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Owners Corporation Quotation Request
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Quotation Request Form
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Owners Corporation Quotation Request
If you would like a quotation for your Owners Corporation, please complete the form below and a broker will contact you shortly.
Complete All Fields
Requested by
Requested by
Email address
Email address
Contact Phone number
Contact Phone number
Requested Date
Requested Date
Owners Corporation Plan Number
Owners Corporation Plan Number
Insured Name
Insured Name
Property Address
Property Address
Standard Covers - Building
Standard Covers - Building
Standard Covers - Loss of Rent (15% cover)
Standard Covers - Loss of Rent (15% cover)
Standard Covers - Public Liability
Standard Covers - Public Liability
Optional Covers - Common Contents
Optional Covers - Common Contents
Optional Covers - Personal Accident for Voluntary Workers
Optional Covers - Personal Accident for Voluntary Workers
Optional Covers - Fidelity Guarantee
Optional Covers - Fidelity Guarantee
Optional Covers - Office Bearers Liability
Optional Covers - Office Bearers Liability
Optional Covers - Mechnical Breakdown
Optional Covers - Mechnical Breakdown
Optional Covers - Catastrophe Insurance
Optional Covers - Catastrophe Insurance
How many units?
How many units?
Age of Building?
Age of Building?
Number of Stories?
Number of Stories?
Number of Lifts?
Number of Lifts?
Walls made of?
Walls made of?
Floors made of?
Floors made of?
Property Type
Property Type
Commercial
Residential
Mixed
If property is not all residential units, please supply list of each occupant.
If property is not all residential units, please supply list of each occupant.
Recreational Facilities - Swimming Pool
Recreational Facilities - Swimming Pool
Yes
No
Recreational Facilities - Spa
Recreational Facilities - Spa
Yes
No
Recreational Facilities - Gym
Recreational Facilities - Gym
Yes
No
Recreational Facilities - Sauna
Recreational Facilities - Sauna
Yes
No
Recreational Facilities - Pool Room
Recreational Facilities - Pool Room
Yes
No
Recreational Facilities - Other
Recreational Facilities - Other
Fire Protection - Dual Supply Sprinklers
Fire Protection - Dual Supply Sprinklers
Yes
No
Fire Protection - Single Supply Sprinklers
Fire Protection - Single Supply Sprinklers
Yes
No
Fire Protection - Extinguishers
Fire Protection - Extinguishers
Yes
No
Fire Protection - Fire Alarms
Fire Protection - Fire Alarms
Yes
No
Fire Protection - Fire Hoses
Fire Protection - Fire Hoses
Yes
No
Renewal Date
Renewal Date
Meeting Date
Meeting Date
Current Insurer
Current Insurer
Claims History - please provide details of any claims in the last 5 years including the date of loss, amount and type of loss
Claims History - please provide details of any claims in the last 5 years including the date of loss, amount and type of loss
Has an insurer declined an application, cancelled or refused to renew a policy for the owners corporation, required special terms to insure the owners corporation, or declined or refused a claim?
Has an insurer declined an application, cancelled or refused to renew a policy for the owners corporation, required special terms to insure the owners corporation, or declined or refused a claim?
Yes
No
Security Code
Security Code