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Professional Indemnity Proposal Form
"I need a Professional Indemnity Proposal Form for my Dublin-based software development company with 50 employees, focusing on financial technology clients and handling sensitive financial data, with coverage to start from March 2025."
1. Proposer Details: Basic information about the business/individual seeking insurance, including legal name, address, registration details, and contact information
2. Business Activities: Detailed description of the business operations, professional services provided, and geographical scope of operations
3. Financial Information: Revenue details, fee income, geographical split of revenue, and largest contracts
4. Risk Management: Information about quality control procedures, contract management, and risk mitigation measures
5. Claims History: Details of past claims, circumstances that could lead to claims, and any current insurance arrangements
6. Cover Requirements: Desired level of coverage, limits of indemnity, and any specific coverage extensions required
7. Staff Information: Details of qualified staff, experience levels, and professional qualifications
8. Declaration: Statement of truth and accuracy of information provided, signed by an authorized representative
9. Data Protection Notice: Information about how personal data will be used, stored, and protected in compliance with GDPR
1. Cyber Security Measures: Required for businesses handling sensitive data or providing IT services, detailing cyber security protocols and data protection measures
2. Contractors/Subcontractors: Needed if the business uses contractors or subcontractors, including details of their work and insurance arrangements
3. International Operations: Required for businesses operating across multiple jurisdictions, including details of overseas work and applicable regulations
4. Professional Memberships: Relevant for regulated professions, including details of professional body memberships and compliance requirements
5. Previous Insurance History: Optional section for detailed insurance history including any declined coverage or special conditions
1. Schedule of Named Insureds: List of all entities to be covered under the policy, including subsidiaries and trading names
2. Claims Experience Appendix: Detailed breakdown of claims history and circumstances for the past 5-10 years
3. Revenue Breakdown Schedule: Detailed analysis of revenue by service type, client type, and geographical location
4. Qualification Schedule: List of key staff members and their professional qualifications
5. Risk Management Procedures: Detailed documentation of risk management protocols and quality control procedures
Authors
Professional Services
Indemnity Period
Limit of Indemnity
Excess/Deductible
Retroactive Date
Claims Made Basis
Circumstances
Claim
Material Facts
Professional Duty
Employee
Partners/Principals/Directors
Gross Fee Income
Territory
Jurisdiction
Subsidiary
Associated Entity
Prior Acts
Defense Costs
Breach of Professional Duty
Documents
Intellectual Property Rights
Risk Management Procedures
Qualified Staff
Professional Body
Proposal
Statement of Fact
Data Protection Laws
Gross Turnover
Sub-contractors
Insurance Period
Policy Schedule
Professional Activities
Data Protection
Professional Activities
Risk Management
Claims History
Financial Information
Staff Qualifications
Business Operations
Contractual Arrangements
Quality Control
Compliance
Prior Insurance
Declaration
Consent
Information Accuracy
Material Facts
Territory and Jurisdiction
Subcontractor Arrangements
Document Management
Professional Standards
Client Information
Cyber Security
Business Continuity
Risk Mitigation
Professional Memberships
Legal Services
Accounting and Financial Services
IT and Technology Services
Architecture and Engineering
Management Consulting
Healthcare Services
Real Estate Services
Marketing and Advertising
Business Advisory Services
Education and Training
Environmental Consulting
Construction Design
Legal
Risk Management
Compliance
Finance
Operations
Executive Leadership
Insurance
Administrative
Professional Services
Quality Assurance
Risk Manager
Compliance Officer
Managing Director
Chief Executive Officer
Chief Financial Officer
Legal Counsel
Practice Manager
Operations Director
Company Secretary
Professional Services Director
Insurance Manager
Business Development Manager
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