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Owner Builder Insurance
Owner Builder Insurance
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Policy Period & Acceptability
Name
*
First
Last
Email
*
Phone
*
Address
Street Address
*
Address Line 2
City
*
State
*
ACT
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Western Australia
Victoria
Postcode
*
Start Date
*
Date Format: MM slash DD slash YYYY
Level Of Cover Required
*
Contract Works
Contract Works and Legal Liability
Do you anticipate any of the following?
*
Civil Works (Roads, Runways, Dams, Bridges, Earthworks, Pipelines & Railways)
Car Parks, Earthworks, Site Preparation or Landscaping (other than where an ancillary part of a building contract)
Silos, Sports Surfaces, Kit Homes, transportable or Prefabricated Buildings.
Swimming Pools, where such works are greater than 30% of the estimated Contract Value
Any works underground (Other than for foundations & building basements)
Any works involving more than one basement and/or excavations deeper than 3 meters
Any works in, under or over water
Any works involved in the Mining or Power Industry
Any use of explosives
Any demolition works greater than $50,000 or demolition works on structures greater than two storeys
Any underpinning, shoring, driven piling or lowering of the water table
Any proposed work involving buildings or structures that are heritage listed, trust listed or the like
Any works on a project within a known flood area
Any works on a project that has already commenced or is a continuation of a project previously commenced
None of the Above
Construction Details
Confirm the type of works to be completed
*
Residential Buildings (Dwellings, Townhouses, Duplexes)
Renovation/alteration/addition of residential building (Dwellings, Townhouses, Duplexes)
Other Works (Any works that do not fit into any of the categories above)
Type of Works to be insured :
Description / Primary Activities
Property Street Address
*
Enter the full address including: Unit Block, Street number, Street name
Street Address
Address Line 2
City
State
Postcode
Interested Parties
Name of Financial Institution with interest in the insurance
Do you require cover for Pre-existing Property at the Construction Site?
Yes
No
Is the Property Heritage Listed?
Yes
No
What cover do you require for the existing structure?
Damage caused by the works
Full Static cover including Damage caused by the works
Materials used in property construction
*
Please Select
First Choice
Second Choice
Third Choice
What is the Year of Construction?
What is the re-instatement value of the property?
Excluding contents and land values
Will property remain occupied during construction work?
Yes
No
Will part or entire roof of the property be removed?
Yes
No
Will excavation for new additions occur alongside the foundations of the property?
Yes
No
Cover Details
What is the estimated contract value of the project?
*
Including any Material supplied by the Principal
Legal Liability
*
Select the maximum amount of Indemnity cover (maximum acceptable amount online is $20,000,000)
$5,000,000
$10,000,000
$20,000,000
Will labour hire be used on your projects?
*
Labour hire is the provision of skilled or unskilled white or blue-collar workers hired for short or long term positions usually from a labour hire company. This does not include amounts paid to contractors and/or sub-contractors.
Yes
No
Anything else you wish to request or tell us?
Signature
This electronic signature will be treated the same as if signed personally.
*
This is signature..
Name
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