Quick Quote - Security Industry

For an indicative quote, please complete and submit the form below.

For a more accurate quotation, please download, complete and return the Proposal Form.

 

Broker Details

 
     
Tick this box if you are an insurance broker
 
yes I am an insurance broker
Your Name
 
Broker Name
 
Branch / Location  
Your Email
 
Your Phone
 
 

Insured's Details

 
     
Full Name of Insured
 
Base of Operation
 
Inception Date    
     
Estimated figures for
coming 12 months
 
Estimated annual turnover
 
Estimated payroll
 
Estimated sub-contractor payments
 
 
Actual figures for
previous 12 months
 
Annual turnover
 
Payroll
 
Sub-contractor payments
 
 
Show percentage of work
performed in each state
  NSW %   ACT %
  VIC %   TAS %
  QLD %   WA %
  SA %   NT %
     
Cover Details
 
Limit of Indemnity
 
$5,000,000
 
$10,000,000
 
$20,000,000
 
Is Errors & Omissions cover required?
 
yes no
 
Is Loss of Keys cover required?
 
yes no
Loss of Keys limit required
 
$25,000
$50,000
$100,000
 
Excess Options
($10,000 min for Crowd Control)
Discounts apply for voluntary excess
 
$2,500
$5,000
$25,000
$30,000
$50,000
 
Is cover for Cash In Transit required?
 
yes no
Limit Required
 
$2,500
$5,000
$25,000
$30,000
$50,000
 
Do you use Guard Dogs?
 
yes no
Do you use Firearms?
 
yes no
 
Work Undertaken
 
% of Total Annual Turnover
Mobile Patrols/Static Guarding
 
Alarm Response
 
Cash In Transit
 
Concierge
 
Bodyguard
 
Traffic Control
 
Debt Collector
 
Private Investigator
 
Alarm Monitoring
 
Security Consultant
 
Alarm Products Design/Alteration
 
Alarm Installation Non Residential
 
Alarm Installation Residential
 
Crowd Control
 
Security Trainers
 
Airport Security
 
Claims History over last 5 years
 
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
 
 


Enter Security Code

Web Form Protection Code
reload image
   
     
     
Contact ASR

newsletter signup

 

Your Name

 

Your Email Address

 

Enter code


Web Form Protection Code
reload image