POLICY DETAILS

1. Has any owner/director or officer of the business, or the business itself sustained more than 3 losses, or had losses totalling more than $5,000 in the last three years for those sections to be covered by the policy?
Yes No
2. During the past five years:
 
a. Has any owner/director or officer of the business ever been declared bankrupt or been involved with a business that has gone into receivership or liquidation?
Yes No
   
 
b. Has any owner/director or officer of the business, or the business itself been convicted of a criminal offence?
Yes No
3. Has the owner/director or officer of the business or the business itself had any insurance policy cancelled, declined or refused in the last 5 years?
Yes No