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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Sun Flower Insurance Brokers Limited 『BOC』 A/C 012-676-0-010405-1
CONTRACTORS’ ALL RISK INSURANCE QUOTATION *Our quotation is valid for 2 weeks only
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:
1. Name of Contractor 承建商
( Insured 投保人)
2. Name of Principal 發展商/僱主
( Insured 投保人)
3. Contract Work 工程內容
4. Location/Site 工程地點
5.

Site is under Construction 建築中地盆 Yes 有 No 沒有

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
6. Scaffolding 搭棚 Yes 有 No 沒有 7. Gondola 吊船工作 Yes 有 No 沒有
8. Working Platform 工作台 Yes 有 No 沒有 9. Contract Sum 工程金額：
10. Construction Period 建築期： 11. Maintenance Period 保固期：
12. Limit of Liability (PL): AOA /Unlimited AOP but in aggregate for Vibration/Principal Property

for official use only 內部使用

 E.C.I Rate:Premium (Excl. Scaffolding worker) – HK$ plus 5.8% ECI Levy, 3% GTFC & 2% ECIIB
Rate:Premium (Incl. Scaffolding worker) – HK$plus 5.8% ECI Levy, 3% GTFC & 2% ECIIB

Subject to – Policy Limit HK$200Millions AOA. Cover all employees within the Site. Excluding Nominated Contractors, Specialist Contractors & their employees. Excluding Proprietor(s), Partner(s) or Self-employed person. Total Asbestos Exclusion, Terrorism Endorsement, Safety Belt Warranty
 C.A.R Rate:Premium – HK$

Subject to PWD wordings + New Condition 3.4.12 + Revised Condition 4.6.1 + B1 & B2 +A1 (AOA/AOP in aggregate), A7(AOA/AOP in aggregate), Cyber Exclusion, Total Asbestos Exclusion, Absolute Pollution Exclusion, War & Terrorism Exclusion, Date Related Performance & Functionality Clause (A) & (B), Claim Control Clause, HK Jurisdiction Clause, Burning& Welding Clause, Professional Liability Exclusion, Electromagnetic Radiation Exclusion, Products Liability Exclusion. Cross Liability Clause
 P.L. Rate: Premium – HK$

PWD wordings + Revised Condition 4.6.1 + A1(AOA/AOP in aggregate) + B2 + A7(AOA/AOP in aggregate), Total Asbestos Exclusion, War & Terrorism Exclusion, Date Related Performance & Functionality Clause (B), Claim Control Clause, Cyber Exclusion, HK Jurisdiction Clause, Burning & Welding Clause, Absolute Pollution Exclusion, Electromagnetic Radiation Exclusion, Products Liability Exclusion, Professional Liability Exclusion
Deductible/ Excess *WIG – whichever is the greater

Comm.%
C.A.R
P.L.
HK$or%(WIG) TPPD HK$or%(WIG)
Designer / Testing HK$or%(WIG) Vibration HK$or%(WIG)
Others HK$or%(WIG) Underground Services HK$or%(WIG)
Temp-Works HK$or%(WIG) Oil-filled, Fiber-Optic Cable HK$or%(WIG)
Water Damage to Work HK$or%(WIG) Principal Property HK$or%(WIG)
HK$or%(WIG) Water Damage to TPPD HK$or%(WIG)
HK$or%(WIG) Bodily Injury to TP HK$or%(WIG)