Holiday Unit Quote Form

Agreement

Important Information

Please read the following important information before continuing.

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Duty of Disclosure

Please read the following duty of disclosure. You must accept the terms of this disclosure before continuing quote.

We rely on the information you provide us with, to decide whether to insure you and the terms on which we will insure you. To comply with your duty of disclosure when first entering into an insurance contract with Us, You must tell us everything you know and that a reasonable person in the circumstances could be expected to tell us, in answer to the questions we ask you. This applies to every person insured under the policy.

If you fail in your duty of disclosure, we may reduce or deny any claim you make or cancel your policy. If you fraudulently keep information from us or deliberately make false statements, we may avoid your contract and treat your insurance as if it never existed.

To comply with your duty of disclosure when you vary, renew, extend, reinstate or replace your policy, you must tell us everything that you know, and which a reasonable person in the circumstances could be expected to know, is relevant to our decision whether to insure you and, if so, on what terms. You do not have to tell us anything that is common knowledge that we should know through our business, that reduces the risk of a claim or that we tell you we do not need to know.

Client Declaration

  • Have you ever had any type of insurance proposal declined or any type of policy cancelled or renewal refused or had special terms or conditions imposed by any insurer?
  • Have you been convicted of theft or fraud in the past 5 years?
  • Have you had 3 or more claims on any rental property over the past 5 years?
  • Are you aware of an existing circumstance that may lead to a claim under this policy?
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Cover Dates

Insurance Start Date
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