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d.     Please indicate any preferred limits or deductibles, we can provide up to three quotes at any one time.

       General Guidance Notes to assist completion of the following section:  In selecting your limit of indemnity you should consider that the limit of indemnity is usually inclusive of all claims, costs, fees and expenses approved or incurred by an insurer in any one accident or occurrence or series of accidents or occurrence arising out of any one event and often in any one year.  Please check your quotation for exact cover provided as this may differ between insurers.

Quote one: Currency: Combined Professional Indemnity and Public Liability Limit: Or Separate Professional Indemnity Limit: Separate Public Liability Limit:     Policy Deductible:

Quote two: Currency: Combined Professional Indemnity and Public Liability Limit:          or Separate Professional Indemnity Limit: Separate Public Liability Limit: Policy Deductible:

Quote three: Currency: Combined Professional Indemnity and Public Liability Limit: Or Separate Professional Indemnity Limit: Separate Public Liability Limit: Policy Deductible:

 

e.     Does your current policy include a retroactive date?                                                Yes /No

If yes please state existing policy retroactive date:

f.      Do you require a retroactive date in your policy?                                                     Yes  /No

       If yes, please give details of the following; you should request retroactive cover if you have completed section 3A.                                                                                                                             Yes/No

1. Retroactive date required *
2. Do you hold continuous insurance from the date stated above	Yes/No
If No please state the reason why

* There is no cover for claims arising from acts, omissions or circumstances that occur prior to the commencement date of a policy unless a retroactive cover date is agreed with insurers, then claims advised during the policy period that arise from acts, omissions or circumstances that occur between the retroactive date and date of commencement of the policy are also covered if advised during the policy period. 

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