About RSA
We enjoy a proud heritage that dates back more than 300 years. RSA was born with the coming
together of three of the most recognised names in insurance. The Sun, established in 1710,
is the oldest insurance company still trading under its original name. The Alliance was founded in
1824 and The Royal in 1845. The current Company structure was created in 1996 following the
merger of two of the largest insurance companies in the UK; Royal Insurance and Sun Alliance.
Even in Singapore we can boast of a history that stretches back more than a century to the early
19th century. With a pedigree of 180 years of presence locally, RSA has grown a sustainable
business that has flourished till today, with 80,000 customers and counting. RSA Group (a UK
registered Company) established a new Branch in Singapore in July 2007.
We draw our strength in commercial insurance from our extensive global network. This strong
global advantage allows us to provide insurance cover for multinational corporations even of the
largest scale. And because we have a highly developed regional structure, we are able to work
closely on the ground with larger commercial brokers, and this feeds back to our basic objective: to
bring fast decision processes closer to our customers.
RSA offers a powerful combination of local knowledge and global expertise in specialist areas
such as:
• Property Damage & Business Interruption
• Fidelity Guarantee & Money Insurance
• Public & Products Liability
• Work Injury Compensation
• Marine Cargo
• Professional Indemnity
• Directors’ & Officers’
• Risk Management
For enquires, please contact your RSA agent, your broker or Royal & Sun Alliance Insurance Plc
(Singapore Branch)
60 Anson Road #09-01, Mapletree Anson, Singapore 079914
24-Hour RSA Assist Hotline (65) 6337 0911
Customer Service Hotline (65) 6423 0888
Email [email protected]
Website www.rsagroup.com.sg
Registered Office: 60 Anson Road #09-01, Mapletree Anson, Singapore 079914 (UEN No. T07FC6999H)
UK Registered Office: St Mark’s Court, Chart Way, Horsham, West Sussex RH12 IXL England (UK Registration Number 93792)
Business Protector PLUS
Retail & Service
Business Protector PLUS Retail & Service
PROPOSAL Form
Important Notes:
1. Statement pursuant to the Insurance Act (Cap 142) or any amendments thereof:You are to disclose in this application, fully and
faithfully, all the facts which you know or ought to know, otherwise the policy issued may be void.
2. No insurance is in force until this application is accepted by us in accordance with policy terms, conditions and exclusions.
3. If your proposal is accepted, it is a condition precedent to our liability under the policy that the premium must be paid to and
received by us within 60 days from the inception of the insurance, failing which the policy shall deemed to be automatically
terminated and a pro-rata premium will be charged for the period that we are on risk.
DETAILS OF INSURANCE
Has your proposal or renewal in respect to this risk been declined, withdrawn, or subject
to an increased rate or special conditions? If yes, please give details in the additional notes
space provided.
Yes*
No
Have there been any claims in the last 3 years? If yes, please give details in the additional
notes space provided.
Yes*
No
(Note: All * to be referred to RSA Office)
Class of Insurance
Compulsory1a
Standard
Cover
Property All Risk
(Maximum limit S$5,000,000)
(Deductible: 0.5% of the loss or a minimum
of S$350 applies except for Fire, Lightning,
Explosion, or Theft by violent and forcible entry
to or exit)
FFF S$
Consequential Loss
S$250 per
day up to 120
days
FREE
Money in premise / transit (Sub limited to
S$5,000 in locked drawer / Cash Register)
S$10,000
FREE
Plate Glass (First Loss Basis) (Deductible S$250
on each and every claim)
S$5,000
FREE
Particulars of Proposer
Name of Proposer:
Free Cover
Correspondence Address:
ROC Number:
Description of Trade / Occupancy:
Contact Number:
Fax:
Email Address:
Period of Insurance:
(From)
(To)
Plate Glass (First Loss)
Maximum additional top up S$15,000
0.50%
Fire prevention system(s) on Insured Premises
Fire Alarm
Others*
Sprinkler
Hose Reel
Fire extinguisher
NIL*
5
Public Liability
(Maximum S$5,000,000)
(Deductible: S$250 on each and every claim)
S$30 per pax
(Indoor)
S$35 per pax
(Outdoor)
S$60 per
S$500,000
S$50
6
Fidelity Guarantee
S$5,000 per occurrence and S$10,000
in aggregate (max 20 employees)
S$20
per pax
7
Personal Accident
(Maximum S$100,000 per employee)
0.05%
Total Optional Cover Premium
(C)
GST
Security system(s) on premises
Others*
Work Injury Compensation
(Maximum 20 employees subject to maximum
salary S$3,000 per employee per month)
(B)
Premium A + B + C
* Please give details in the additional notes space provided.
24-hr security guard
S$30 per
S$100
Total Top Up Premium
Treatment Risk (for Beauty Saloon*)
Limit S$10,000; Deductible S$350 on each and
every claim
N/A
Stock S$
3
Yes
No*
* Please give details in the additional notes space provided.
Pre-war shop house
Content S$
0.50%
Is the Insured Premises constructed of brick, tile, concrete or other non-combustible material?
Light industrial area
(A)
Money
Maximum additional top up S$40,000
DETAILS OF INSURANCE
Is the Insured Premises situated in/at any of the following:
0.15%
(min. premium
S$150)
2
Optional Cover 4
* Please give details in the additional notes space provided.
Premium
Consequential Loss
Maximum additional top up
S$250 per day up to 120 days
If different from above
Shared with others*
Rate
Top Up Cover 1b
Location of Insured Property:
Is the Insured Premises solely occupied by you
Sum
Insured
Cover
Total Premium Payable
CCTV
Alarm system
Grilled windows/door
NIL*
* Please give details in the additional notes space provided.
Business Protector Plus Retail & Service March 2013
Note: The premium is per location basis unless unites are adjoining
* Beauty Saloon refers to hair saloon (excluding hair trichology services), body massage, foot reflexology, pedicure and manicure services, make up services,
beauty saloon (includes non surgical facial treatment and excludes treatment by medical practitioners).
Special Discounts:
(i) No-claims Discount of 10%. A one-time discount applicable to renewals after being claim free for one year.
(ii) Group Discount of 5% applicable to risk with 3 or more outlets
WORK INJURY COMPENSATION (FOR EMPLOYEES ABOVE S$3,000 PER MONTH)
Occupation
payment instructionS
Estimated Annual Salaries
(Important Notice: Under the GIA Premium Payment Framework – receipt of payment is required before the inception of
the Policy.)
BY CREDIT CARD
to my VISA / Master Card
Please charge S$
FIDELITY GUARANTEE
(* Delete where appropriate)
Occupation
Credit Card No.:
C V V 2 No. (last 3 digits behind Credit Card on the signature panel):
Name On Credit Card :
GROUP PERSONAL ACCIDENT (DETAILS OF EMPLOYEES TO BE INSURED)
Name
NRIC/FIN/Work Permit Number
Date of Birth
* If different from Insured
Expiry Date:
Occupation
Signature:
Declaration
I / We declare, to the best of my / our knowledge and belief that:
(a) All answers given in the Proposal Form are true.
(b) All material factors affecting the assessment of the risks have been declared.
(as on your credit card)
I / We declare that I / We fully understand and agree that the benefits under Section 4 (Personal Accident) of this policy will
only be payable upon an accident occurring.
I / We declare and agree that this Proposal and Declaration shall be the basis of the contract between me / us and RSA,
subject to all terms and conditions of this Policy. No insurance policy shall be deemed to be in force until the Proposal has
been accepted by RSA, and the premium fully paid.
I / We agree to pay the premium according to the mode of payment chosen and I / We hereby authorize RSA to
charge the stated annual premium to the following credit card / bank account. Where a third party credit card is
used, I / We declare that the cardholder has authorized and consented to its use.
I / We undertake to advise RSA of any alteration to the risks proposed and to exercise all reasonable precautions for the
safety of the Property and Employees insured.
I / We understand and agree that in the event of a refund from RSA, payment will be made to the Insured /
Policyholder stated above.
If this Proposal has not been completed by me / us personally, I / We declare that I / We have read the completed form and
accept full responsibility for the answers provided to RSA.
BY CHEQUE
I enclose my Cheque / Bank No.
for S$
Signature / Company Stamp
crossed and made payable to Royal and Sun Alliance Insurance Plc (Singapore Branch).
Date
Intermediary Name/Code
Business Protector Plus Retail & Service March 2013
This policy is protected under the Policy Owners’ Protection Scheme which is administered by the Singapore Deposit Insurance
Corporation (SDIC). Coverage for your policy is automatic and no further action is required from you. For more information on the types
of benefits that are covered under the scheme as well as the limits of coverage, where applicable, please contact your insurer or visit the
GIA / LIA or SDIC websites (www.gia.org.sg or www.lia.org.sg or www.sdic.org.sg).
Business protector plus
Business Protector Plus - A tailor made and unique business insurance package that provides your
business with a comprehensive cover yet at an affordable premium.
It is a comprehensive cover with 6 benefits at one low basic premium. You also have the flexibility
to top-up the coverage at nominal additional premium to enhance your business needs.
Fidelity Guarantee
We will cover you against direct pecuniary loss arising from any fraudulent act or dishonesty caused
by employees.
Personal Accident
We will cover you if any of your insured persons suffers from death or permanent disability caused by
violent, accidental, external and visible means. All insured persons must be aged between 16 and 65 at
the time of enrolment. Applicable to class 1 occupation and excludes works on board vessel.
* The above is a simplified description of the different covers provided by this package. Please refer to the policy wording for a
more detailed explanation.
What We Cover
All Risks
We will cover your business against physical loss or damage to your property. This cover may
include stock, machinery, equipment, furniture, furnishings, fixtures & fittings, excluding plate glass.
Full theft is capped at 10% of the sum insured, limited to S$50,000. An excess of 0.50% of the loss
or a minimum of S$350.00 applies except for Fire, Lightning, Explosion, or Theft by violent and
forcible entry to or exit.
Consequential Loss
We will pay you an insured amount for each day that your business is interrupted up to a
maximum of 120 days after a loss.
Money
We will cover your money kept in your premises in a locked drawer, cash register, safe or whilst
in transit anywhere in Singapore. Money in locked drawer/cash register is capped at S$5,000 in
aggregate. It is warranted that Money in Transit above S$20,000 is to be accompanied by two
authorized able bodied employees.
Plate Glass
We will cover your property for accidental breakage or damage to plate glass at your premises
including lettering designs or ornamental works. An excess of S$250 applies for each and every claim.
Work Injury Compensation (WIC)
We will cover you from your legal liability towards your employees under the Work Injury
Compensation Act if they suffer from death / injuries by accident arising out of and in the
course of employment.
Excluded Risks
• Accommodation providers
• Air-conditioning services
• Antiques, curios / works of art,
collectibles and furs and sculptures
• Arcade & amusement games and billiard centres
• Auto spare parts, batteries and accessories with
installation services
• Bars and Discotheques
• Betting centres
• Child / Infant care centres
• Coins / currency notes and stamps
• Combustible, flammable and hazardous goods
• Construction and / or shipyard trade
• Container offices
• Contractors (interior renovators)
• Cosmetic and corrective surgery or treatment
risks
• Courier services, delivery, logistics
and transport
• Driving courses
• Gems, jewellery, precious stones / metals and
watches
• Health centres
• Joss sticks / joss papers
• Junk / second hand goods
• Karaoke lounges, pubs and nightclubs
• Kiosks, push carts and market stalls
• Livestock
• Manufacturing activities
• Martial arts courses
• Mobile phones, PDA & accessories
• Money changers / lenders and
remittance outlets
• Motor workshops / showrooms
• Nurseries and landscaping
• Paints and varnishes
• Pawnshops
• Pest control
• Petrol stations / kiosks
• Private investigation services
• Security services
• Tobacco / Alcohol / Wine
• Water and / or outdoor sports courses
Public Liability
We will cover you against legal liability for all accidental bodily injury or property damage caused
to third parties. Food and Drink Liability is also included with a limit of S$100,000 for any one
accident / annual aggregate. An excess of S$250 will applies for each and every claim.
Additional Notes:
Business Protector Plus Retail & Service March 2013