Construction Insurance

Thank you for considering our on-line construction insurance service. Because Greater National Group is an insurance broker, not an insurance company, we will process your application with major insurance companies in order to find you the best construction insurance deal possible.

Please fill in the following form as fully as possible, then click 'submit' at the end of the form.
You can use the TAB key to move to the next field. We will respond with your terms as soon as we have researched the market for the best available deals that fit your requirements.

General Questions:

Has anyone comprising the Insured either alone or jointly with others

1a.

been refused any type of insurance or had special terms imposed?

Yes

1b.

claimed for any insurance whatsoever?

Yes

1c.

Are there any special or unusual hazards existing which will increase the likelyhood of loss damage destruction or liability?

Yes

If Yes, to any of the above questions, please state full details:

Construction Particulars:

2a.

Situation (Construction Site):

2b.

Description of construction:

2c.

Number of storeys:

storeys

2d.

Length of construction:

2e.

Width of construction:

2f.

For? e.g. alterations / additions / renovations / extensions:

2g.

What is the existing structure(s) comprised of (if applicable)?

2h.

Are existing structure(s) to be insured for damage arising from construction work?

Yes

If Yes, advice replacement value of existing structure (excl. contents therein)

Will any of the following apply during the construction?

2i.

Demolition:

Yes

2j.

Underpinning:

Yes

2k.

Testing:

Yes

2l.

Blasting:

Yes

Type of cover:

3a.

Type of cover:

Single contract

Annual cover

3b.

State annual turnover:

3c.

State limit in respect to any one contract:

Sums insured:

Contract work (Permanent and temporary works, including all materials):

4a.

Contract price:

4b.

Materials or items supplied by the principal(s):

4c.

Escalation allowance:

4d.

Sum insured for item 4:

Structure (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', and consultant's fees:

10.

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

Duty of Disclosure:

Are you aware of any matters not disclosed above that is relevant to the underwriter's consideration of this insurance?

Yes

If so, please provide details:

I/We hereby declare that:
My/Our attention has been drawn to the Important Notices accompanying this form and further I/we have read these notices carefully and acknowledge my/our understanding of their content. The above statements are true, and I/we have not suppressed or mis-stated any facts and should any information given by me/us alter between the date of this form and the inception date of the insurance to which this relates I/we shall give immediate notice thereof. I/We authorise GNG and the Insurer to collect or disclose any personal information about another individual (for example, an employee, or client), I/we declare that the individual has been or will be made aware of that fact and the Privacy Policy. I/We also confirm that I/we am/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 form and I/we complete this form on their behalf.

Any other comments, requests or relevant information you need to add:

Contacting you about your quote:

In order to select the most appropriate cover for you, it may be important to discuss quote details in person. Please leave a contact phone number and best time to call to facilitate this.

Your name:

Company/Business name:

ABN:

Your phone number (please include area code):

Your mobile phone number:

Best time(s) to call:

Please send my quote by (select at least one):

phone

fax

mail

Your email address:

Your website address:

Your fax number:

Your postal address:

Country: