Sun Flower

新華保險顧問有限公司

Sun Flower Insurance Brokers Limited

香港專業保險經紀協會會員

A MEMBER OF PROFESSIONAL INSURANCE BROKERS ASSOCIATION

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CONTRACTORS' ALL RISK INSURANCE REQUEST FORM 工程綜合保險報價申請表

Please tick for the type of insurance requested 請選擇所需保障:

C.A.R.工程全險

P.L.第三者

E.C.I.勞工保險

Name of Contractor 承建商
	&/or all its sub-contractors of all tiers for their respective rights and interests may appear
Name of Principal發展商/僱主
Location/Site工程地點
	Anywhere within Hong Kong (subject to job quotation provided)
Contract Work 工程內容:

Outbuilding Work involved 有否外牆工作 Yes 有 pls state the max. height 請說明最高高度:ft 呎 No 沒有

Scaffolding 搭棚: Yes 有 No 沒有	Gondola 吊船工作: Yes 有 No 沒有
Site is under Construction 建築中地盆 Yes 有 No 沒有	Working Platform 工作台: Yes 有 No 沒有

Max Period per contract最長建築期:
Defects Liability Period保固期:	3 months 三個月 6 months 六個月 12 months 十二個月
Max Contract Sum per Contrac 最高每宗工程金額:
Est. Annual Turnover估計全年工程金額:

Limit of Liability:	Any one occurrence	HK$10,000,000 HK$20,000,000 HK$30,000,000
	Any One Period	Unlimited but in aggregate for Vibration / Principal Property

(for office use only 內部用)

Contract Sum (CV)	Limit of Liability (Applicable to Section II)	Interior Fitting Out & Decoration Works (Exclude Scaffolding & Out-building Works)
		Min Premium/Rate
		CAR (SI + SII)	CAR (SII) only	ECI
1 to 500,000	10,000,000.00	$	$
	20,000,000.00	$	$
	30,000,000.00	$	$
500,001 to 1,000,000	10,000,000.00	$	$
	20,000,000.00	$	$
	30,000,000.00	$
1,000,001 to 2,000,000	10,000,000.00
	20,000,000.00
	30,000,000.00
2,000,001 to 4,000,000	10,000,000.00
	20,000,000.00
	30,000,000.00