Caravan Parks Quick Quote

Full Name of Insured

Situation
(Address, State and Postcode)

Inception Date

Limit Required

$5,000,000 $10,000,000 $20,000,000

Number of Years in Business

Number of Years Experience

Estimated Annual Turnover

Occupation Details
(please provide a full description of your business activities)

Show percentage of work performed in each state

NSW %

ACT %

VIC %

TAS %

QLD %

WA %

SA %

NT %

Please advise the number of:

Powered / Unpowered Sites

Permanent On-site Vans

Cabins

Do you Provide any Sporting Equipment?

yes no

If yes, please provide details

Do you have a Jumping Pillow / Jumping Castle / Waterpark Facilities / Hire Boats or Jet Ski Facilities ?

yes no

If yes, please provide details

Do you use Sub Contractors or Labour Hire Personnel?

yes
no

If yes, do they have their own Liability Insurance?

yes
no

Claims details - summary last 10 years

Ever been declined insurance?

yes
no

Comments

PLEASE NOTE This is for the use of NON BINDING INDICATIVE QUOTATION PURPOSES ONLY and is subject to a satisfactorily completed Proposal Form Prior to Binding

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Brisbane

Beijing

Zurich

London

New York

Broker Details

Insured's Details

Brisbane

Beijing

Zurich

London

New York

Caravan Parks Quick Quote

Broker Details

Insured's Details

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