1
Quote Details
2
Risk Information
3
Customer Details
*
Represents a mandatory field.
Quote Preparation - Insured Details
*
Insured
*
Start Date
Format: DD/MM/YYYY
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End Date
Format: DD/MM/YYYY
Risk
*
Address
*
Suburb
*
Postcode
*
Description Property Owner of
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Is this property part of a strata title?
Yes
No
Section 1 Property
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Building and Contents
$
Section 2 Loss of Income
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Is Loss of Income Required
Yes
No
*
Annual Gross Rental
$
*
Indemnity Period
Please select an option
12 Months
18 Months
24 Months
36 Months
48 Months
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Total Rental Sum Insured
$
*
Other Income
$
*
Additional Increased Cost of Working
$
*
Loss of Income Total Sum Insured
$
Section 3 Part A Theft
*
Building and Contents
$
Include removal of debris & professional fees in sum insured.
Section 3 Part B Money
*
Money on the premises outside business hours
$
*
Money while contained in Insured private residence
$
*
Money on the premises during business hours, in transit, in securely locked safe
$
Section 3 Part C Rent Default
*
Is Rent Default Cover Required
Yes
No
Annual Gross Rental
$
Total Sum Insured for Rent Default
$
Section 3C Rent default cover can only be obtained if Section 2 Loss of income is obtained. Please amend your selections accordingly.
Section 4 Glass
*
Is Property Owner Responsible for Glass
Yes
No
Section 5 Taxation Audit
*
Taxation Audit or Investigation Costs
$
Section 6 Legal costs for Occupational Health and Safety breaches
*
Legal Costs and Expenses Incurred Under OH&S Legislation
$
Section 7 Liability
*
Is Liability Cover Required
Yes
No
*
Turnover
$
*
Limit of Indemnity
Please select an option
$10,000,000
$20,000,000
Section 8 Machinery
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Is Machinery Cover Required
Yes
No
Machinery breakdown cover is provided for Machinery (as defined in policy wording). It is important to note that cover does not extend to cover air conditioning plant utilising centrifugal, hermetic or semi hermetic compressors. If cover is required for this type of air conditioning plant you will need to provide details below including the sum insured
Details if Applicable