Contractors All Risk insurance quote form
The asterisk (*) is a requirement.
Principle(Contract owner)Name
*
First and middle Name
Last Name
Contactors name
*
First and middle Name
Last Name
Project address
*
Country
County
Town
Location/plot no.s
Postal / Zip Code
Principle Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contractor Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Contract period
*
-
Day
-
Month
Year
Date
Maintenance period
*
-
Day
-
Month
Year
Date
Contract details in full (as contained in the Contract Award letter) – what EXACTLY is being constructed? Give breakdown of Sections and their respective Values if applicable. (attach the award letter)
*
If a storeyed building, how many floors above ground? _______ Are there basements? If so, how many levels? _______
*
Sum insured/contract value in ksh.
*
Contractor's Plant & Machinery (CPM) details and values(Optional)
Contractor's Materials Value in Ksh
*
Third Party Liability Limit (should not be more than 10% of Contract Value)
*
Details of previous projects undertaken (experience in contracts of this kind)
*
Are there any Sub-Contractors? What proportion of the Contract is sub-contracted?
*
Do you require a performance bond?
*
Do you require (Workers injury benefit.WIBA?)
Number of workers and there pay per day.
Contractors I'd copy
*
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Contractors KRA pin
*
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Company certificate of incorporation.
*
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Company KRA pin
*
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Project award letter
*
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