CGU Padlock

Quote Preparation - Insured Details

* Insured

* Start Date

Format: DD/MM/YYYY

* End Date

Format: DD/MM/YYYY

Risk

* Address

* Suburb

* Postcode

* Description Property Owner of

* Is this property part of a strata title?

Yes

No

Section 1 Property

* Building and Contents

$

Section 2 Loss of Income

* Is Loss of Income Required

Yes

No

* Annual Gross Rental

$

* Indemnity Period

* 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

Section 8 Machinery

* 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