Business Combined Proposal Form

Business Combined Proposal Form

Step 1 of 2

  • Personal Details

  • Period of insurance

  • Date Format: DD slash MM slash YYYY
  • Date Format: DD slash MM slash YYYY
  • Cover Required

  • FIRE AND BURGLARY

  • Sum insured. NOT APPLICABLE FOR BURGLARY
  • Sum Insured
  • Sum Insured
  • Sum Insured
  • Sum Insured
  • Sum Insured
  • Sum insured. NOT APPLICABLE FOR BURGLARY
  • Sum Insured
  • EXTENSIONS AVAILABLE

  • Sum Insured
  • Sum Insured
  • Sum Insured
  • SPECIAL PERILS

  • CONSEQUENTIAL LOSS

  • Months
  • EXTENSIONS AVAILABLE

  • PUBLIC LIABILITY

  • Limit of Indemnity for each Event or Series of Events arising out from one cause(€)
  • Aggregate Limit of Indemnity for every period of Insurance(€)
  • ESTIMATES

  • EXTENSIONS AVAILABLE

  • GLASS

  • Glass covered is assumed to be ordinary plain plate,unless specified near
  • EXTENSIONS AVAILABLE

  • Sum Insured
  • Sum Insured