• Property Owner Commercial Insurance Proposal

    Tell us about your business and we will find you a competitive quote. Once you have completed the form, click the Submit button to send your information.

    Your request for a quote will be handled promptly.

    If you prefer to talk to a broker first, please call us on 1300 881 779 during business hours to discuss quotes or you can leave a recorded message for us at the bottom of this form.

  • Client Details

  • Do You require cover for any subsidiary or associated company?

  • Details of the business

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    Fire & Perils insurance

    Fire & Perils Insurance provides cover for your buildings, contents and/or stock from damage caused by any sudden, unforeseen or unexpected events like fire, storm damage, earthquake, lightening and accidental damage.

  • Is this cover required?*
    • Fire & Perils additional questions 

    • Construction Details

    • Is (EPS) Sandwich Foam Panel construction used in the premises?

    • Security Details

    • Sprinkler system
    • Automatic fire alarm
    • Fire hoses
    • Extinguishers
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    • Business Interruption insurance

      Replaces loss of rent due to an insurable disaster, such as a fire or natural catastrophe.

    • Is this cover required?*
    • Business Interruption additional questions 
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    • Glass insurance - Insured for replacement value

    • Is this cover required?*

    • Public Liability insurance 

    • Is this cover required?*
    • Public Liability additional questions 

    • More questions may have to be asked depending on the occupation of the business. If this is the case, we will let you know.

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    Insured's history

  • Have you or anyone to be insured under this policy:

  • Sustained any loss, damage, injury or liability in the last five years, whether insured or not?*
  • Had insurance declined, renewal refused, terminated or special conditions imposed by any insurer?*
  • Ever been declared bankrupt or gone into liquidation?*
  • Ever received any threats to life or property?*
  • Had a criminal conviction or conviction pending?*

  • Declaration

    By submitting this Declaration, the Applicant acknowledges:
    - they are authorised by all the Applicants to make this Declaration,
    - the contents of this form are true and complete,
    - they are under a continuing obligation to immediately inform the insurer of any change in the particulars or statements contained in this form up until the contract is entered into.

  • Should be Empty: