Quotation Request for Carport & Garage Constructors (Commercial) Insurance
Please complete this form to request an insurance quote from our firm. Questions marked with an * are mandatory and must be completed so a response can be provided. If you prefer to provide the information in this form directly over the phone, please indicate this below and we will contact you promptly. Prior to submitting this form please read the following which describes our practices in relation to the handling and use of personal information.
You have selected: Carport & Garage Constructors (Commercial) This information gathering form is appropriate for tradespeople providing commercial carport and garage construction services. Tradespeople are typically highly mobile and generally have different insurance needs to those businesses operating from a fixed location. This form includes components to protect material assets such as stock and tools of trade as well as liability and other areas relevant to tradespeople.
About You
Contact Name: *
Contact Number: *
Email Address: *
Business Name: *
Tick here if you prefer to provide the information in this form directly over the phone. We will arrange for a representative to contact you promptly.

About Your Business
Business Description:
Business Address:
ABN:
About Your Property
Construction: Walls: Brick Concrete Fibro Mixed Timber Other Materials Not Applicable Roof: Concrete Fibro Iron Tile Slate Colourbond Other Materials Not Applicable Floor: Concrete Mixed Timber Other Materials Not Applicable
Fire Protection: Sprinklers: Extinguishers: Smoke Detectors: Fire Blankets: Other:
Security: Deadlocks on all External Doors: Bar/Grills on Windows: Local Alarm: Back to Base Alarm: Other:
About Your Insurance Needs
Please enter sums insured required for the following cover types. Values are to be given without dollar signs and commas (for e.g. $500,000 is to be entered as 5000000). Please type zero '0' if the cover is not required.
Fire Cover: Building(s): $  Contents, Plant & Machinery: $  Stock: $  Other: $
General Property Cover: Tools of Trade: $  Laptops: $  Other Equipment: $
Liability Cover: Public Liability: $5,000,000 $10,000,000 $20,000,000 Other Limit Products Liability: $5,000,000 $10,000,000 $20,000,000 Other Limit Not Required Business Turnover: $  No. of Employees: Do you use Sub Contractors? (Tick for Yes)
Other Covers: Select from the following list any other insurance cover(s) required: (Tick if Required)	Burglary Business Interruption/Loss of Revenue Electronic Equipment Employee Fraud Glass Goods in Transit Machinery Breakdown Money Other
General
Is this business currently insured?	(Tick for Yes)
If Yes, who is the current insurer?
What is the expiry date of the policy?	(dd/mm/yyyy)
Was the policy arranged by an insurance broker?	(Tick for Yes)
If Yes, name of broker:
Comments:

* Indicates a mandatory field.