DUTY OF DISCLOSURE

Before you enter into a contract of insurance you have a duty to answer all questions honestly and to tell us anything known to you, and which a reasonable person in the circumstances would include in answer to the questions.

We will use the answer in deciding whether to accept the risk of insurance and, if so, on what terms. You have the same duty to disclose those matters to us before you, extend, vary or reinstate this contract.

If you fail to comply with your Duty of Disclosure, we may be entitled to reduce our liability under the contract in respect to a claim, refuse to pay a claim or may cancel the contract. If your non-disclosure is fraudulent, we also have the option of avoiding the contract from its beginning.

 

PRIVACY ACT STATEMENT

We gather information about you (including your claims history) to consider your application for insurance. Your duty of disclosure requires you to do this. If you refuse to provide the information, we may decline your application or declare this policy unenforceable from the beginning.

This information is held by us and you may access and seek correction of it. It may be passed on to other insurers you deal with, and interested parties.

Your claims history is passed on to, and held by, Insurance Claims Register Ltd. This enables other insurers you deal with to access it, and prevents fraudulent claims.

Contact Details

Site Details

Building Details

$ 0
$ 0
  Contract Value $ 0


Building Details

*Is the existing structure currently insured?


Yes
No

*Would you like to add cover for performance damage to the existing structure?


Yes
No

*Would you like to insure the existing structure for full cover during the construction work?


Yes
No

*Is the existing structure capable of being lived in during the construction work?


Yes
No

*What is the value of the existing structure(s) on site?


*Do you wish to add cover for existing floor and wall coverings?


Yes
No

*Do you wish to add cover for existing contents?


Yes
No

Does this contract involve:

*Relocation/lowering/lifting/excavation under building/s?

Yes
No

*Galleries, shafts, tunnels and other underground works?

Yes
No

*Lifting or lowering of structures or roofs by crane?


Yes
No

If you have answered yes to any of the above questions, please attach a copy of the plans. Click the green 'Done' button when the file has uploaded.

Please CLICK HERE to upload a copy of the engineer's plans

Alternately, please email a copy of the engineer's plans to: insurance@builtin.co.nz.

*Are any excavations or retaining walls greater than 3m in height or depth or 20m in length?

Yes
No


Building Details

*Is the building more than three storeys?


Yes
No

*Is there more than a 5 metre slope across the building site?

Yes
No

*Is the contract site more than 20km from the nearest fire brigade?

Yes
No

*How is water accessible at the site?

Town Water
Tank Water

*Is the contract site next to a flood prone river or in a known flood plain?

Yes
No


Insured Parties - Other

Interested Parties

Optional Extensions

*Natural Hazards


Yes
No
If you select No, your construction project will NOT be insured for damage or loss caused by natural hazards, defined as: earthquake, tsunami, volcanic eruption, subterranean fire, landslip or hydrothermal activity

*Maintenance or Defects Liability Cover


Yes
No

*Post Loss Land Improvements


Yes
No


Sums Insured

  $ 0  
  $ 0  
  Sum Insured $ 0
Post Loss Land Improvements     $25,000

Automatic Benefits

Demolition/Removal of Debris % $ 0  
Escalation of Costs during Reconstruction % $ 0  
Increase in Costs during Construction % $ 0  
Expediting Expenses % $ 0  
Overseas Airfreight % $ 0  
Professional Fees % $ 0  
      Total Sum Insured $ 0

Additional Benefits

Offsite Storage   $250,000  
Plans/Drawings   $10,000  
Transit of Materials   $250,000  

Claim History

*Has the main contractor (either personally or under a trading/company name) made any Contract Works claim within the last 5 years?

Yes
No

*To your knowledge has the owner (either personally or under a trading/company name) made any Contract Works claim within the last 5 years?

Yes
No

If you have answered 'Yes' to either of the above questions, please provide details, including the year of the claim, a brief description and the approximate cost.

Other Details



Post Earthquake Questions


*As a result of recent earthquakes, has there been any property damage to an existing structure, or to any adjoining property? (If Yes, please provide full details)

Yes
No

If you have answered 'Yes' to the above question, please provide full details.


*As a result of recent earthquakes, has there been any land damage and/or liquefaction at the site or in the immediate vicinity? (If Yes, please provide full details)

Yes
No

If you have answered 'Yes' to the above question, please provide full details.



Completed

 

Thank you. You have completed all the questions.

 

Now press the SUBMIT button below to see details of your quote. You will be also be emailed the full details of the quote.

 

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