Property Owner's Business Combined Insurance As you would be aware, the above policy falls due for renewal on PolicyExpiry.To enable your insurer to enter into a new contract of insurance for the forthcoming period, or alternatively for us to obtain quotations on your behalf, would you please advise and return the following questionnaire well prior to expiry of the above policy.Your business activities are noted as “Property Owner”.List of Current Tenants & their OccupationsHave there been any material changes to fire and theft protection alarms, devices and the like during the past 12 months? Yes No (e.g. disconnection or dismantling or installation of any services)* If YES, please advise full details.*Is there any history of flood damage at the insured location(s)? Yes No * If YES, please advise full details.*Attached is a summary of your existing cover for review. Please advise the changes required.Rental Income / Loss of EarningsThe policy is designed to protect loss of rent in the event of damage to the premises.The following formula will be of help in calculating appropriate values for the forthcoming year.Gross Rental Income for next 12 months (including special outgoings) ($)Do you require quotes for Rent Default Yes No Do you require quotes for Eviction Costs Yes No The selected indemnity period is shown in the summary and it should be reviewed to ensure it is sufficient to enable you to fully rebuild the premises following damage by an insured event (i.e. fire, explosion, storm, cyclone etc.) We strongly suggest a review of your present indemnity period which should be for a minimum of 12 months. Machinery BreakdownThe level of cover and sums insured must be reviewed to ensure they are adequate and continue to meet your requirements. Please advise any changes that are required.Have you installed new machinery / equipment in the last policy period? Yes No * If YES, please advise full details.Business-combined-bi-and-liabilityEstimated Rental Income for the forthcoming year ($)Number of principalsNumber of StaffEstimated Payroll ($)Insurance Policies don’t automatically cover liabilities assumed under Contracts. Would you please forward to us any existing, or new, Contracts for review so we can take the appropriate steps to protect your interests.Are Sub-contractors or Labour Hire personnel used? Yes No If Yes, estimated annual payments made ($)type of work undertakenDo you sight current Public Liability insurance prior to work commencing Yes No Other Insurances:Are there any other insurance needs e.g. Insurance of Income, Home, Contents, Motor Vehicle, Caravan, Boat etc, with which we can assist?Claims Declaration Details of any claims that have occurred, but have not yet been reported. After specific inquiry, details of any facts, circumstances or incidents (other than those already disclosed, notified to your insurer) which could give rise to claims against the policy. By submitting this form you are declaring the Information provided to Steel Pacific Insurance Brokers, is to the best of your knowledge correct. Office Message RecipientSelect the office you want to which you wish to send your message Maroochydore Townsville Proserpine Mackay Ingham PhoneThis field is for validation purposes and should be left unchanged.Δ