Insurance Advisernet

Sound Insurance Services Pty Ltd is a Corporate Authorised Representative of Insurance Advisernet Australia Pty Ltd. AFSL No. 240549
Corporate Authorised Representative No. 410000. Visit the Insurance Advisernet website

Downer Cable Installers Insurance Package Application

1. Name:*


2. Business Name:


3. Occupation (Cable or Satellite Installation):


4. Address:


5. Your Email:*


6. Mobile:*


7. ABN:


8. Policy Start Date:


Public & Products Liabilty Insurance
Limit of Liability: $20,000,000
Goods in Control Limit: $50,000
Excess: $500

9. Estimated Turnover:


10. Total Employees (Including Director):


Goods in Transit Insurance
Coverage: Fire, Accidental Damage, Lighting
Explosion, Malicious Damage or Vandalism
Theft following forcible or violent entry

11. Limit (Stock, Customer Goods & Tools)
Excess $250
Please advise if greater than $20,000


12. List of Items (Incliding Make Model & S/N) for which individual item cover greater than $2,500 is required:




Claims History
Have you (in the last 5 years)

13. Made any claims on an Insurer for any loss or damage
Yes No
14. Had any insurance declined or cancelled, application rejected, renewal refused, special conditions or excess imposed by your insurer?
Yes No
15. Suffered any loss or damage which would have been covered by the proposed insurance policy
Yes No

Have you or any partner shareholder or director of the business

16. Ever been declared bankrupt?
Yes No
17. Ever been involved in a company or business which became insolvent or subject to any for of insolvency administration?
Yes No
18. Been convicted of any criminal offence in the past 5 years
Yes No
19. Been liable for any civil offence or pecuniary penalty (exceeding $5,000)
Yes No

Privacy

20. Do you give permission for us to disclose your information to an Insurance Company?
Yes No
21. Do you require any further information on our Privacy Policy?
Yes No
22. Do you give us permission to provide Downer Pty Ltd information regarding the currency/status of your insurance policy?
Yes No

I/We Declare that the information provided in this Application is true and correct.* I/We Acknowledge you reserve the right to decline any application.* Apply Now
Make a Payment

Contact Details

Address:
Level 1, 247 Hawthorn Road
Caulfield North VIC 3161

Postal Address:
PO Box 79
Caulfield South VIC 3162

Phone: 1300 365 902
Fax: 03 8080 5646
Email: Jason@soundinsurance.com.au

Downloads


   - Foxtel Contractors Wording & Schedule -    Public & Products Liability
   - Foxtel Contractors Wording & Schedule - Transitplus Accidental Damage

Client Testimonials

Sound Insurance and Simon certainly knows the insurance industry well, and I highly recommend Simon's expertise, skill, personal commitment and motivation to assist in your insurance needs. I have known Simon and have utilised his expertise for a number of years and highly recommend his services.

Hilton Meltzer - Roger David Stores

Quick Contacts

Sound Insurance Services
Level 1, 247 Hawthorn Road
Caulfield North VIC 3161
Telephone: 1300 365 902
E-mail: info@soundinsurance.com.au