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 Brokers National 

Brokers National can assist you with an annual declaration policy or a single contract policy                                                     You can insure the new building, existing buildings, materials, removal of debris, construction machinery / equipment, & tools of trade under the one policy                                         Importantly the policy includes construction liability for injury or damage to other parties property                                          Simply answer the questions below and we will obtain quotations for you                                               

EMAIL Or FAX

On-Line Construction Insurance Quote


Thank you for considering our on-line construction insurance quote service. Brokers National has accounts with most insurers and underwriting agencies. We aim to find you the best construction insurance deal possible.

Please fill in the following form - answering all questions, then either:

1. Click on "Email to Brokers National" at the bottom of this form.  OR                               

2. Highlight this form to "Print It" and then "Fax It" to our office on 03 9791 6633.


 Use the Mouse or the Tab key to move to the next field. We will respond with quotes as soon as they have been received from our insurers.

Construction / Contract Works
General Questions:

   
Has the Insured in the last 5 years:     
Been refused any type of insurance or had special terms imposed?   Yes    No 
 Made a claim for any insurance whatsoever?   Yes    No 
Been bankrupt or had criminal convictions?   Yes    No 
If Yes, to any of the above questions, please state full details:  


Construction Particulars:

   
Situation (Construction Site):  
Description of construction:  
Number of storeys:   storeys
Approximate building area squarage :   sq. metres or  sqs.
:  
Is there: alterations / additions / renovations / extensions?  
Is there an existing structure(s) on the site?   Details
Are existing structure(s) to be insured for damage arising from construction work?   Yes    No 
If Yes, advice replacement value of existing structure (excl. contents therein) $ Sum Insured
During the construction will there be?    
Demolition:   Yes    No 
Underpinning:   Yes    No 
Testing:   Yes    No 
Blasting:   Yes    No 


Type of cover:

   
Type of cover:  

Single contract   Annual cover 
  State annual turnover if applicable: $

State limit in respect of any one contract: $

Sum Insured


Sums insured:

    
Contract work (Temporary work & all materials):    
Contract price: $

Sum Insured
Materials or items supplied by the principal(s): $

Escalation allowance: $

Sum insured for : $

Structures (excluding contents) located on or adjacent to the site and belonging to or held in care, custody or control of the principal(s) or contractor(s): $

Temporary buildings, scaffolding, hoardings formwork and falsework: $

Construction machinery (excluding tools): $

Demolishing, clearance and removal of debris, including dewatering: $

Architects, engineers, surveyors, & consultant's fees: $

Overtime, work on public holidays, penalty rates, express freight: $


Any other notes you wish to include:
 

Contacting you about your quote:

Please make sure you leave a contact phone number and the best time to call you.
Your Name:
Company name:
Your Phone Number & Area Code:
Best Time(s) To Call:
Please send my quote by (select at least one): email     phone     fax     mail
Your Email:
Your Facsimile:
Your Postal Address:

Click On Email Quote To Send         Form To Us
 

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