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COMMERCIAL - Risk assessment construction work and builder's liability

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Policyholder

Consultation by

Personal Contact Person

Construction site address

Planned start

Planned end

Type of construction project

privat

gewerblich

General building construction turnkey execution

New construction

Conversion

Extension

Increase

Extension

Renovation

andere

General building construction turnkey execution - other

Year of construction (if not new build)

Property Description / Purpose of Use

Single-family house

Two-family house

Multi-family house

Residential and commercial building

Department Store

Shopping Center

Office Building

Administrative Building

Industrial Hall

Hotel

Garage

andere

Property Description / Purpose of Use - Other

Type of Construction

Solid house

Prefabricated House

andere

Type of Construction - Other

Planned construction sum (incl. delivery costs and own work, incl. VAT if no input tax deduction) (€)

Coverage Amount for Builder's Liability (Flat Rate)

€2 million flat rate

€3 million flat rate

€5 million flat rate

individual coverage amount

Individual Coverage Amount Builder's Liability (€)

Self-Managed Construction

yes

Total planned own contribution (€) Please also note the information under 2.6.

Are work machines used or rented for in-house work?

yes

Is planning/construction management conducted independently?

yes

Are there old buildings to consider that could be damaged during the construction project (especially due to structural interventions and risk of collapse)?

yes

Old buildings - more detailed information

Are there special items to be insured in the construction project (e.g., medical technology equipment, electrical installations, components with high artistic value, etc.)?

yes

Particularly Insured Items - Values and Detailed Listing

Location of the building site

Residential area

Commercial Area

Mixed-use area

Mining area

Are there any further special or unusual risk situations that have not been explicitly asked about so far (e.g. pile, well or caisson foundations, ground improvement, costs for water retention measures, costs for excavation enclosures, etc.)?

yes

Special or Unusual Risk Situations - Description

Has the insured property or the immediate neighborhood been affected by flooding in the past 10 years?

yes

Is the insured property located in a hazard area of water bodies or dry riverbeds?

yes

Für besondere Baumaßnahmen und Tätigkeiten (z.B. Baugrund und Bodenmassen, Schadensuchkosten, Aufräumungskosten) gelten mitunter spezielle Sublimits. Höhere Versicherungssummen bitte direkt mit dem Versicherer ausmachen.

Is the insured sum for special cost items sufficient?

yes

If no, desired sums for special cost items

Requested payment method

by invoice

by direct debit

Requested payment frequency

1/1 annually

1/2 annually

1/4 annually

1/12 annually

Requested general deductible (€)

Should the fire risk be included in the construction insurance?

yes

no, no coverage desired

no, but coverage via fire shell insurance desired

Is additional insurance coverage desired (e.g., (residential) building insurance, contents insurance, homeowner's liability, legal protection insurance)?

yes

Desired additional insurance coverage

(Residential) Building Insurance

Contents Insurance

House and landowner liability insurance

Legal protection insurance

Additional insurance coverage - which?

Other notes, remarks

Bei den Fragen handelt es sich um Fragen über gefahrerhebliche Umstände. Unvollständige und unrichtige Angaben zu den gefahrerheblichen Umständen berechtigen den Versicherer, im Falle der vorsätzlichen oder grob fahrlässigen Verletzung der Anzeigepflicht, vom Versicherungsvertrag zurückzutreten. Wird die Anzeigepflicht vorsätzlich oder grob fahrlässig verletzt, hat der Versicherer das Recht, den Vertrag innerhalb eines Monats ab Kenntnis von der Anzeigepflichtverletzung unter Einhaltung einer Frist von einem Monat zu kündigen. Diese Daten werden ggf. zur weiteren Verarbeitung (z.B. Angebotserstellung, Schadenbearbeitung etc.), wie in der "Einwilligungserklärung zur Datenverarbeitung" beschrieben, an Versicherer und Dienstleister weitergeleitet.

Date (Signing)

Customer's signature

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