ACE IRM Insurance Broking Group

Q400

No Height Restrictions
Australian Authorised Security
Competitive Rates
Low Excess
Sums Insured To $40,000,000
Statutory Liability Defence
Costs Automatically Included

Even if your policies are not due for renewal at this time, simply complete the following, press submit and we will contact you and forward our quotation closer to your due date. 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]

Contact Name
Business Name
Email
Phone
Fax

Insured
Location

Limit		$5,000,000 $10,000,000 $20,000,000 other

Years in business
Annual turnover
Payments made to subcontractors

Percentage of work carried out over 10 metres

Do you hire scaffolding without labour?		yes no
What are your payments in this regard?

Majority works		% residential % commercial

Do you perform work on, at or from any of the following sites?
		Mine site (above or underground)
		Refinery, gas producing or bulk fuel storage facility
		High voltage power supply or power generating facility
		Airport, airfield or aerodrome
		Wharf or any form of ship handling or loading facility
		Railway track, railway bridge, railway culvert or crossing
		Grandstands, stages, lightingtand camera towers at concerts and sporting events

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