POAAL Business Pack
Quotation / Application Form


Please leave the above field blank - it is a security counter measure
Insured contact details:
Contact Title *
Contact Name *
Contact Surname *
Email *
Contact number *
Fax number
POAAL Member number
Insured business details:
Insured name *
(Company name)
LPO name *
Street Address *
Suburb *
Postcode *
State *
ABN Number *
Business Activities other than that of a LPO
Cover required details:
Fire & Defined Events:
Cover to start from *
 
Property/Building *

Please enter whole dollar amount:
 
Contents incl. Stock *

Please enter whole dollar amount:
Accidental Damage Automatic Cover - $250,000
 
Extra Cost of Reinstatement 		Automatic Cover $250,000
 
Removal of Debris 		Automatic Cover $100,000
Business Interruption:
 
Gross Income *

Please enter whole dollar amount:
Increased Cost of Working Automatic Cover $100,000
Professional Fees & Claims Preperation Costs Automatic Cover $20,000
Theft
 
Contents incl. Stock *

Please enter whole dollar amount:
 
Theft without Forcible and Violent Entry *		 Automatic Cover $5,000
Money
 
In transit, on Premises & in a Private Residence *

Please enter whole dollar amount:

 
Money on Business Premises in a Lock Safe 		Automatic Cover $40,000
Glass
 
Internal/External *

Replacement Value

 
Temporary Shuttering/Sign Writing 		Automatic Cover $7,500
Electronic Equipment
 
Sudden & unforseen electrical breakdown of computers, word processors, electronic data processing equipment systems or other electronic equipment specified *

$5,000 - Standard limit any (1) loss - when taken

Machinery Breakdown
 
Sudden & unforeseen electrical & mechanical breakdown - Limited to (5) machines *

$5,000 - Standard limit any (1) loss - when taken

Fraud & Dishonesty
 
*

Please select amount:
General Property
Directors & Employees Personal Property * Automatic Cover $5,000
Audit Cover
 
*

Please select amount:
Legal Expenses
*
Public & Products Liability
 
*

POAAL will contact you regarding this cover