Download Professional Indemnity Insurance Certificate for Free

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MF 1.11 Page 1
Professional Indemnity Insurance Certificate
(Clause 3.9.6)
To:
The Employer
Address of Employer
Date:
Regarding:
The Contract
Name of Contractor
From:
Name of Broker/
Underwriter
Address of Broker/
Underwriter
A Dhaoine Uaisle
We are the insurance brokers/underwriter in relation to the Contractor’s professional indemnity insurance. We
confirm that the details of the Contractor’s professional indemnity insurance set out below are true and accurate
in all respects.
Name of Insurance Company
Address of Insurance Company
Policy No.(s)
Retroactive Date(s)
Renewal Date(s)
Occupation as stated in the policy(ies)
Limit of Indemnity
Any One Claim
Any One Period
Amount of Policy Excess, if any
Territorial Limits in relation to the insurance
Jurisdiction is limited to
Professional Indemnity Insurance Certificate
source: constructionprocurement.gov.ie
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