Piranha Insurance Brokers Queensland - Commercial Insurance Quote

Personal Details
Your Name
Address
Contact Phone	Fax:
Mobile Phone	Email
Type Of Business
Location Of Business
Wall Construction
Roof Construction
Floor Construction
Building Age
Years In Business
Claims History
Adjoining Hazards
Previous Insurer		Broker Holding
Section 1. Fire and Extraneous Perils			Sum Insured $
Building
Removal Of Debris
Loss Of Rent		Months
Contents
Stock
Accidental Damage		Excess
Fusion		Excess
Other
		Total Sum Insured
Section 2. Consequential Loss			Sum Insured $
Annual Gross Profit
Wages
Fees
Other
Indemnity Period		Months
		Total Sum Insured
Section 3. Burglary			Sum Insured $
Contents
Stock
Cigarettes & Tobacco
Burglary Damage
Security Details
Excess		Total Sum Insured
Section 4. Money			Sum Insured $
In Transit
On Premises During Business Hours
On Premises Outside Business Hours
In Personal Custody
In Locked Safe
Damage To Safe
Excess		Total Sum Insured
Section 5. Plate Glass			Sum Insured $
Internal/External			Replacement Value
Other
Excess		Total Sum Insured
Section 6. Public/Products Liability			Sum Insured $
Limit Of Indemnity
Goods Sold	Products
Tenants Liability
Hoist And Crane
Goods In Physical & Legal Control
Driver's Risk
Other
Wages (Annual)
Annual Turnover (Products)
Excess
		Total Sum Insured
Machinery Breakdown		Limit Any One Breakdown
Cold Room/s		Microwave/s
Drink Fridge/s		Cash Register/s
Domestic Fridge/s		Scales
Domestic Freezer/s		Air Conditioner/s
Commercial Freezer/s		Other
Commercial Fridge/Display		Total Number Of Units
Deterioration Of Stock
Deuductable

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