LEXi Strata Quick Indication LEXi (Strata) Instant IndicationNumber of Units/Lots *01-56-1011-1516-2021-5051-100101-300Above 300Please select number of units/lotsBase PremiumNumber of Units/Lots exceeding 300If the Number of Units/Lots exceeds 300, we are unable to provide an instant indication. Please continue with the form and we shall get back to you with an indication.Please select any Optional Additional BenefitsBuilding & Construction Contracts DisputesDisputes arising out of Building or Construction ContractsConstruction Contracts EPPlease select Stamp Duty Rate *0%9%10%11%Total Base PremiumStamp DutyGSTEdge UW Fee (inc GST)TOTALConditionsThis indication is based on the following assumptions: No of Units/Lots does not exceed 300; In the last 5 years your client has not been involved in a commercial or legal dispute which incurred legal costs; and After appropriate enquiry your client is not aware of any matter which may develop into a dispute which is likely to incur legal costs. Should you wish to receive formal terms and/or for us to bind, please use the “next” button below to complete sections 2 – 5.The InsuredName of the Insured *Risk Address *Suburb *State *Post Code *Total number of Units/Lots *Normal Business Activity *Strata PropertyCover DetailsExisting Cover *Existing cover IS in placeExisting cover is NOT in placeHolding Insurer *Expiry Date *Renewal *Renewal IS being invitedRenewal is NOT being invitedPlease advise why renewal is not being invited *Proposed Inception Date *Proposed Expiry DateFrom and to 4:00pm Local Standard Time at the address of the proposed Insured for a period of 12 months unless requested otherwisePlease re-confirm any Additional Optional BenefitsDisputes arising out of Building or Construction ContractsDisclosure QuestionsLoss / Incident History *In the LAST 5 YEARS the proposed Insured has NOT been involved in a commercial or legal dispute which incurred legal costsIn the LAST 5 YEARS the proposed Insured HAS been involved in a commercial or legal dispute which incurred legal costsKnown Circumstances *After appropriate enquiry, the proposed Insured is NOT aware of ANY matter which may develop into a dispute that is likely to incur legal costsAfter appropriate enquiry, the proposed Insured IS aware of a matter or matters which may develop into a dispute that is likely to incur legal costsPlease provide full detailsInstructions & Broker DeclarationsInstructionsQuote Only or Quote & Bind *Please provide a formal Quote onlyAssuming the premium is as per the indication, please quote & bind and confirm you are on risk I hereby Declare that: *I have explained the Duty of Disclosure to my clientAnd that: *The information provided by me is a true, accurate and complete reflection of the answers provided to me by my clientPlease provide any additional comments/requests hereFull name of the Broker completing this form *Broking House *Broker's Email Address *Broker's Phone NumberPlease include area code if not providing mobile numberAre you or your broking house an AR? *NoYesName of Broking House who holds the AFSL *Important InformationA full copy of your answers will be automatically emailed to you upon hitting the submit button below. You are welcome to forward this to your client for their signature and for your records if required (we do not require this).Submit to Edge Click HERE to view the coverage summary