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      • Management Liability
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      • Design and Construct Professional Indemnity
      • Builders Warranty Insurance
      • Machinery Plant & Equipment Insurance
      • Contract Works Insurance
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      • Trade Credit
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      • Life Insurance Services
      • Group Salary Continuance
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  • Request a Quote
Home/Request a Quote

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:

    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.

  • DD slash MM slash YYYY


  • We may ask you additional information about this.






  • Please complete the following Public Liability related fields:

  • DD slash MM slash YYYY
  • Provide details of the practice’s professional fees below:


    Professional fees earned for last 12 months (Excluding GST):



  • Estimated professional fees for the next 12 months (Excluding GST):



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

    (If a new practice, provide an estimate)

  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
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  • Please enter a number from 0 to 100.00.
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  • Please make sure your total professional fee breakdown is equal to 100%.

  • 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:

  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
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  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
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  • Please enter a number from 0 to 100.00.
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  • Please enter a number from 0 to 100.00.
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  • Please enter a number from 0 to 100.00.
  • Hidden
  • Please make sure your total activities are equal 100%.

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

  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
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  • Please enter a number from 0 to 100.00.
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  • Please enter a number from 0 to 100.00.
  • Please enter a number from 0 to 100.00.
  • Hidden
  • Please make sure the areas of work are equal to 100%.

  • Please complete the following Management Liability related fields:

  • Please enter a number from 0 to 100.
  • 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.
  • Indemnifies the Organisation should they be joined in an action with the Directors and Officers following a breach of their duties.
  • 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 complete the following Construction Insurance related fields:



  • Project Details

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY


  • Sum Insured & Insured Property


  • 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:



  • Provide the current percentage of Territorial Limits:



  • Period of Insurance:

  • DD slash MM slash YYYY
    Effective at 4pm
  • DD slash MM slash YYYY
    Effective at 4pm
  • Estimate in months


  • Material Damage:



  • Sub Limits:
    Please complete below if you require specific limits or tick the box for the Insurers standard limits.


  • - OR -



  • Liability:



  • Deductibles:



  • Claims Experience:

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


  • What are the current Policy Expiry Dates (if applicable):

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • 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.

  • Drop files here or
    Max. file size: 50 MB.


    • 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.

    • DD slash MM slash YYYY
    • DD slash MM slash YYYY

    Commercial

    • Business Insurance Services
    • General Public Liability Insurance
    • Landlord Insurance
    • Professional Indemnity Insurance
    • Management Liability
    • Travel Insurance for Business
    • Strata Insurance

    Commercial

    • Business Insurance Services
    • General Public Liability Insurance
    • Landlord Insurance
    • Professional Indemnity Insurance
    • Management Liability
    • Travel Insurance for Business
    • Strata Insurance

    Construction

    • Contract Works Insurance
    • Plant and Equipment Insurance
    • Design and Construct Professional Indemnity
    • Builders Warranty Insurance
    • Insurance For Trades
    • Property Insurance
    • Trade Credit Insurance

    Cyber Security

    • Cyber Risk Insurance

    Why Choose Us

    • Our Approach
    • Customer Benefits
    • Our Team
    • Testimonials

    Personal

    • Life Insurance Services
    • Income Protection Insurance
    • Trauma Insurance
    • Group Salary Continuance
    • Home and Contents Insurance
    • Car Insurance

    Construction

    • Contract Works Insurance
    • Plant and Equipment Insurance
    • Design and Construct Professional Indemnity
    • Builders Warranty Insurance
    • Insurance For Trades
    • Property Insurance
    • Trade Credit Insurance

    Cyber Security

    • Cyber Risk Insurance

    Personal

    • Life Insurance Services
    • Income Protection Insurance
    • Trauma Insurance
    • Group Salary Continuance
    • Home and Contents Insurance
    • Car Insurance

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