• Self-Storage Business Insurance Application

  • Important notice in respect of Self-Storage Business Insurance applications. Please read this section before you complete the Application.

    YOUR DUTY OF DISCLOSURE

    Under the Insurance Contracts Before You enter into an insurance contract, You have a duty to tell Us anything that You know, or could reasonably be expected to know, may affect Our decision to insure You and on what terms. You have this duty until We agree to insure You. You have the same duty before You renew, extend, vary or reinstate an insurance contract. You do not need to tell Us anything that:

    > reduces the risk We insure You for; or

    > is common knowledge; or

    > We know or should know as an insurer; or

    > We waive Your duty to tell Us about.

    IF YOU DO NOT TELL US SOMETHING

    If You do not tell Us anything You are required to, We may cancel Your contract or reduce the amount We will pay You if You make a claim, or both. If Your failure to tell Us is fraudulent, We may refuse to pay a claim and treat the contract as if it never existed.

    PRIVACY

    We respect Your rights to privacy and are committed to complying with all applicable privacy laws. These laws include the Privacy Act 1988, which incorporates the National Privacy Principles for the fair handling of personal information. By entering into this insurance contract with Us You agree to the collection, use and disclosure of Your personal and sensitive information:

    > for the primary purpose of evaluating, effecting, managing and administering this or any other insurance Cover, or financial service or product provided to You previously, currently or in the future by Us, any related company, or in conjunction with Us;

    > from or to Your insurance intermediary, or from or to Our service providers (including but not limited to lawyers, claims consultants and reinsurers);

    > if we are required or permitted to do so by law;

    > about Your health, Your criminal convictions (with the exception of Your spent criminal convictions), membership of associations, where appropriate and only for the above stated primary purpose;

    > for the secondary purpose of informing You of other products and services offered by Us, Our related corporations or Your intermediary and to test and improve upon the insurance systems used to manage Your Policy.

    If You do not provide the requested personal information, We may not be able to evaluate, effect, manage or administer Your Cover and You may be in breach of Your duty of disclosure. You may access personal information We hold about You by writing to Us or calling Us on 1300 007 742 during office hours, or contact Your intermediary regarding any personal information they may hold about You. We generally provide the information We hold free of charge.

     

  • Do you have any additional insured(s) to add to this application?
  • Period of Insurance from
     - -
    2 digit day, 2 digit month, 4 digit year
  • Period of Insurance to (at 4:00pm EST)
     - -
    2 digit day, 2 digit month, 4 digit year
  • Have you had any claims in the last 3 to 5 years?
  • Claims History. For each event list in respect of Property or Liability claims list individually and the amount paid on each event. *

  • General Questions – Property and Public Liability.

  • Are there any shipping containers to be insured?
  • Is there any Insulated Sandwich Panel (EPS) in the building construction or partitions?
  • Are the premises connected to town reticulated water supply?

  • Provide details of Fire Protection

  • Fire Extinguishers?
  • Hose Reels?
  • Smoke Detection monitored by a back to base station?
  • Sprinkler System?

  • Note: Extinguishers and hose reels should be inspected by an accredited fire services contractor every 6 months to be compliant with Australian Standards.

  • Is the site attended by the insured or their employees?

  • Property Sums Insured to apply

  • Do you have any specified items you would like to be insured or listed separately?
  • Specified Items
  • Is glass cover required?

  • Business Interruption

  • Liability Information and Additional Questions

  • What limit of liability is required in respect of Public Liability Insurance?
  • Is Tax Audit cover required?
  • Has the Insured been subject to a Tax Audit by the Australian Tax Office in the last 7 years ?
  • Are customers storing goods at the facility required to sign a self storage contract?
  • Does the contract prohibit the storage of hazardous goods?
  • Does the Insured engage in activities other than operating a self storage facility at the situation (address)?
  • Is the self storage facility occupied/tenanted by other businesses using storage unit(s) as a “place of work” other than for self storage purposes?
  • Is there separate insurance in place for any vehicles or trailers utilised by the Insured or provided to users of the Self Storage Facility?
  • Is the Facility used for storage of customers vehicles, boats or other items in the open (i.e. not stored under a roofed/covered area)?

  • Signature of person completing this form

  • I/We declare: The statements and particulars given in this Application are true and correct. No information has been withheld that would affect the acceptance of this insurance. We have read the Important Notices contained in this Application. Guild Insurance Limited may collect or disclose any of the personal information in accordance with the Privacy statement. Do you agree?
  • I/We accept the terms, exclusions, conditions and limitations of the Business Insurance policy wording. Do you agree
  • Dated
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: