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* Post Code* City/Town*

PROJECT Details

Type of work to be performed
Please specify the type of work*
Do all Sub Contractors that you use have their own Public Liability Insurance? *
Do you require cover for Contractors and Sub Contractors? (note that an extra premium applies for this coverage) *

INSURANCE Details

Estimated value of your largest single contract for the next 12 months* $
Estimated annual turnover for the next 12 months* $
Public Liability*    

PREVIOUS INSURANCE Details

Have you ever suffered any losses or claims?
Please confirm if you have suffered any accidents or incidences that would give rise to a claim under this insurance?
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?
Please provide all relevant information to all questions answered “Yes”. Please include where applicable, dates, insurance companies, amounts claimed,
and other information that may be relevant to the consideration of this insurance. :
Are you currently insured, or have you had a policy lapse in the past two months?
Please provide the name of the insurance company and policy expiry date
 
Please provide the insurer's name
 

CONTACT Details

First Name*            
Surname*            
Contact Postal Address same as Business Address?          
Postal Address* Post Code* City/Town*
Phone Number* (please include area code)  
Fax Number (please include area code)  
Email Address*
How did you find us?*
Please provide details
Comments
* Mandatory Fields
Thank you for completing our online form.
We will endevour to contact you with your insurance details soon.
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.