Submit Online or Download Proposal Form
If you would like to submit a proposal to Dolmen Insurances, please fill in the short form below or click here to download a soft copy.
Name of Company (required)
How many apartments are managed by the Management Company:
Please answer ‘Yes’ if the following are true.
Is the Management Company registered in Ireland as a limited liability company or a company limited by guarantee or organised on a formal basis with an agreed constitution and elected members?
Limits of Indemnity
Aggregate Limit of liability € 250,000 € 500,000 € 1,000,000
If you have a current policy, what is the Prior and Pending Litigation date?
When would you like cover to start?
This date must not be prior to the date the Proposal Form is signed and must be no more than 7 days in advance. Cover will start only upon confirmation from W.R. Berkley Insurance (Europe), Ltd.
I/We declare that the contents of this proposal form are true and that I/We, after full enquiry have not mis- stated or suppressed any material facts. I/We agree that this proposal form together with any other information supplied by me/us shall form the basis of any contract of insurance effected hereon. I/We undertake to inform Insurers of any material alterations to these facts occurring before completion of the contract of insurance. The completion and signature of this proposal form does not bind the Insurer to complete a contract of insurance.
I/We understand that any non-disclosure or misinterpretation of any material facts or matters shall entitle W.R Berkley Insurance (Europe), Limited to avoid this insurance.
The Policy will be for a twelve month period, Wisdom Entity Resident Association 2014 (IR714) applies.