CLOI Landlords Commercial Insurance Online Quote Form

CLOI Landlords Commercial Insurance Online Quote Form
Please complete the following information and submit this form to obtain an insurance quotation for your commercial property.

Please click on the following if you require a quotation for your residential property.

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 ensure you read the CGIB Customer Information Page before filling out this form. This includes essential documents such as our Financial Services Guide, General Advice Warning, Privacy Statement, and Duty of Disclosure.

If you are having any issues completing this form please contact our office on: 1300 764 244 or 03 8841 4200 and one of our Team will be able to assist you.
INSURED'S Details
Property Owner Name/Insured*
Property Owner ABN Number
Number of Employees *
PREMISES Details
PROPERTY Address*

Street Name and Number

Street Address Line 2

SuburbState

Post Code
Postal code search*
PREMISES DETAILS
Size of building in sqm*
Construction Material of the Walls?*

Concrete / StoneConcrete Tilt SlabIron / Steel / Aluminium on steelIron / Steel / Aluminium on woodBrickMasonryExpanded Polystyrene (EPS)WoodMixed <75% Brick/Concrete/Iron on steelMixed >75% Brick/Concrete/Iron on steelGlassMetalPolystyreneOther
Construction Material of the Floors?*

ConcreteIron / SteelBrickWoodOther / Mixed (Non Combustible)Other / Mixed (Full / Partial Combustible)TileOther
Construction Material of the Roof?*

ConcreteMasonryTiles / SlateAsbestosFibroIron/Steel/Aluminium on SteelIron/Steel/Aluminium on woodExpanded Polystyrene (Eps)WoodPolystyreneGlassOther/Mixed (Non Combustible)Other/Mixed (Full/Partial Combustible)Other
Sandwich Paneling?*

YesNo
Confirm total % of floor space *
Premises Equipped with a Sprinkler System*

YesNo
Sprinkler Type
100% Coverage*
Water Supply*
Conforms to Australian Standards*
Is the Premises Equipped with any of the following*

NoneHeat DetectorsFire BlanketsFire ExtinguishersSmoke Detectors - MonitoredSmoke Detectors - Non MonitoredFire AlarmHose ReelsMonitored Base Alarm
Is the Premises Equipped with any of the following*

NoneLocal alarmDeadlocks on doorsWatchman patrolsElectronic key pad/swipe card accessBars on windowsLocks on all external windows without barsProtection of Display WindowsBollards in front of glazing /display windows/ roller shuttersSecurity fencingCCTV system fencingExternal LightingRoller ShuttersMonitored base alarm
Premises Connected to Town Water?*

YesNo
Year Built*
Has the Building been rewired / replumbed?*
Year Rewired *
Year Replumbed*
Is the Building Heritage Listed?*

YesNo
Tenants Details

Please add all tenants details, If only one tenant show percentage as 100%. If building is vacant please state "Vacant".
Do you or any of your tenants, to your knowledge, sell tobacco products, e-cigarette products, or any other tobacco or nicotine related products?*

YesNo
Annual Rent $*
INSURANCE Details
BUSINESS PROPERTY (FIRE & PERILS)

Loss or Damage at the Business Premises caused by a defined event (such as Fire and Perils) listed in the Insurers PDS/Policy Wording.
Please see our video on Under Insurance for further infomation.
Property Cover Required*
Please enter a value and if not required, enter 0
Item Insured: BUILDING/S*
Buildings and Structural appurtenances including: 1. Verandahs, carports, carparks, sealed driveways and paths, shelters, awnings, gangways, staircases and all outbuildings. 2. Fixtures and fittings owed by the owner. 3. Underground and above ground services including aprons, supply mains and meters. 4. Walls, gates, fences, flagpoles, floodlights and signs. 5. Permanently fixed water and fuel tanks.
Item Insured: OWNERS CONTENTS*
All Property at the Business Premises, Belonging to You (the Insured) or for which You (the Insured) are responsible for, including; 1. Machinery. 2. Plant permanently fixed to Your (the Insured) Building. 3. Documents. 4. Computer Systems. 5. Paintings, works of art. 6. Property of Your (the Insured) welfare, sports and social clubs.
Item Insured: REMOVAL OF DEBRIS *
The reasonable costs incurred for the demolition, dismantling, necessary temporary repairs, cleaning up and/or removal, storage and disposal of debris from the Business Premises if the Business Property has been damaged or destroyed and is covered by the Business Property cover section.
Does the business activities involve cooking?*

NoDeep FryingWok CookingBoth
What is the total number of litres of oil used for deep frying?*
Do all Deep Fryers have an automatic suppression unit and exhaust extraction system?*
Does the Wok cooking equipment have a flame failure automatic cut off module and exhaust extraction system?*
Does the Wok cooking equipment have its own water cooling and filling system?*
Are deep fryers thermostatically controlled and fitted with automatic over-temperature cut out device?*
Are rangehoods and ducts cleaned professionally at least every six months?*
Are filters cleaned more than twice monthly? *
Are filters cleaned by contractors or staff *
Are there wet chemical and / or dry chemical B (E) fire extinguishers and fire blankets in place and serviced every 6 months?*
Do you require flood cover*
LOSS OF RENT / BUSINESS INTERUPTION

In the event of interruption of or interference with the business as a direct consequence of damage - subject to the Insurers PDS/Policy Wording. PLEASE NOTE: Loss of Rent cover cannot be quoted on its own. To apply for Loss of Rent / Business Interruption, the Property section must also be included in the policy. This can cover items such as landlord’s fixtures, fittings, or contents (even where the building itself is insured elsewhere).
Loss of Rent / Business Interruption Cover Required?*
Loss of Rent cover cannot be quoted on its own.

To apply for Loss of Rent / Business Interruption, the Property section must also be included in the policy. This can cover items such as landlord’s fixtures, fittings, or contents (even wher the building itself is insured elsewhere).

Please change “Property Cover Required” to YES and complete the required Property questions before continuing as you won't be able to submit the form.
Indemnity Period *
The indemnity period should be the period You consider it would take to restore the income of Your business to the same position it was on the day the loss occurred. To be adequately insured Your sum insured should be sufficient to cover a loss which may happen on the last day of the period of insurance, allowing for growth of the business.
GLASS

In the event of breakage - subject to the Insurers PDS/Policy Wording
Glass Breakage Cover Required?*
Covering*
TAX INVESTIGATION

Provide cover for the costs incurred by your accountant or registered tax agent in conducting taxation audits or detailed investigations in relation to your liability to pay a range a taxes - subject to the Insurers PDS/Policy Wording
Tax Investigation Cover Required?*
Has the business and/or any director who will receive protection under this section had any previous Tax Audits*
Has the Australian taxation office advised you that it intends to carry out an audit, or provided a general notification to your industry that it will be carrying out audits of your industry?*
Have you ever been investigated by the Australian tax office or Office of State Revenue and this investigation resulted in a fine, penalty, criminal charges or conviction?*
Do you intend to engage in any overseas activities in the next 12 months?*
Tax Audit Costs up to*
Cover Type*
Number Of Directors*
PROPERTY OWNER'S PUBLIC LIABILITY

For amounts you become legally liable to pay as compensation for Personal injury or Property Damage as a direct result of an occurrence happening in connection with your business subject to the Insurers PDS/Policy Wording
Liability Cover Required?*
Sum Insured Required?*
MACHINERY BREAKDOWN

The event of sudden and unforeseen physical loss of or damage to any item or any part of any item of the property (insured machinery) which necessitates its immediate repair or replacement - subject to the Insurers PDS/Policy Wording
Machinery Breakdown Cover Required?*
Blanket Plant and Machinery Details
Number of machinery units*
Limit any one loss*

10,00015,00020,00025,00030,00040,00050,000Other
Do you wish to include cover for air conditioners?*
Number of air conditioners*
Specified Machinery
Do you undertake annual preventative maintenance of your machinery?*
COMMERCIAL LEGAL PROTECTION
Legal expense insurance (LEI) is a specialised policy designed to cover the costs of legal advice, representation, and litigation. For commercial property owners, it provides financial protection for legal issues related to their property. These costs can include legal fees, court expenses, and sometimes settlements or compensation, depending on the policy’s terms.- subject to the Insurers PDS/Policy Wording

Please Note: You will receive a seperate quote for this insurance
Commercial Legal Protection required*
Select Commercial Legal Expenses Limit*
1. Has the insured or any director or partner involved with the business or any other business experienced any claims or are aware of any circumstances including regulatory investigations that could give rise to a claim that may have been covered by this policy?*

YesNo
2. Has the insured or any director or partner involved with the business or any other business have in the past 5 years ever been convicted of an offence relating to the Health and Safety of their employees or members of the public in connection with their business?*

YesNo
Please provide all relevant information to all questions answered "Yes*
How much industry experience does the insured have*
PREVIOUS INSURANCE Details
Do you currently hold a Commercial Landlord Insurance policy for this property?*
Please provide the date your existing policy expires *

DayMonthYear
Date
Please select the name of the Insurer*
Provide existing insurer name*
Duty of Disclosure

Have you or any partner/s or director/s of the business
Ever had any insurance cancelled or declined or special terms imposed?*

YesNo
Ever been declared bankrupt?*

YesNo
Been involved in a company or business which became insolvent or subject to any form of insolvency or voluntary administration (e.g liquidation or receivership)?*

YesNo
Been convicted of any criminal offence within the past 5 years (other than minor traffic convictions)?*

YesNo
Been liable for a civil offence or pecuniary penalty (exceeding $5,000)?*

YesNo
Aware of any matters not disclosed above that is relevant to the underwriters consideration of this insurance?*

YesNo
Please provide all relevant information to all questions answered "Yes"*
Claims Experience
Any claims in the last 5 years under the sections to be insured?
Details of Claim/s *
CONTACT Details
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal code search*
How did you find us?*
Please provide details*
Comments / Additional Information
IMPORTANT INFO
By proceeding you agree to the Terms of Use of this site and that you have read and understood this Important Information about answering questions that we ask of you.
We will handle your personal information in accordance with our Privacy Policy.

Completion of this form does not put an insurance policy/cover in place - you will need to contact us to arrange insurance cover.
Other Insurance Needs
Do you require any further information on other insurances?

Office InsuranceManagement LiabilityLandlords ResidentialPublic LiabilityCyberMotor VehicleHome & ContentsMachineryTravel
* Mandatory Fields

Thank you for completing our online form.
We will endevour to contact you with your insurance details soon.
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CLOI Landlords Commercial Insurance Online Quote Form

INSURED'S Details

PREMISES Details

PREMISES DETAILS

Sprinkler Type

Tenants Details

INSURANCE Details

BUSINESS PROPERTY (FIRE & PERILS)

LOSS OF RENT / BUSINESS INTERUPTION

GLASS

TAX INVESTIGATION

PROPERTY OWNER'S PUBLIC LIABILITY

MACHINERY BREAKDOWN

Blanket Plant and Machinery Details

COMMERCIAL LEGAL PROTECTION

PREVIOUS INSURANCE Details

Duty of Disclosure

Claims Experience

CONTACT Details

IMPORTANT INFO

Other Insurance Needs