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Business Insurance Pack Form

Insurance Network deals with Insurance companies like NZI, VERO, CHUBB, QBE, ANDO and others. We have a number of optional covers available for your unique situation, allowing us to tailor the insurance coverage to your needs. This means that you are not paying a premium for cover that you do not need.
Is the property part of a body corporate?
Is the water supply?
Is the property professionally monitored burglar alarm?
Do You need General Liability Cover?
General liability insurance provides coverage for a business or individual against claims of bodily injury or property damage caused to third parties.
Do You need Statutory Liability Cover?
Statutory liability refers to legal obligations imposed by law, typically regulations or statutes, which mandate certain actions or standards to be met.
Do you need Employers Liability Cover?
Employers' liability is a type of insurance that provides coverage for employers against claims of injury or illness suffered by employees while on the job.
Do you need Commercial Motor Cover?
Commercial motor cover is insurance that protects businesses against financial loss from accidents or damage involving vehicles used for commercial purposes.
Do you need Material Damage Cover?
Material damage cover is insurance that provides protection against physical damage or loss to property, equipment, or assets.
Do you need Business Interruption Cover?
Business Interruption Cover is insurance that compensates businesses for lost income and extra expenses incurred due to a covered event that disrupts normal operations, such as fire or natural disaster.
Excess Preference
Any claims/losses/damages in the last 5 years
In the last 5 years has any person to be covered under this policy, had any insurance refused, cancelled, special terms imposed, renewal or cover not offered or a claim declined?
In the last 5 years has any person to be covered under this policy has any criminal convictions not subject to the Criminal Records (Clean Slate) Act 2004?
I/We declare that to the best of my/our knowledge and belief these particulars are complete and correct. If anything changes I will inform you. If you provide information about someone else, you confirm you have their premission and that information can be used in the same way as yours.
By entering you into this insurance contract with us, you consent to your personal information being collected by us and shared by us with insurers and claims supply partners to enter into this policy with you and any claim in connection with this policy. You also consent to any personal information we hold and provide to insurers connected with any claim that you make being transferred to the Insurance claims Register, a register operated by Insurance Claims Register Ltd for use by participant insurers. The participant may access this information to manage claims.
Is there any fire extinguishers?
Is there any Automatic Sprinkler installed?
Thank you!
We have received your submission. For quick assistance, please call 0800868467. Thank you for your business.
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