Naming cycloalkanes with complex substituents

Commercial & General Insurance Brokers (Aust) Pty Ltd – Builder Home Warranty Insurance Vic Job Specific Application Form – V1 11/13 Commercial & General Insurance Brokers (Aust) Pty LtdSuite 4, 1016 Doncaster Road Doncaster East Victoria 3109Phone: 1300 764 244Fax: 03 8841 4299Email: home.warranty@cgib.com.auWeb: www.cgib.com.auAFS License: 231183ABN: 12 087 001 045 Victoria - Builders Home Warranty Insurance Job Specific Application Form USE OF THIS FORM -Approval of Eligibility with CGIB is required before proceeding with this form -Applications with missing information, documentation or payment will be returned for completion -Use this form to apply for a Home Warranty Job Insurance Certificate for projects containing up to 2 units -Complete the Multi Unit Application Form for projects containing more than 2 units -Further forms are available from our website, www.cgib.com.au -Further information required for takeover projects, see page 2 for details How to Apply - Check List\1. COMPLETE APPLICATION FORMComplete one form per unit, if more than two units, download and submit the Multi Unit Application form from our website Takeover projects, see next page for information required 2. BUILDER TO SIGN Registered builder must sign the application form and the building contract3. PAYMENT MUST BE INCLUDEDRefer to your rate chart for the insurance cost Attach payment or EFT payment receipt (see payment options on the next page)4. ATTACH BUILDING CONTRACTAttach a copy of the relative sections of the Building Contract (extract of the particulars schedule)5. SUBMIT TO CGIB See next page for detailsApplications with missing information, documentation or payment will be returned for completion
Commercial & General Insurance Brokers (Aust) Pty Ltd – Builder Home Warranty Insurance Vic Job Specific Application Form – V1 11/13 Takeover ProjectsTHE FOLLOWING IS REQUIRED IN ALL INSTANCES WHERE ONE BUILDER IS TAKING OVER A JOB FROM AN INSOLVENT BUILDERBuilding/s condition report including photos Quotation detailing scope of works and setting out non-completion vs. defects list Drawing/plans Amended permit (if available) Inspection approvals, e.g. slab, frame, etc Processing fee of $165 applicable to take over projects PaymentPLEASE SELECT PAYMENT TYPECheque Payable to CGIBDirect bank deposit CBA Bank - Account No10359500 BSB063885 Reference Your Company Name e.g. ABC Builders Credit Card Card NumberExpiry Date Name on Card Amount / $ How to Submit this FormFORWARD YOUR COMPLETED APPLICATION FORM, SUPPORTING DOCUMENTATION & PAYMENT Post: Suite 4, 1016 Doncaster Road, Doncaster East Victoria 3109 Fax: 03 88 41 42 99 Email: home.warranty@cgib.com.au Urgent Certificate RequestGenerally the Insurance Certificate will be emailed to you within 1 to 2 business days of CGIB receiving the completed application form. Please provide your email address below. Email Address: A