SPRIG RESIDENTIAL LANDLORD PROPOSAL


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1.1 Client Information

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GST Details

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1.2 General Information

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1.3 Situation of Property(ies) to be Insured Please add all locations here

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From :
To:

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Policy Excess ($500 standard)

If you require a higher excess, please select the additional voluntary excess box below:

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2. Type of Building

What type of building(s):
Sum Insured Class How Many(If applicable)
Situation {{$index + 1}}

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What is the approximate age and construction of the building(s)? (W-Walls; R-Roof; F-Floor)

Age Stories Basement Concrete Brick Wood Fibro Other Please specify
Situation {{$index + 1}}

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What type of cover are you insuring for:

Cover A:Accidental Damage (Building & Public Liability)
(Loss of Rent Cover for tenanted properties - Limited to 15% of building sum insured)
Cover B:Property Protection Cover
Cover C:A&B Combined

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3. Building Details

Security: NA – No Alarm; LA-Local Alarm; BTB-Back to Base;
DB-Deadlocks - All External doors; KW-Key operated locks on All accessible windows
Protection : NS-No Smoke; FX-Fire Extinguishers; FB-Fire Blankets; WS-Wired Smoke; WI-Wired Interconnected; SP-Sprinklers
Building classNo. of BdrmsNo. of LeasesSecurityProtection
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If Yes, what is the nature of the occupancy, period of time and weekly amount of the rental agreements?
Long TermShort TermOtherBond CollectedBond Amount
Situation {{$index + 1}}:$$$$

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4. Landlord Contents Details

Please list any contents item that you want covered?
Full Description of items to be insuredSum Insured (Total)
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5. Loss of Rent

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Situation {{$index + 1}}$

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{{landlordForm.situation_0_loss_of_rent_amount}}

6. Flood Cover

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7. Liability

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8. Accidents, claims and personal details

As far as is known, have you either alone or jointly with any other party:

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Declaration - Must be completed
Important Notices

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