Insprop CGI Quotation

Insprop Services Pte Ltd

52 Florence Road Singapore 549506

Business Registration No : 200407344E

Commercial GI

Commercial General Insurance

Company (Insured) Information

Company Name
Company Reg No.
Address
Contact	(office) (fax) (HP)
E-mail
Business Nature
Existing insurer	Expiry date
Claim exp (last 3 years)

Class of Insurance required:

Fire Burglary Consequential Loss Money Equipment All Risks Fidelity Guarantee Public Liability Workmen's Compensation Group PA

Fire Insurance

Use of Premise (click option with Ctrl key for multiple selections)	(if others)
Occupancy	Solely occupied by InsuredShared with others* *Name and business nature of co-occupier
Construction	Walls Bricks ConcreteZincTimberOpen sided shedOthers (if others) Roof Tiles Concrete Zinc Asbestos Others (if others)
Interest Insured / Sum Insured (Please note that sum insured must represent the full cost of rebuilding, and for contents, the full replacement cost)
Building (excluding foundations)
Renovations/improvement, furniture, fixtures, fittings & contents
Stock-in-trade	Please describe:

Consequential Loss

Sum Insured	Yearly Gross profit Yearly Revenue
Indemnity period	months

Burglary

Security features	(if others)
Sum insured: Renovations/improvement, furniture, fixtures, fittings, stock-in-trade & contents	First loss basis* Full value basis *Base on 20% of full value

Money

Interest Insured / Limit of Indemnity (at any loss)

Money in transit
Money in premises: i) during office hours ii) after business hours in locked safe/ strongroom / locked drawers / cabinets / cash registers*	* Money in locked drawers/cabinets/cash registers is subject to a limit of S$5,000)

Equipment All Risks

Sum insured (please specify for each item)	NA
Year of make	Deductible
Hire Purchase / Lease (if any)	NA

Fidelity Guarantee

Amount guaranteed (any one loss)
No of employees (please specify designations)	NA

Public Liability (unlimited for any one period)

Limit of Indemnity

- any one accident

Workmen's Compensation

Insured employees (categorize by job nature)	Estimated annual wages
NA	$

Additional information

Important note : Statement pursuant to Section 25(5) of the Insurance Act (Cap 142) or any subsequent amendments thereof, you are to disclose in this form, fully and faithfully, all the facts which you know or ought to know in respect of the risk that is being proposed, otherwise, the policy issued hereunder may be void.