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Load Insurance

In the event of goods being damaged whilst in transit in/on your vehicle this policy is designed to provide cover for the cost of repair or replacement of the damaged goods. The Commercial Motor and Public Liability policies usually will not cover goods in transit.

In order for City Rural Insurance Brokers to provide you with an Obligation Free Quote, please complete the following.

Fields designated in RED are required to be completed

PERSONAL INFORMATION
Insured's Name
Situation / Home base
Suburb/Town
State
Postcode
Email Address
Phone
Fax
Mobile Phone
Preferred method of contact
Email   Phone   Fax
Business/Trade
Full Description of Business (if req'd):
GENERAL DETAILS
Current Insurer 
Expiry date 
LOAD RELATED
Limit for any one load
$
Gross freight earnings
$
Goods Carried
General Freight Heavy Machinery Household Effects
Bulk Dangerous Goods Livestock Refrigerated Goods Motor Vehicles
Other? Please specify
Depot
Radius from home base
Main Contract With
Claims
Cover

Fire, Lightning, Hail, Explosion, Flood, Collision and/or Overturning, Jack-knifing and Derailment of the Conveying Vehicle including Impact of any object not on or part of the Vehicle

Optional Cover

Theft and Non Delivery
Loading/Unloading
Accidental Damage (not always available)
Shedding of Load

I have read the Duty of Disclosure (view)
Duty of Disclosure

In order to make an informed assessment of the risk and calculate the appropriate premium, your insurer needs information about the risk you are asking it to insure.

For this reason, before you enter into a contract of insurance, you have a duty under the Insurance Contracts Act 1984 to disclose to your insurer every matter that you know, or could reasonably be expected to know, is relevant to the insurer’s decision whether to accept the risk and, if so, on what terms. The duty also applies when you renew, extend, vary or reinstate a contract of insurance.

You do not have to disclose anything that:

  • Reduces the risk to be undertaken by the insurer;
  • Is common knowledge;
  • Your insurer knows, or in the ordinary course of its business, ought to know; or
  • If the insurer has waived your obligation to disclose.
If you do not comply with your duty of disclosure, your insurer may be entitled to reduce its liability in respect of a claim or may cancel your contract of insurance. If the non-disclosure was fraudulent, the insurer may be able to avoid (or cancel) the contract of insurance from its beginning. This would have the effect that you were never insured.

One important matter to be disclosed is the history of losses suffered by the person seeking insurance or any closely associated person or entity. As you are responsible for checking that you have made complete disclosure, we suggest that you keep an up to date record of all such losses and claims.

Signature
Title
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Member of National Insurance Brokers Association and Steadfast Group Limited

Australian Financial Services Licence No 237491 – General Insurance Broker

 

 

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