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Contractor - All Risks Form

All questions marked with * require an answer

Do you have any other insurance with us?
Yes
No
Have you had any insurance refused or subjected to special terms?
Yes
No
Have you had any losses during the past 3 years?
Yes
No

The Contract Site

Building Construction

Is site fenced?
Yes
No
Does public have access to the site?
Yes
No
Estimated construction period FROM
Day
Month
Year
Estimated construction period TO
Day
Month
Year
Date work started
Day
Month
Year

Sums Insured (estimated amounts)

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