Titan Insurance Advisors | Insurance Solutions in the Bahamas

Applicant Details

Applicant Name (Contractor) *

Address

Telephone

Email *

Occupation/Trade

Principal / Client Details

Principal Name (Client/Owner)

Principal Address

Principal Contact

Project Details

Project Location *

Description of Works

Nature of Construction

Contract Period

Total Contract Price *

Percentage Complete

Expected Completion Date

Sum Insured Breakdown

Contract Works

Existing Structures

Construction Plant & Equipment

Temporary Works

Materials Off-Site

Professional Fees

Removal of Debris

Other Items

YesNo

Contractor Experience

How many years have you been in business?

Have you completed similar projects?

YesNo

Do you have any other current projects?

YesNo

Past Insurance History

Previous Insurer

Policy Number

Expiry Date

Have you had any claims in the past 5 years?

YesNo

Ever been declined insurance?

YesNo

General Questions

Additional Coverage (Optional)

Required Documents

Contract Documents (Optional but recommended)

Contract agreement, plans, specifications, drawings

Upload files

Licenses & Certificates (Optional)

Contractor license, trade certificates, permits

Upload files

Additional Documents (Optional)

Site photos, previous project examples, insurance certificates

Upload files

Declaration & Signature

I/WE declare that the above statements are true and complete and that no material facts have been withheld. I/WE agree that this proposal shall form the basis of the contract with NAGICO Insurance (Bahamas) Limited.

Signature *

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Contractors' All Risks Insurance Application

Applicant Details

Principal / Client Details

Project Details

Sum Insured Breakdown

Contractor Experience

Past Insurance History

General Questions

Additional Coverage (Optional)

Required Documents

Declaration & Signature