CARI (CONTRACTOR’S ALL RISKS INSURANCE)
APPLICATION FORM
PRINCIPAL
Name: Occupation:
Date of Birth: Postal Address:
Contact No. Email address:
CONTRACTOR
Name:
Address:
CONTRACT WORKS
a) Project Description:
b) Project Site/Location:
c) Construction Type: ORDINARY Total area of completed structure:
*contract document attached to this form
TOTAL CONTRACT PRICE
a) Project Cost
b) Sum Insured
PROJECT DURATION
Commencement: □ Contract
Completion date: □ Maintenance
PROJECT SPECIFICATION
*specification document attached to this form
Signed by Date:
Signature
(Full Name)