Planned Cover Insurance Quote | Get A Quick Quote

To help us provide an accurate quote, please complete the following questions:
What types of insurance do you require?*
- Professional Indemnity
- Public Liability
- Management Liability
- Construction and Public Liability
- Income Protection
- Other
What is the other?
How did you hear about us?
What is the other?

Provide some information about your company / business:
Company Name*
Contact Name
First Last
Position
Contact Number
Email*
Address
Address 2
City / Suburb
Select one
Postcode

List full name of all current entities and prior incorporated to be insured:

It is essential to specify the names of all entities including trading names, service, administrative or nominee companies and subsidiaries that you wish to be covered by this policy.
Name(s)
ABN
ACN
Date Established
DD slash MM slash YYYY
What is your primary profession?
What is the other?
Have any claims or allegations of negligence or breach of professional duty been made in the last 10 years against the practice (or any of its predecessors in business or any prior practice of any of their present or former partners, principals or directors), OR have circumstances been notified to insurers that might give rise to a claim?*
We may ask you additional information about this.
Provide details of each principal/partner/director
Name
First Last
Age
Registered
Years in practice
Qualifications
Institute / Association Membership
Name
First Last
Age
Registered
Years in practice
Qualifications
Institute / Association Membership
Name
First Last
Age
Registered
Years in practice
Qualifications
Institute / Association Membership

Please complete the following Public Liability related fields:
Select your required Limit of Indemnity for Public Liability insurance
- $10,000,000
- $20,000,000
How many staff does your practice currently have?
Does your practice currently hold Professional Indemnity insurance?
Expiring Date
DD slash MM slash YYYY
Policy Premium
Current Insurer

Provide details of the practice’s professional fees below:

Professional fees earned for last 12 months (Excluding GST):
Australia
Overseas
Estimated professional fees for the next 12 months (Excluding GST):
Australia
Overseas
Provide a breakdown of professional fees earned for the last 12 months:

(If a new practice, provide an estimate)
ACT
Please enter a number from 0 to 100.00.
NSW
Please enter a number from 0 to 100.00.
NT
Please enter a number from 0 to 100.00.
QLD
Please enter a number from 0 to 100.00.
SA
Please enter a number from 0 to 100.00.
TAS
Please enter a number from 0 to 100.00.
VIC
Please enter a number from 0 to 100.00.
WA
Please enter a number from 0 to 100.00.
Overseas
Please enter a number from 0 to 100.00.
Hidden
Calculate State
Please make sure your total professional fee breakdown is equal to 100%.

Please complete the following Professional Indemnity related questions:
Select your required Limit of Indemnity for Professional Indemnity insurance
- $1,000,000
- $2,000,000
- $5,000,000
- $10,000,000
- $20,000,000
- Uncertain
Do you engage consultants, sub-contractors or agents?
Do you insist they carry their own Professional Indemnity insurance?
List professions of the subconsultants (if any)
Has the practice or any related entity ever engaged in or had a share of an entity engaged in:
Actual construction, fabrication, erection or any form of building contracting?
Real estate development?
Manufacture, sale or distribution of any product or process or patented production process?
If the answer to any of the above is YES, list the names of the other entities involved and describe the relationship:

Express as a percentage, the practice’s professional fees derived from the following activities:
Architecture
Please enter a number from 0 to 100.00.
Interior Design
Please enter a number from 0 to 100.00.
Landscape Architecture
Please enter a number from 0 to 100.00.
Town Planning
Please enter a number from 0 to 100.00.
Drafting / Building Designing
Please enter a number from 0 to 100.00.
Heritage Consulting
Please enter a number from 0 to 100.00.
Project / Construction Management
Please enter a number from 0 to 100.00.
Environmental Consultancy
Please enter a number from 0 to 100.00.
Energy Rater
Please enter a number from 0 to 100.00.
Engineering – Structural
Please enter a number from 0 to 100.00.
Engineering – HVAC
Please enter a number from 0 to 100.00.
Engineering – Acoustical
Please enter a number from 0 to 100.00.
Engineering – Geo Tech / Soil
Please enter a number from 0 to 100.00.
Engineering – Plumbing
Please enter a number from 0 to 100.00.
Engineering – Environmental
Please enter a number from 0 to 100.00.
Engineering – Mining
Please enter a number from 0 to 100.00.
Engineering – Nuclear
Please enter a number from 0 to 100.00.
Engineering – Marine
Please enter a number from 0 to 100.00.
Engineering – Civil
Please enter a number from 0 to 100.00.
Engineering – Mechanical
Please enter a number from 0 to 100.00.
Engineering – Electrical
Please enter a number from 0 to 100.00.
Engineering – Fire Protection
Please enter a number from 0 to 100.00.
Engineering – Chemical
Please enter a number from 0 to 100.00.
Land Surveying
Please enter a number from 0 to 100.00.
Building Surveying
Please enter a number from 0 to 100.00.
Quantity Surveying
Please enter a number from 0 to 100.00.
Marine Surveying
Please enter a number from 0 to 100.00.
Engineering Surveying
Please enter a number from 0 to 100.00.
Teaching / Lecturing / Education
Please enter a number from 0 to 100.00.
TV / Film / Theatre / Set / Exhibition / Display
Please enter a number from 0 to 100.00.
Multimedia / Digital Media / Visual Communication / Web Design / Graphic Design
Please enter a number from 0 to 100.00.
Hydraulic / Fire Design
Please enter a number from 0 to 100.00.
Furniture / Product Design
Please enter a number from 0 to 100.00.
Industrial Design
Please enter a number from 0 to 100.00.
Other
Please enter a number from 0 to 100.00.
Other Activity
Hidden
Calculate Activities
Please make sure your total activities are equal 100%.

Express as a percentage, the approximate work undertaken in the following areas:
Domestic Buildings
Please enter a number from 0 to 100.00.
Town Planning
Please enter a number from 0 to 100.00.
Commercial / Industrial Buildings
Please enter a number from 0 to 100.00.
Interior Design
Please enter a number from 0 to 100.00.
Landscape Architecture
Please enter a number from 0 to 100.00.
Low Rise Buildings (up to 5 storeys)
Please enter a number from 0 to 100.00.
High Rise Buildings (above 5 storeys)
Please enter a number from 0 to 100.00.
Product Design
Please enter a number from 0 to 100.00.
Building Inspections
Please enter a number from 0 to 100.00.
Commercial Tenancy Fitout
Please enter a number from 0 to 100.00.
Roads / Drainage
Please enter a number from 0 to 100.00.
Schools, Hospitals, Municipal Buildings
Please enter a number from 0 to 100.00.
Trade Shows, Exhibitions
Please enter a number from 0 to 100.00.
Aged Care
Please enter a number from 0 to 100.00.
Environmental Appraisals / Impact Assessments / Audits
Please enter a number from 0 to 100.00.
Acoustic & Noise Prevention
Please enter a number from 0 to 100.00.
Sports Centres / Clubs
Please enter a number from 0 to 100.00.
Swimming Pools Commercial
Please enter a number from 0 to 100.00.
Retail Shops, Flats, Townhouses
Please enter a number from 0 to 100.00.
Swimming Pools Domestic
Please enter a number from 0 to 100.00.
Aquatic Centres
Please enter a number from 0 to 100.00.
Heritage Premises
Please enter a number from 0 to 100.00.
Modular Buildings (involving repetitive design)
Please enter a number from 0 to 100.00.
Teaching / Lecturing
Please enter a number from 0 to 100.00.
Feasibility Studies, Investigation or Reports
Please enter a number from 0 to 100.00.
Expert Witness / Mediation
Please enter a number from 0 to 100.00.
Bridges / Tunnels
Please enter a number from 0 to 100.00.
Pre-Purchased Building Inspections
Please enter a number from 0 to 100.00.
Domestic Surveying
Please enter a number from 0 to 100.00.
Commercial Surveying
Please enter a number from 0 to 100.00.
Subdivisions
Please enter a number from 0 to 100.00.
Dams
Please enter a number from 0 to 100.00.
Mines
Please enter a number from 0 to 100.00.
Harbours & Jetties
Please enter a number from 0 to 100.00.
Hotels / Motels / Pubs
Please enter a number from 0 to 100.00.
Soil Testing & Foundations Investigation
Please enter a number from 0 to 100.00.
Foundations Underpinning
Please enter a number from 0 to 100.00.
Sewerage, Water Systems - Commercial
Please enter a number from 0 to 100.00.
Sewerage, Water Systems - Domestic
Please enter a number from 0 to 100.00.
Oil & Gas Pipelines
Please enter a number from 0 to 100.00.
Petrochemicals / Refineries / Fertilizers
Please enter a number from 0 to 100.00.
Structures at Fairs
Please enter a number from 0 to 100.00.
Commercial Surveying
Please enter a number from 0 to 100.00.
Mechanical Plant & Bulk Handling Equipment inc Silos
Please enter a number from 0 to 100.00.
Risk and Hazard Assessments
Please enter a number from 0 to 100.00.
Waste Disposal, Treatment or Management
Please enter a number from 0 to 100.00.
Energy Rating Assessment / HMB Assessor
Please enter a number from 0 to 100.00.
Other
Please enter a number from 0 to 100.00.
Other Area
Hidden
Calculate Areas
Please make sure the areas of work are equal to 100%.

Please complete the following Management Liability related fields:
Select your required Limit of Indemnity for Management Liability insurance
- $1,000,000
- $2,000,000
- $5,000,000
Number of Staff
Number of Sub Consultants
Please enter a number from 0 to 100.
Include Directors and Officers Liability
Provides indemnity for any Wrongful Act by any Director and/or Responsible Person in carrying out their duty as a Director or Responsible Person of the Named Organisation. This section does not extend to the Directors’ and/or Responsible Persons’ requirement to attend inquiries etc.
Fidelity / Tax Required:
Include Organisational Liability:
Indemnifies the Organisation should they be joined in an action with the Directors and Officers following a breach of their duties.
Entity Contractors Endorsement
The definition of Insured is extended to include the following listed entities, engaged by the Insured in the course of their business, but only for Claims arising from circumstances that occur during the duration of the contract and in relation to tasks performed to satisfy the contract.
Please list all engaged entities.
Include Fidelity / Tax Required

Please complete the following Construction Insurance related fields:
Type of Contract Works & Liability required
Project Details
Commencement Date
DD slash MM slash YYYY
Expiration Date
DD slash MM slash YYYY
Owner Builder?
Project Address
Address 2
City / Suburb
State
Postcode
Scope of Works
Has work commenced?
If Yes: What Date?
DD slash MM slash YYYY
Will any alterations or refurbishments to existing structures be undertaken?
If Yes: Existing Structures Description
Is there any Demolition?
If Yes: Demolition Description
Include the Site Geology
Sum Insured & Insured Property
Contract Value
Principal Supplied Materials
Existing Structures
Tools, Plant & Equipment
Select your required Limit of Indemnity for Public Liability
- $10,000,000
- $20,000,000
Additional Information
Please Note: Subject to the information provided, we may be in touch to clarify or obtain further information in relation to your contract.
Provide the current percentage of Activities:
Residential - New Single Dwelling
Residential - Apartments/Multi Units >3
Residential – Alterations/Additions
Commercial Construction
Industrial
Civil
Provide the current percentage of Territorial Limits:
VIC
NSW
QLD
ACT
NT
SA
WA
TAS
Period of Insurance:
From
DD slash MM slash YYYY

Effective at 4pm
To
DD slash MM slash YYYY

Effective at 4pm
Current Policy Basis
- Transfer – Insuring actual turnover undertaken
- Run Off – Insuring contract value of all contracts commencing
Max Construction Period
Estimate in months
Turnover or value of Contracts
Current Premium
Current Broker
Current Insurer
Material Damage:
Contract Works (value of your largest contract)
Major Plant & Equipment (over $5k per item)
Minor Plant & Equipment (under $5k per item)
Materials in Transit
Materials in Storage
Sub Limits:
Please complete below if you require specific limits or tick the box for the Insurers standard limits.
- Provide a quotation with the Insurers standard limits
- OR -
Removal of Debris
Professional Fees
Expediting Expenses
Mitigation Expenses
Escalation/Variations
Liability:
Select your limit for Public & Products Liability
- $10,000,000
- $20,000,000
Deductibles:
Material Damage
Legal Liability
Legal Liability – Worker to Worker
Claims Experience:
Date
DD slash MM slash YYYY
Description
Claim Value
Deductible
MM slash DD slash YYYY
$
$
MM slash DD slash YYYY
$
$

Other Insurance Requirements

Please advise if you are interested in obtaining details regarding the following insurance products to further protect your business:
Insurance Products
- Office or Business Insurance
- Business Travel Insurance
- Contract Works Insurance
- Fleet Motor Insurance
- Life / TPD Insurance
- Income Protection Insurance
What are the current Policy Expiry Dates (if applicable):
Office or Business Insurance
DD slash MM slash YYYY
Business Travel Insurance
DD slash MM slash YYYY
Contract Works Insurance
DD slash MM slash YYYY
Fleet Motor Insurance
DD slash MM slash YYYY
Life / TPD Insurance
DD slash MM slash YYYY
Income Protection Insurance
DD slash MM slash YYYY

Please provide any supporting documents:

Include CV / qualifications for startup practices or a Policy Schedule / Certificate for your current policy.
Upload Documents
Drop files here or

Max. file size: 50 MB.
Additional Comments or Questions
Declaration

I/We hereby declare that: I/We have read and understood the important notices available from the following link. The persons noted below are authorised to act for and on behalf of all persons who may be entitled to indemnity under any policy which may be issued pursuant to this proposal and that I/We complete this proposal on their behalf. The above statements are true, that I/We have not suppressed or misstated any facts, and that should any of the information given by me/us alter between the date of this proposal and the inception date of the insurance to which this proposal relates I/We will give immediate notice thereof.
- Enquiry should be made of all principals/partners/directors and senior staff to ensure full disclosure.
- Agreeing to the above does not bind the practice to accept the insurance or the insurers to provide a quotation.
Signee
First Last
Date
DD slash MM slash YYYY
Co-Signer
First Last
Date
DD slash MM slash YYYY

Request a Quote

To help us provide an accurate quote, please complete the following questions:

Provide some information about your company / business:

List full name of all current entities and prior incorporated to be insured:

Please complete the following Public Liability related fields:

Provide details of the practice’s professional fees below:

Provide a breakdown of professional fees earned for the last 12 months:

Please complete the following Professional Indemnity related questions:

Has the practice or any related entity ever engaged in or had a share of an entity engaged in:

Express as a percentage, the practice’s professional fees derived from the following activities:

Express as a percentage, the approximate work undertaken in the following areas:

Please complete the following Management Liability related fields:

Please complete the following Construction Insurance related fields:

Please advise if you are interested in obtaining details regarding the following insurance products to further protect your business:

Please provide any supporting documents:

Declaration