Computer Consultants Professional Indemnity Insurance Proposal Form

Notes for Professional Indemnity Insurance Proposers:
The Proposal Form, if accepted, will form the basis of your contract with Insurers and it is, therefore, essential that the questions asked have been understood and answered correctly. If in answering any of the questions in this Proposal Form you find there is insufficient space, please complete on your firm’s headed notepaper and attach it to this form.
In the event that you require any assistance in completing this Proposal Form, please do not hesitate to contact
Simon Poon Agency. Please provide, in addition to completing this form, the following information to assist Insurers in considering their terms:
a) Principals’ curriculum vitae. b) Standard Contract Terms and Conditions. c) Copies of any brochures that the Firm issue.

A softcopy of porposal form also available at the following link:-
http://docs.google.com/viewer?a=v&pid=sites&srcid=c2ltb25wb29uYWdlbmN5Lm5ldHx3d3d8Z3g6Mjk 4OTQ4NTRhOGEzNjFiNA

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Declaration

    I / We declare that this proposal has been completed, after appropriate enquiry, and that the statements and particulars in this proposal (including any attachments) are true and that I / we have neither misrepresented or suppressed any material facts. I / We undertake to inform Insurers of any material alteration to these facts whether occurring before or after the completion of the contract of insurance. I/ We agree that this proposal (including any attachments) is incorporated into and forms the basis of any contract of insurance.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question