Use the appropriate ONLINE FORM to quickly email us your question. Click Here
When peace of mind and maximum protection are important to you.


Builders Project Specific Contract, Liability, Plant & Equip Insurance

Project Specific Cover

Please provide as many details as possible to speed up the processing of your request. You should receive your quotation within two business working days!!

Download PDF version of this form


  • Hand tools and equipment, FREE COVER of $20,000 - for any one claim
  • 12 month Maintenance and Product Liability period from issue of Occupancy Certificate
First Name:
Last Name:
Street Address:
Post Code:
Office Address same as Postal Address:
Office Street Address:
Office Suburb:
Office Post code:
Office State:
Name of other parties
(List names of clients, principals, fiananciers & subcontactors):
Insurance Start Date:
Insurance End Date:
Description of business activities:
Please type N/A, if not applicable
Previous experience:
Details of ALL claims in last 3 years::
Please type N/A, if not applicable
Limit for any one contract ($/per project):
Limit of liability protection required:
Activities undertaken by you:
Projects valued over $2,000,000
Civil works not associated with a building contract
Excavation more than 2m in depth
Works under, over in, or near water (within 10m)
Work above the 25th parallel
Work involving special hazards
Work with asbestos
Work involving piling, shoring or propping
Please tick those that are applicable to you
Help us help you by answering this survey question:
What type of roof do you have?:
Prior to entering into a contract of general insurance you have a duty to disclose certain information. You have the same duty to disclose prior to renewing, extending or varying a general insurance contract. When answering the questions you must be honest and you have a duty under law to tell us anything known to you. You, and of which a reasonable person in the known circumstances would include in answer to the questions. We use the answers in deciding whether to insure you and on what terms. If you do not answer the questions in this way, we may reduce or refuse to pay a claim, or cancel the policy. If you answer questions fraudulently, we may refuse to pay a claim and treat the policy as never have been valid.
I / We confirm we have read the Duty of Disclosure included in this application form and confirm the answers are true correct and that no information has been withheld which may affect the decision to accept this application or the terms and conditions.
Ideas, News and Information:
Please add me to your Newsletter.
Email me a copy of this form
security code
Refresh Captcha

Security code:
* Required field
  • footer red bcn logo Width = 208px Height = 94px
  • bcn years logo-2015
Copyright © 2020 Building Centre Network. All Rights Reserved.