Public Liability

This policy covers you for the cost of a claim made by a member of the public that has suffered injury or property damage as a result of your business or a product it has supplied. This means that it protects you against the cost of compensation to be paid out, as well as the legal expenses incurred by the claims process

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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

Period of insurance

Description of premises or contracts

No. of employees

No. of buildings

Location of premises or site of contracts

Do you or any of your employees undertake duties away from the premises for the purposes of your business?

Yes

Estimated total annuwal wages and salaries incl. remuneration of working partners & directors

Estimated total annual turnover (Sales or income or visitors)

Do your provide displays at exhibitions?

Yes

Your Facility

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.

Public Liability