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CARPET RETAILERS INSURANCE BROKERS
A SUBSIDIARY OF IAN JONES INSURANCE BROKERS PTY LTD (AFSL NUMBER 236784)
A.B.N - 72 090 167 285
1ST FLOOR, 146 HUNTER STREET
NEWCASTLE NSW 2300
PHONE1800 607 204
FAX1800 607 304
PLEASE PROVIDE ME A QUOTE FOR MY CARPET & FLOORING
BUSINESS BASED ON THE FOLLOWING INFORMATION PROVIDED.
CARPET & FLOORING RETAILERS BUSINESS INSURANCE
Insured name/s:
Principal situation:
Is there any other situations to be
included such as carpet warehousing:
Constructionof Walls, Roof and Floor:
SecurityRequirements(Give details):Back to Base Alarm [ ]Local Alarm [ ]
Deadlocks,
Keyed window locks
Other
Fire Protection (Give details):Extinguishers [ ]Hose Reels [ ]
Thermal/Smoke Alarms
Other
Occupational Activities:Retail of Carpet & Flooring Products – Carpet, Vinyl, Timber, Ceramic, Cork etc
(Add further detail as required)
Are Laying Services contracted out or employed:Contracted -Employed -
Give number of persons
Do you retail any Persian or Exotic Rugs:Yes [ ]No [ ]
Do you provide and ancillary services such as :
Carpet Cleaning or Floor Sanding
If yes, give details
Do you retail any other related :
‘non flooring’ products
If yes, give details
Estimated Turnover of Business:$
Number of Employees including Principals:
List ANY claims in the past 3 years:
Current Insurer & Due Date:
Current Premium:$
SEE PAGES FOLLOWING FOR INSURANCE SECTIONS REQUIRED AND SUMS INSURED
FIRE AND PERILS
(Give breakup of sums insured for each situation as applicable)
Building Sum Insured$
(if applicable)
Contents Sum Insured$
Contents include all property of the business
excluding stock
Carpet & Flooring Stock sum Insured$
BUSINESS INTERRUPTION (LOSS OF PROFITS)
(Some insurance policies may have additional covers under this section such as Payroll, Loss of Rent & Claims Preparation costs. If your does, simply note it below as indicated on your current insurance schedule)
Annual Gross Trading Profit/Loss of Income$
Additional Increased costs of working$
Indemnity Period12 Months
BURGLARY/THEFT
(Give breakup of sums insured for each situation as applicable)
Contents Sum Insured$
Stock sum Insured$
Laptops & Other Portable Equipment$
Unless Specified, Laptops & Other Portable Equipment
will becovered whilst at the business premises only.
MONEY
On Premises During business hours$
Money In transit $
In Custody and/or Private Residence$
On Premises outside Business Hours$
Money in Locked Safe$
Damage to Safe$
Continued......
PLATE GLASS
Do you require Plate Glass cover for all windows:Yes [ ]No [ ]
Most leases require the tenant to hold Plate Glass Insurance
as part of the Lease Agreement.
Illuminated signs/sign writing will be covered
to the Insurers standard Limit
PUBLIC LIABILITY
Indemnity Limit Required$
Is cover required for Contracted Carpet Layers:Yes [ ]No [ ]
Goods in care, custody & control will be
covered to the Insurers standard Limit.
work undertaken within
ELECTRONIC EQUIPMENT Breakdown Cover Only (if required)
Computer Equipment$
Laptops$
Increased costs of working:$
Re-instatement of lost data$
STOCK & GOODS IN TRANSIT(if required)
Cover limited to Fire and Perils, Theft, AD, Collision and Overturning of conveying vehicle
Nature of equipment to be insured:Carpet & Flooring Products
Maximum sum insured any one loss$
OTHER INSURANCE NOT MENTIONED ABOVE
(GIVE DETAILS OF ANY OTHER SECTION OF INSURANCE THAT YOU MAY HAVE ON YOUR CURRENT SCHEDULE, NOT MENTIONED ABOVE)
Thank you for taking the time to complete this quote sheet.
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