Scaffolders Liability Insurance Quick Quote

Please complete all of the details required in the fields below and click the "Submit" button. We will respond as soon as possible to your request and advise if your risk fits our profile for insurance.

 

 

your details
your name
broker name
your email
your phone
your fax
your client's details
insured
location
limit		$5,000,000 $10,000,000 $20,000,000 other
years in business
annual turnover
payments made to subcontractors
is work carried out over 10 metres?		yes no
		if yes, advise percentage %
majority works		% residential % commercial
current insurer
current deductible
expiry date of current insurance
number of years insured
claims details - summary last 5 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