Get a Contract Works Insurance Quote

If you already have a House Insurance Policy with MAS and you'd like to receive a quote for a Contract Works Insurance Policy, please fill in the form below.

This form must be filled out in one session and you will not be able to save your progress, so please either ask your contractor for information before you begin, or complete the form together.

This will give us all the information we need to provide a quote. If we require further information from you, we will contact you as soon as possible.

Please note, to receive a quote for a Contract Works Insurance Policy you must currently hold House Insurance with MAS. You can receive a quote and apply for a MAS House Insurance Policy online, or phone 0800 800 627 for more information.

Parties Involved

The insured

Title

Miss
Master
Ms
Mrs
Mr
Doctor

Full name - include name of trustees if applicable

I am already a MAS Member

Member number

To receive a quote for a Contract Works Insurance Policy you must be a MAS Member and hold a MAS House Insurance Policy. If you do not already hold a MAS House Insurance Policy, please do not fill out this form. You can apply for a MAS House Insurance Policy online, or phone 0800 800 627.

Phone number

What's the best time of day to contact you?

Morning (9am - 12pm)
Afternoon (12pm - 5pm)

Contract site

This is the address where the project is taking place.

Interested parties

(e.g. if you have taken lending for your project, your bank would be an interested party).

Anticipated construction period

Start date of anticipated construction period

End date of anticipated construction period

The contractor

Who is the main contractor and who is their insurer?

Full name

Licensed building practitioner number

Insurer

Is the contractor to be named as an insured party?

Refer to your build contract to see if this is required.

Does the main contractor hold their own public liability insurance?

What experience does the contractor have in this type of work?

Has the contractor had any losses in the last five years?

You answered Yes to 'Has the contractor had any losses in the last five years?'. Please provide more details.

Has the contractor been a director or officer of any firm placed in liquidation in the last five years, or been declared bankrupt?

You answered Yes to 'Has the contractor been a director or officer of any firm placed in liquidation in the last five years, or been declared bankrupt?'. Please provide more details.

Have you engaged a consulting engineer?

Please enter the contact details of the consulting engineer.

Engineer Name

Engineer Company

Engineer Address

Engineer Phone

Have you engaged an architect?

Please enter the contact details of the architect.

Architect Name

Architect Company

Architect Address

Architect Phone

The project

Under which conditions of contract are the contract works carried out, e.g. NZIA, NZS 39102003, NZ Master Builders?

Please give a general description of the contract works, including construction materials and any site preparation/ excavation.

Contract price (excluding GST)

Principal supplied materials (PSM)

This is materials supplied by you that is not included in your contract

Are building consents required?

Has any required building consents been obtained?

Yes
No
Pending

Will the contract works involve piling?

Please advise the number of piles and maximum depth.

Is excavation for foundations or other involved?

Who is doing the work?

What is their experience?

What is the depth of excavations?

What is the proximity of other buildings?

Are there retaining walls or support structures to be built or that are affected by the works?

Will the contract works involve under-pinning of adjoining buildings?

Please provide full details of under-pinning of adjoining buildings

Is any demolition necessary?

Please provide full details of demolition required

Will the contract include earthquake strengthening?

Please provide full details and method below

Is there anything which would make this project more difficult or complicated than normally expected?

Please provide full details of what would make this project more difficult or complicated than normally expected

Please attach plans of the contract works

Maximum 5 files (JPG, PNG or PDF); up to 20 MB per file.

Please attach the relevant sections of the works contract

Maximum 5 files (JPG, PNG or PDF); up to 20 MB per file.

Please attach scope of works

Maximum 5 files (JPG, PNG or PDF); up to 20 MB per file.

Existing building

Is there an existing structure?

Does the project involve alterations/additions/renovations to the existing structure?

Please provide details of alterations/additions/renovations to the existing structure.

Is the building already insured by MAS?

What is the policy number?

Will the existing building continue to be occupied while the project is underway?

Please detail what address your contents will be located at and what security arrangements are in place while the site is unattended.

Does the project involve removal of any structural support of the existing structure?

You answered yes to 'Does the project involve removal of any structural support of the existing structure?'. Please provide details.

Does the project involve removal/replacement of the roof of the structure in part or full?

Please confirm the length of time this work will take and what precautions will be taken to prevent water entering.

Is the existing structure/structure to be built to be protected by shrink wrap during construction?

Please detail what percentage of the building is to be protected by shrink wrap.

Previous insurance and criminal convictions

The information sought by this question is subject to the rights set out in the Criminal Records (Clean Slate) Act 2004.

In the last 7 years, have you or anyone covered by this insurance had any criminal charges or convictions?

If you answered yes, please provide details of each conviction, including conviction date and sentence.

Have you had other contract works carried out in the last five years?

Please provide details of claims or losses

In the last 7 years, have you or anyone covered by this insurance, had any insurance refused, cancelled, special terms imposed, renewal not offered, or a claim declined?

If yes, please provide details on what happened, when and why

Note, this policy does not extend to cover in any way loss, damage or liability suffered by the contractor.

If we accept your quote, how would you like to pay the premium for your policy?

The policy needs to be paid in full before the works start.

Internet banking
Credit card
Direct Debit

Disclosure of relevant information

I understand that I have a duty to disclose all information that Medical Insurance Society Limited (MAS) may want to take into account in deciding whether or not to accept my application and if so, what terms. I confirm that:

all answers in this questionnaire are true and correct and complete.
I have disclosed everything I know that may be relevant to this insurance.

I understand that if I have not disclosed all relevant information that I know, MAS may decline a claim I make under this policy, cancel the policy or treat the insurance as being invalid from the beginning.

Medical Insurance Society Limited has a Financial Strength Rating of A from approved rating agency S&P Global Ratings Australia Pty Ltd and this reflects our ability to pay claims.

Privacy Act 2020

I understand that:

the personal information MAS collects from me will be used to underwrite and administer my insurance.
I am entitled to access and correct the personal information MAS holds about me, in accordance with the provisions of the Privacy Act 2020.

I authorise MAS to give or obtain personal information about me (relevant to my insurance) to or from others including but not limited to the Insurance Claims Register Limited.

Please tick this box to confirm you've read and understood the declaration above