Lifts or Elevators Liability

This policy covers you against loss due to legal liability for bodily injury or property damage resulting from ownership, maintenance, or use of elevators, escalators, lifts, or hoists.

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Your Resident Country *

Your Resident Currency *

Corporate Information

Company Name *

Activity Of The Company *

Title*

First Name*

Last Name*

Occupation *

Mobile *

Email *

Address *

Website

Mention the name of the insurance company that is responsible for the maintenance of electric (elevators/stairs/treadmill) which need civil liability insurance

The company name

The company address

Commercial registration number

Number of Lifts

Is there a permanent employee that is in charge of the electric (elevators/stairs/treadmill)?

Remarks

We hereby acknowledge and confirm that all the submitted data above are correct and We did not hide any information related to the risk to be insured. And We authorize Brokerage Insurance Brokerage in executing this insurance request with the concerned insurance company and facilitate the policy issuance, renewals and claims follow-up and communicate specific information about us and our account to third parties if needed, in accordance with the privacy policy. We also accept that this insurance application and approval be the basis of the contract and an integral part of the insurance policy.