ACE IRM Insurance Broking Group

ACE IRM can provide you with comprehensive cover for both property and public liability. Complete the following questionnaire for an obligation free quote.

Backpackers Accommodation Quote
All fields are mandatory and are required to succesfully complete the quote. It is advised you read our privacy policy before filling in the form. [Privacy]

Your name
Business name
Your email
Your phone
Your fax


Address of premises to be insured
Type of business
Age of building
Construction		walls brick veneer timber mixed other roof concrete iron tile asbestos thatched other floors concrete timber mixed other

Security		watchman patrols window locks deadlocks bars alarm monitored smoke detectors smoke detectors are hardwired sprinklered extinguishers fire hose reels

History Has the Director, Partner or the Business had:
Insurance declined, refused or cancelled?		yes no
Any convictions or been declared bankrupt?		yes no
Entered or hold harmless or similar agreements?		yes no
Have any claims or losses over the last five years?		yes no
Claims details - summary last 5 years

Insurance
Fire		$ Sum Insured
Building includes Landlord's fixtures		$
Stock & work in progress		$
Contents, machinery & plant		$
Accidental Damage		$
Other		$
		specify


Consequential Loss		$ Sum Insured
Turnover		$
Cost of Sales		$
Annual Gross Profit		$
Claims preparation costs		$
Additional increased costs of working		$
Insured payroll Indemnity period (plus months)		$
Indemnity period
		specify

Burglary		$ Sum Insured
Tobacco, cigarettes, liquor		$
Stock, work in progress		$
All other contents		$
Other		$
		specify

Money		$ Sum Insured
On money in transit		$
On money contained in work premises
During business hours		$
Outside business hours		$
Whilst contained in locked safe		$
On money in personal custody		$
On damage to safes		$


Glass Coverage
Is cover required?		yes no
Illuminated signs		$

Public or Property Owners Liability		$ Sum Insured
Public Liability		$
Products Liability		$
Goods in care, custody, control		$

Machinery Breakdown		$ Sum Insured
Limit one breakdown		$
Please list equipment


Electronic Equipment		$ Sum Insured
Limit one breakdown		$
Please list equipment

Employee Fraud		$ Sum Insured
Limit one loss		$


Information
Number of people in business		Full Time Part Time
Annual turnover		$
Number of rooms
Number of beds
Communal kitchen		yes no
Communal bathroom		yes no
Liquor licence		yes no
Do you comply with the current council requirements?		yes no