No.1 Source of Information for inflatables in Ireland

Commercial Leisure Proposal Form

1. Disclosure

You must take care in answering all the following questions which are relevant to the Insurer in providing this insurance and setting the terms and premium.

Please contact Arachas if you do not understand the question or the nature of the information required. Failure to provide information or the provision of incomplete or inaccurate information may result in the loss of cover or other remedies.

You must in completing this proposal form make full and proper enquiry of all relevant parties in relation to the answers given and all information and/or documentation supplied with or in relation to any question raised in this proposal form.

You must tell the Insurer via Arachas as soon as practicably possible about any changes to the information you have provided to the Insurer which happens before or during any period of insurance. The Insurer will tell you if such change affects your insurance and if so, whether the change will result in revised terms and/or premium being applied to your policy. If you do not inform the Insurer about a change it may affect any claim you make or could result in your insurance being invalid..

2. Presentation

This proposal form must be completed by an authorised individual; your partner, principal, director or member.

All questions must be answered. If there is insufficient space to provide answers, additional information should be provided on your letter-headed paper.

Where available, brochures, standard contract conditions, agreements and letters of appointment should be provided. if there are no standard contract conditions, supply copies of non-standard contracts.

Where details of your web address have been provided any information contained within or linked to it will be treated as not having been provided unless such information is specifically supplied in written form.

3. Guidance

If in doubt as to the meaning of any question contained within this proposal form or the issues raised in 1) Disclosure and/or 2) Presentation, advice should be sought from Arachas.

4. Data Protection

Any information you have provided to Arachas will be dealt with in compliance with the provisions of the General Data Protection Regulations for the purpose of providing insurance and handling claims, complaints or fraud prevention, if any, which may necessitate providing such information to other parties By signing this proposal form you agree that such transfer(s) may be made.

Any information you have provided will be dealt with by the Insurer in compliance with the provisions of the General Data Protection Regulations for the purpose of providing this insurance and handling or any claims or complaints which may arise under it, we may need to transfer certain information which you have provided to other parties. By signing this proposal form you agree that such transfer(s) may be made.

5. Law Applicable

Under the relevant European and Irish legal provisions you and the Insurer concerned are free to choose the law applicable to the contract. The Insurer proposes that Irish Law will apply to the contract, and this will apply unless both agree otherwise in writing.

Please confirm whether there is a written policy which is in place and enforced with regard to:

For more information on how to register with the HSE, please read the following IIHF Article

Please provide current total wageroll details for each of the following duties:

To the best of your knowledge, in respect of each of the types of insurance(s) requested in this proposal form:

Has the proposed Insured or any person involved in the management of the proposed Insured ever:

I/we declare that the information disclosed in this proposal, is to the best of my/our knowledge and belief both accurate and complete. I/we have taken care not to make any misrepresentation in the disclosure of this information and understand that all information provided is relevant to the acceptance and assessment of this insurance, the terms on which it is accepted, and the premium charged.

Signing this proposal does not bind you to enter into this insurance or the Insurer to offer terms.

The Insurer reserves the right to make investigation and enquiry in connection with this proposal.

No cover is in force until this proposal is accepted by the Insurer and the premium is paid. The Insurer reserves the right to decline any insurance proposal or to offer different premium and terms from those quoted dependent on the information you have provided. In certain circumstances the Insurer may require additional Questionnaires to be completed.