Construction Insurance Quote Form
Your Details
Full name: (incl Title)
*
Contact telephone number:
*
Email address:
*
Project Details
Maximum contract period:
Please select
6 months
12 months
18 months
Maintenance period required (months):
*
Any work North of the 26th Parallel:
*
Yes
No
What is the mix of work you do (enter a % for each item)
New construction, residential buildings %:
*
New construction, commercial buildings %:
*
New construction, industrial buildings %:
*
Refurbishment, alterations and additions to residential%:
*
Refurbishment, alterations and additions to commercial%:
*
Refurbishment, alterations and additions to industrial%:
*
All other types of work:
*
Insurance Requirements
Maximum value any one contract:
*
Total value of all contracts in hand and to be commenced in the next 12 months:
*
Plant & equipment sum insured
Public Liability limit required:
*
Please select
$5,000,000
$10,000,000
$20,000,000
Please provide full details of any claims made and/or losses suffered under previous Public Liability Insurance during the past 5 years (whether or not a claim was made):
*
If none please state
Please use this box to provide any further information that may be relevant to your Construction Insurance policy :
Date existing insurance expires / cover required (as applicable):
*
NB: Cover is not in force until agreed upon by the company
Contacting You
Are you an existing Trades Essentials customer?
*
yes
no
Preferred contact method:
*
Please select
Telephone
Email
Letter
Preferred contact time:
Please select
No preference
08:00-10:00
10:00-12:00
12:00-14:00
14:00-16:00
16:00-18:00
How did you hear about us?
*
Please select
Google search
Referred by friend
Referred by Absolute Owner Builder
Referred by Access Building Education
Referred by Home Base Expo
Referred by Owner Builder Solutions
Referred by Owner Builder Magazine
Search engine
Advertising
Referred by another business
Referred by another website
Trades Essentials is a trading name of Bourchier Nominees Pty Ltd. We would like to contact you from time to time about products and services (or with news, offers, and promotions) that we feel may be of interest to you. By providing us with your contact details, you consent to being contacted by these methods for these purposes.
Please tick the box if you prefer to
not
to receive marketing communications from us by post or telephone.
Please tick the box if you prefer to
not
receive marketing communications from us by email, text messaging or other electronic means.