Community Association Quotation Request

Please provide accurate and thorough information throughout this Quotation Request. In answering our questions, you must comply with your duty to take reasonable care not to make a misrepresentation, which is set out at the end of this document.

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Contact Details

First Name

Last Name

Your company name or Position on the Body Corporate

Your emailA copy of this Quotation Request will be sent to the email address you enter above.

Your contact number

Date quote is required by

By continuing with this quote, you acknowledge that: the relevant Product Disclosure Statement (PDS) has been made available to you; references to insurance coverage and policy terms and conditions are by way of summary only and you must refer to the PDS for full details of all policy terms and conditions, limits, benefits, and exclusions; capitalised terms are references to defined terms in the PDS; and you have read and agree with our Privacy Policy. Additionally, you consent to receiving policy documents via electronic means and relevant marketing communications from Strata Community Insurance.

The Insured

Association Number and Name (Strata/Owner's Corporation) *

Is your Community Association part of a larger Association?

YesNo

What is the Association Number and Name that this is connected to?

Postal Address

Current Insurer

Policy Expiry Date

Current Policy Premium (Total Payable)

Current Policy Excess/es - Please detail

Have you had any claims in the last 3 years?

YesNo

Note - if you have a copy of the claims history please upload, otherwise type into the box below

Upload Claims History

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Detail Claims History

Have you ever had insurance declined / cancelled or any special conditions imposed?

YesNo

If Yes, please provide details around the circumstances of the decline, cancellation or special conditions

The Property

Address *

Street address *Street address line 2

Suburb *

State *

Postcode *

Note - to be able to issue you with a quotation for this Community Association we must have a copy of the management statement, please upload using the below link or email through to myenquiry@scinsure.com.au

Upload Management Statement

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Does the Community Association have any common property buildings/items *

YesNo

If Yes, please provide details around the buildings/items:

How many standalone buildings are to be included in this policy? *

Year Built *

Number of Floors (Ground & Above) *

Number of Basements

Number of Residential Lots *

Number of Commercial Lots *

Is there an on site Building Manager?

YesNo

Does the strata have Kitchen, Dining Facilities &/or Room Service? (Please provide details)

The Property - Construction

Floor Construction *

Concrete - ReinforcedIron / SteelTimber / WoodInfrastructure only

Is there any other fire protection or security at the risk?

Is the Building (or part of the Building) Heritage Listed? *

YesNoInfrastructure Only

If Yes, please give details (Heritage)

Has the Building been refurbished? *

YesNoInfrastructure Only

If Yes, please give details (refurbished)

Has Compliance / Certification / Occupancy been issued?

YesNo

If No, please give details (certificate of compliance)

Are there any known hazards or defects on site or to the Building?

YesNo

If Yes, please give details (Defects)

Date of latest valuation

Upload a copy of current valuation

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Additional Info

Upload additional documentation

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Facilities

If Other, please specify below.

Does the property have lifts? If yes, please confirm how many in the space below.

Does the property have a Car Stacker, Chiller, Cooling Towers or any other large machinery?

YesNo

If yes, please detail in the space provided below.

If yes, please upload any Maintenance Agreements

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Community Items

Please upload a copy of the registered plans or unit entitlement information. Alternatively use the space below to input the required information

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Floor Area %

Item Description

Unit Entitlement %

Please ensure you press Next Occupant/Save prior to moving onto the next page to ensure all of the occupants listed are saved.

Sum Insured

Section 1 - Community Property and Income

Part A - Community Property

Infrastructure ($)

Buildings ($)

Common Area Contents ($)

Grounds ($)

Part B - Community Rental Income

Do you have community rental income?

Yes (15% of the Building Sum Insured)Other

If Other, please supply Loss of Rent amount ($)

Public Liability ($)

Optional Covers

1) Flood

YesNo

2) Building Catastrophe

YesNo

Part C - Fidelity Gurantee

Fidelity Guarantee Please select coverage required

$50,000$100,000Other

If Other, please provide amount ($ - FG)

Part D - Machinery Breakdown

Machinery Breakdown - If cover is required, please specify amount ($)

Section 2 - Casualty Covers

PART A - Legal Liability

Legal Liability - Please specify amount ($)

PART B - Voluntary Workers

Voluntary Workers - Standard Cover of $200,000/$2000

YesNo

PART C - Office Bearers Liability

Office Bearers Liability ($)

If Office Bearers Liability is required - Are you aware of any claims or circumstances which may result in a claim being made against a committee member or their predecessors in their capacity as members of the committee or governing body

YesNo

If Yes, please provide details

PART D - Government Audit Costs

Government Audit Costs - Standard Cover of $25,000

YesNo

PART E - Appeal Expenses - Health and Safety Breaches

Appeal Expenses - Standard Cover of $100,000

YesNo

PART F - Legal Defence Expenses

Legal Defence Expenses - Standard Cover of $50,000

YesNo

PART G - Workers Compensation

Workers Compensation Is cover required? (NSW, ACT, NT, TAS & WA Only)

YesNo

Is this a Survey Strata?

YesNo

If Yes, please provide details of employees and wages:

Submission Declaration

Any personal information collected will be used to process this quotation request. If you do not provide this information we may not be able to process this request. We may have to disclose your personal information to third parties to assist us in assessing and processing this quotation, including insurers and reinsurers, our specialist advisors and service providers, or as required by law. These entities may be located in Australia or overseas. By submitting this form you authorise us to use your personal information in this way and in accordance with our Privacy Policy. Our Privacy Policy contains further details including how you can access and correct personal information we hold about you, and how to complain about any breach of the Australian Privacy Principles. For a copy of our Privacy Policy please refer to our website, or email compliance@scinsure.com.au

You must answer our questions honestly, accurately and to the best of your knowledge, and you must take reasonable care not to make a misrepresentation to us. This responsibility applies until we issue you with a policy for the first time or agree to renew, extend, vary/change, or reinstate your policy. A misrepresentation includes a statement that is false, partially false, or which does not fairly reflect the truth. It is not misrepresentation if you do not answer a question or if your answer is obviously incomplete or irrelevant to the question asked. The responsibility to take reasonable care not to make a misrepresentation applies to everyone who will be insured under the policy. If you are answering questions on behalf of anyone, we will treat your answers or representations as theirs. If our information or questions are unclear, you can contact us to discuss.

I Agree *

Yes

Date of submission *

Please note that we cannot process your quotation request unless you agree to the Submission Declaration above.

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