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Construction and Liability (Annual Blanket) Insurance Quote Online Form

 

Please complete the following information and submit this form to obtain an insurance quotation for annual (multi projects) construction and liability insurance. Please click on the following if you require a quotation for single project construction and liability insurance or owner builder home warranty insurance.

 

All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.

 

Please refer to the CGIB Financial Services Guide, Privacy Statement, General Advice Warning and Duty of Disclosure before completing this form.

INSURED'S - Details
 
Business Name*

  Business Address*

 City/Town*

Post Code*

  Postal Address*

 City/Town*

Post Code*

 

PROJECT - Details
 

  Type of work to be preformed

  if other please specify  

 

 INSURANCE – Details
 

Largest Value Any One Contract*                          $

 
Tools and Equipment Sum Insured                        $  

Hoists, Cranes and Mobile Construction Plants        $

 
Public & Products Liability Sum Insured
Estimated Annual Turnover for Next 12 Months*     $
 

 PREVIOUS INSURANCE - Details
 

  Have you ever suffered any losses or claims?

  Have you ever had any insurance cancelled or declined or special terms imposed?

 

  Have you ever been charged or convicted of any criminal offence or declared bankrupt?

 

  Are you aware of any matters not disclosed above that is relevant to the underwriter's consideration of this insurance?

 

 

 CONTACT – Details
 

First Name*

Surname*

  Phone Number

   (please include area code)
Fax Number  (please include area code)

Email Address*

 

How did you find us?*
if other, please provide details

 

 

 

 

 * Mandatory Fields

Thanks for completing our online form.

We will endeavour to contact you with your insurance details soon.

Meanwhile, if you require any further assistance please feel free to contact us.

            

                                                                                          

 

We may need to contact you to obtain additional information to provide you with an insurance quotation.

Completion of this form does not put an insurance policy/cover in place - you will need to contact us to arrange insurance cover.

All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.

We recommend that you read the relevant Product Disclosure Statement when considering an insurance policy.