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Please provide as much details as possible about your Commercial Insurance Enquiry below to enable us to provide you competitive quotation.

Alternatively click here if you want us to contact you for a Commercial Insurance Quotation.

Name of Proposer
Contact Name
Risk Address

Business Description
E-mail address
Day time phone number
Mobile phone number
Fax number
 
Property:
  Buildings €
  Stock €
  Machinery, Plant, Fixtures and fittings €
  Contents €
  Tenants Improvements €
  Office Contents €
  Other (please describe) €
  Other (please describe) €
 
Consequential Loss / Business Interruption:
  Gross Profit €
  Indemnity Period Months
Employers Liability:
Wage Roll: - Directors - Clerical €
    - Manual €
    - Clerical / Administration €
All other (please describe) €
    €
    €
    €
Payment to Labour only
Sub-Contractors		 €
 
Public / Products Liability:
  Turnover €
  Limit of Indemnity €
  Work Away Wages €
  Payment to Bonifide Sub-Contractors €
 
Computer Insurance:
Computer Equipment - Hard- & Software €
    - Laptops €
Reinstatement of Data following loss €
 
Money: On the insured premises during working hours €
  In locked safe €
 
General
How long are you in business? years
Please outline your claims experience over the last 5 years in the box below
Who is your current Broker?
Who is your current Insurer?
What is your current Premium? €
What is your current Renewal date?
Construction: - Roof  
  - Walls  
  - Floor  
  - Age of Building
 
Alarm Installed  
  Linked  
Other Occupancy
 
Please indicate your preferred method of contacting you.     
 
Where did you hear of us?
 

  

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  Dolmen Insurance Brokers Ltd
  Butterly Business Park
Unit 44
Artane
Dublin 5
Telephone:
01 867 2121
  LO-CALL: 1890 201 603
  Fax: 01 867 2123
  Email: info@dolmen-insurance.ie

Dolmen Insurance Brokers Ltd is regulated by the Central Bank of Ireland
Dolmen Insurance Brokers Limited is registered in Ireland as a private company limited by shares.
Registration No. 293180. Registered office: 37/44 Butterly Business Park, Artane, Dublin 5, Ireland.
Directors: D.P. Dillane (Managing Director), D.A. Dillane