Warren Saunders Carwash Proposal (Page 2 of 4) in pdf

Warren Saunders Carwash Proposal Page 2

ELIGIBILITY CRITERIA

Description of Business: eg Car Wash Operator/Property Owner/Pet Wash:

Car Wash type: eg manual, self wash or automatic car:

Is your car wash attached to a service station?

YES

Do you have a pet wash facility?

YES

Do you own the building?

YES

Is there any deep frying in any café facility?

YES

Is the building more than 60 years old and hasn’t been rewired, replumbed or

refurbished in the past 10 years or been thermographically scanned in the

last 2 years with no defects recorded?

YES

Have you, the Insured had any insurance contract denied, cancelled,

Application rejected, renewal refused, claim rejected, special conditions or

YES

excess imposed by an Insurer in the last 5 years?

In the past 5 years have you or any partners, shareholders or directors of the

Business declared bankruptcy, insolvency or been convicted of any criminal offence

or been liable for any civil offence or pecuniary penalties exceeding $5,000?

YES

CONSTRUCTION:

WALLS:

FLOOR:

ROOF:

DETAILS/ADDITIONAL INFORMAITON:

CLAIMS IN THE PAST 5 YEARS:

Date of Loss

Details

Amount

Excess

Insurer

Warren Saunders Carwash Proposal Page 2