(08) 6147 3200
ultra@uis.com.au
Home
Obtain a Quote
2
Quote Form Construction
Contacts
Situation of Risk
Construction Details
Insurance Options
Insurance History
Additional Information
Contacts
Previous
Next
Primary Contact Person
Name
Email address
Phone number/mobile
Birth date
Relationship to business
Please select
Owner
Partner
Director
Staff
Admin
Management Company
Other
Describe other relationship
Additional Contacts
Additional Contacts #1
Name
Email address
Phone number/mobile
Birth date
Relationship to business
Please select
Owner
Partner
Director
Staff
Admin
Management Company
Other
Describe other relationship
+ Additional Contacts
Business / Insured
ABN
Structure
Please select
Incorporated Association
Partnership
Private Company (Pty Ltd)
Publicly Listed Company (Ltd)
Sole Trader / Individual
Superfund
Other
Describe business structure
Company or Insured name
Trading as
Registered for GST
Yes
No
Mailing address
Address Line 1:
Address Line 2:
Town/Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Insured type - Construction
Principal
Owner Builder
Contractor
Subcontractor
Other
Please include any other insured types relevant to this business or insured entity
Is interested party required?
Yes
No
Situation of Risk
Previous
Next
Is the business address the same as the mailing address?
Yes
No
Business address
(Cannot be a PO Box)
Address Line 1:
Address Line 2:
Town/Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Is the situation related to construction project(s), a business, or something else?
Please select
Project(s)
Business
Owner Builder
Plant and Materials
Other
Describe the situation
Construction option
Please select
Single Project
Annual Project
Do you require coverage for existing structure(s)?
Yes
No
Single Project
Type of project
Please select
New residential building
New commercial / industrial building
Non-structural refurb / fitout alterations
Alterations to residential
Alterations to commercial / industrial building
Other
Describe type of project
Name of work
Construction address
Address Line 1:
Address Line 2:
Town/Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Has construction work already started?
Yes
No
Total value of project
Expected start date
Actually started date
What has been completed so far? (Describe)
Dollar value of completed works so far
Expected finish date
Defects period
Please select
6 months
12 months
18 months
Let me specify
Specified defects period (months)
Does construction work border any other properties?
Yes
No
Which sides border other properties?
Right
Left
Behind
Front
Will any existing structures be occupied during the project?
Yes
No
Describe where and when existing structures will be occupied
Annual Project
Ongoing Projects
Ongoing Projects #1
Project name
Type of project
Please select
New Residential Building
New Commercial / Industrial Building
Non-structural Refurb / Fitout Alterations
Alterations to Residential
Alterations to Commercial / Industrial Building
Other
Describe type of project
Construction address
Address Line 1:
Address Line 2:
Town/Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Describe project
How many projects do you expect to complete in the policy period?
+ Ongoing Projects
Construction Details
Previous
Next
Does the project involve any of...
Roadworks
Bridge works
Railroad works
Pipelines greater than 250 metres in length
Pipelines over $10,000,000 in contract value
Work in or around an airport, aircraft landing area, or anywhere that would require an Airside Permit
Work around railways or tramlines
Irrigation systems, canal, reservoir, dam, or siphon work
Directional drilling or boring greater than 1 metre in diameter (other than piling/piers)
Work in oil, gas, chemical, or petrochemical plants, including work on gasoline service stations
Work in mining or processing plants
Removal or weakening of supports of any nature
Driven piling or substantial vibration
Use of hazardous chemicals or flammable liquids (more than 4 litres)
Technology which is a of a prototype or experimental nature
Testing and commissioning exceeding 28 days
Work on landfills, land which is listed on the contaminated land register, or the application of waste or chemical products to land
Car park construction
Earthworks
Site preparation
Landscaping
Silos
Sports surfaces
Kit homes
Transportable / prefabricated buildings
Swimming pools
Underground works, such as tunnels, shafts, mines, or galleries (excl. foundations and basements)
Basements
Excavations
Working in water or underwater
Working above water
Blasting or explosives
Demolitions
Underpinning
Shoring
Lowering the water table
Heritage listed buildings or structures
Retaining walls greater than 15 metres in length and/or 1.5 metres in height
Please describe the nature of the works you've selected above
Does the work involve the removal or handling of asbestos?
Yes
No
Do you have a procedure for handling discovery and/or handling of asbestos (Asbestos Management Plan)?
Yes
No
Insurers may require an Asbestos Management Plan. To get the best coverage, do you intend to implement an Asbestos Management Plan?
Yes
No
Do you have a procedure for handling pollution events (Pollution Management Plan)?
Yes
No
Insurers may require a Pollution Management Plan. To get the best coverage, do you intend to implement a Pollution Management Plan?
Yes
No
Do you require coverage for hoists and cranes?
Yes
No
Annual Project
Annual Project #1
Type of project
Please select
New residential building
Alteration to residential building
New commercial building
Alteration to commercial building
Internal commercial fitouts
Shop fitouts
Office fitouts
Industrial construction type
Other - Roads, bridges, marinas, tanks, silos, masts, etc.
Estimated dollar value
Maximum per project
Maximum duration per project
Maximum defects periods
+ Annual Project
Hoists & Cranes
Hoists & Cranes #1
Make
Model
Year
Describe hoist/crane
Value
+ Hoists & Cranes
Insurance Options
Previous
Next
Material damage
Liability
Please select
$5,000,000
$10,000,000
$20,000,000
$50,000,000
Vibration, Weakening & Removal of Support
Property in Care Custory & Control
Existing Structures Value
Principal Supplied Materials
Contractors Plant, Tools & Equipment
Variations and Escalation (default is 20% of the amount specified)
Removal of Debris (default is 10% of the amount specified)
Professional Fees (default is 10% of the amount specified)
Expediting Costs (default is 5% of the amount specified)
Mitigation Costs (default is 5% of the amount specified)
Additional optional covers - please select any other covers required
Contractor's Pollution Liability
Enhanced Earthworks Cover
Protection Works Cover
Errors and Omissions Extension
Liquidated Damages Extension (Residential Builders Only)
Employee Tools
Mobile Machinery and Equipment
Contractor's Pollution Liability
Enhanced Earthworks Cover
Protection Works Cover
Errors and Omissions Extension
Liquidated Damage Extension (Residential Builders Only)
Employee Tools
Mobile Machinery and Equipment
Are there any interested parties?
Yes
No
Interested Parties
Interested Parties #1
Name
Interested party type
Please select
Bank / Financial Institution
Principal Contractor
Landlord
Lessor
Other
Describe interested party
+ Interested Parties
Insurance History
Previous
Next
In the last 5 years have you
i. had insurance refused, cancelled, declined, or special terms imposed?
Yes
No
ii. been declared bankrupt, placed in liquidation, receivership, or voluntary administration?
Yes
No
iii. been convicted of or had any fines imposed for any crime involving drugs, dishonestly, arson, theft, fraud, or violence against any person or property, including association with Outlaw Motorcycle Gangs or Organised Crime Gangs?
Yes
No
If yes to any of the above questions, please provide details. Alternatively, call us on (08) 6147 3200.
In the last 5 years have you had any claims or losses for the type of risks to be insured?
Yes
No
Who is your current insurer?
What is your current premium?
$
What is your current excess?
$
How long have you been in the industry doing this type of work (years)?
How many projects have you completed in the last 3 years?
Additional Information
Previous
Submit
Please provide any additional information relevant to your risk, or additional covers you may require
Policy effective date
Policy expiry date
Would you like to pay monthly?
Yes
No
Promo code