER Assessing please contact Mr Paul Mc Mahon on 021 4632105 to discuss.

 

Quotation is subject to our terms of business which you confirm you have read. Your proposal form is subject to acceptance by the underwriters and receipt of premium prior to cover been agreed.

     

TERMS OF BUSINESS

  click here to read
     
I have read terms of business
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