Commercial Business Insurance

insured details
Business Name	A value is required.A value is required.*
Business Address	A value is required.*A value is requi
Business Postal Code	A value is required.*
Person In Charge	A value is required.*
Contact No.	A value is required.* (Mobile) (Office) (Fax)
Email Address
Nature of Business	A value is required.*
No. of Employees	Please select an item.*
Period of Insurance	A value is required. * (ddmmyyyy) to A value is required* (ddmmyyyy)

OTHER INFORMATION
Any onboard vessel, in shipyard, oil rigs, offshore works, petrochemical plant	Please select an item.*
Any excavation, digging and piling works involved?	Please select an item.* If yes, how deep? ->
Any height exposure?	Please select an item.* If yes, how high? ->
Any works on scaffolding/gondola?	Please select an item.*
Any hazardous / flammable / combustible materials / processes involved?	Please select an item.*
Estimated company turnover	A value is required.*
Contract value	A value is required.* (Max) A value is required. * (Min) A value is required.* (Average)
Any other claims experience for the past 3 years not mentioned above	A value is required.*

PROPERTY ALL RISK (compulsory)
Risk Location: Is risk location same as business address?	Please select an item.* Please specify risk location and postal code
Type of premise	Please select an item.*
Occupancy of premise	Please select an item.*
Construction of premise	Please select an item.* Please specify ->
Fire Security	Fire sprinkled Hosereel Fire Alarm Sprinkler System
Interest Insured	Furniture Fixtures Fittings Stock Trade All Other Contents
Sum Insured	A value is required.*
Claims experience for the past 3 years	A value is required.*
Premium Rate	A value is required.*
Annual Premium	A value is required.*
Remarks

Optional covers

Please tick (✔) the optional covers you need

Consequential Loss

Burglary

Money

Fidelity Guarantee

Public Liability

For office/shop/factory without off-site works, the limit of indemnity is $500,000 / $1m any one accident/Unlimited any one period. The territorial Limits: Risk Location and anywhere in Singapore in connection with the Insured's business. For manufacturing concerns with off-site works. Territorial Limits: Risk Location and anywhere in Singapore in connection with the Insured's business
Max contract value:	Please select an item.
Estimated Annual Turnover:
Any works on board vessels:
Any welding works involved:
Any works with height more than 10m or 3 storeys:
Limit of Indemnity:
Claims experience for the past 3 years:
Annual Premium:
Excess:
Remarks:

Workmen Injury Compensation

Foreign Worker Medical Insurance

Referrer (if any)
Referrer Name
Referrer Contact No.
Referrer Email