Workplace Protector Quote Request Business Savvy Risk Management ABN 51 121 504 827 Level 14, 309 Kent Street Sydney, NSW 2000 P 02 9290 8595 E info@businesssavvy.com.au BUSINESS DETAILS Current Insurance Management Liability No Yes - Insurer: 1 Employment Practices Liability No Yes - Insurer: Standalone Statutory Liability No Yes - Insurer: 2 Company Names Please list all entities and their respective ABNs to be covered by this subscription ABN: ABN: ABN: 3 Business Contact Telephone Email 4 Physical Address State Postcode Postal Address State Postcode 5 Occupation/ Business Activities COMPANY HISTORY 6 Years of Operation years 7 Company’s Gross Consolidated Turnover AUD$ (proceeding 12 months) 8 Contractor Payments AUD$ (proceeding 12 months) 9 Revenue by State TAS % VIC % QLD % SA % NT % ACT % WA % NSW % O/S % 10 Required $1,000,000 $2,000,000 $5,000,000 $10,000,000 (options for multiple limits can be requested) 11 Been involved in any Merger/Acquisition No Yes details: –
Workplace Protector Quote Request Business Savvy Risk Management ABN 51 121 504 827 Level 14, 309 Kent Street Sydney, NSW 2000 P 02 9290 8595 E info@businesssavvy.com.au BUSINESS DETAILS 1 Current Insurance Management Liability No Yes - Insurer: Employment Practices Liability No Yes - Insurer: Standalone Statutory Liability No Yes - Insurer: 2 Company Names Please list all entities and their respective ABNs to be covered by this subscription ABN: ABN: ABN: 3 Business Contact Telephone Email 4 Physical Address State Postcode Postal Address State Postcode 5 Occupation/ Business Activities COMPANY HISTORY 6 Years of Operation years 7 Company’s Gross Consolidated Turnover (proceeding 12 months) AUD$ 8 Contractor Payments (proceeding 12 months) AUD$ 9 Revenue by State TAS % VIC % QLD % SA % NT % ACT % WA % NSW % O/S % 10 Required (options for multiple limits can be requested) $1,000,000 $2,000,000 $5,000,000 $10,000,000 11 Been involved in any Merger/Acquisition No Yes – details:
Quote%20Proposal%20v5%201.docx