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Property Owners Insurance

Proposer Information

Name ^*

Address ^*

Phone ^*

Email ^*

Trading as / Business Name ^*

Legal Trading Status ^*

Property Details

Risk Address ^*

Risk Address Eircode ^*

Describe the use of the Property ^*

Please list all Property Occupants ^*

Please indicate if any part of the building is unoccupied

Required Covers

Property Owners Limit of Indemnity ^*

Do you Require Employers Liability Cover ^*

Material Damage

Building Sums Insured of Property ^*

Contents Sums Insured of Property Stock Sum Insured Tenants Improvements Computer Equipment Glass Fire Brigade Charges

Building of Standard Construction ^*

100% built of Brick, Stone, or Concrete and metal clad and is roofed with Tiles, Slates, Concrete, Metal or Asbestos, with no combustible internal panels

Year of Construction ^*

History of Flooding ^*

Evidence of Subsidence ^*

Security Details ^*

5 Lever Mortice Locks
Monitored Burglar Alarm
Bell Burglar Alarm
Shutters or Bars
CCTV

Fire Protection ^*

Monitored fire alarm
Bell Alarm
Smoke detectors
Sprinklers
Fire Extinguishers

Insurance Details

Have you had any Claims in the past 5 years ^*

Currently Insured ^*

Property Owners Insurance

Proposer Information

Property Details

Required Covers

Material Damage

Insurance Details

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