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The Financial Planning Pyramid
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Home
About
About Murrick
Frequently Asked Questions
Locations
Turn-by-Turn Directions
By Office
Murrick Head Office
Murrick Insurance Downtown
Murrick Insurance Killarney
Murrick Insurance Langley
Murrick Insurance New West
Murrick Insurance Oakridge
Murrick Financial Planning
Murrick Insurance Surrey
Murrick Insurance West End
Murrick Insurance Victoria
Wilfred Leong Insurance
Insurance
Insurance Overview
Emergency Claims
Personal Insurance
Overview
Homeowner’s Insurance
Tenant’s Insurance
Automobile Insurance
Travel Insurance
Boat Insurance
Life Insurance
Business Insurance
Overview
Types of Business Insurance
Key Person Insurance
Disability Insurance
Employee Group Benefits
Overview
Group Pension Benefits
Executive Benefits
Planning
Comprehensive Planning
Financial Planning
The Financial Stages of Life
Overview
The Building Years
The Accumulation Years
The Retirement Years
The CFP Designation
The Financial Planning Pyramid
News
Preferred Agent/Broker
*
-Please Select Your Preferred Agent/Broker-
Downtown (Vancouver)
West End (Vancouver)
Oakridge (Vancouver)
Killarney (Vancouver)
New West
Delta/Surrey
Langley
Wilfred Leong (Vancouver)
Test Lucas
Test David
Business' Primary Phone
*
Business' Fax
Names of Principals (one per line)
*
Mailing Address
*
Street Address
Address Line 2
City
Province/Territory
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Policy Period
*
Day
Month
Year
12:01 am Standard Time at the Postal Address of the Named Applicant
New Business?
*
Yes
No
Replacing Policy No.
Loss Payee/Mortgagee
Loss Payee’s/Mortgagee’s Mailing Address
Description of Business Premises and Occupancy
Loc. No.
Address of Applicant’s Business Premises (if different from Mailing Address)
*
Street Address
Address Line 2
City
Province/Territory
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Construction Details
Walls
*
Roof
*
Floors
*
Building Construction Class (if 'Other' please describe)
*
A-Fire Resistive
B-Non-Combustible
C-Masonry
D-Frame
Occupied by Applicant as:
*
Occupied by Others as:
*
Number of Storeys
*
Basement?
*
Yes
No
Floor Area Sq. Ft.
*
Year Built: (if over 25yrs provide updating info)
*
Building Heated By:
*
General Information
Is risk within 500 feet of a fire hydrant?
*
Yes
No
Is risk within 3 miles of a fire hall?
*
Yes
No
Is the risk sprinklered?
*
Yes
No
Are all doors fitted with dead locks and windows fixed and equipped with locking devices or metal screens or bars, in sound condition?
*
Yes
No
If “no”, do existing locks etc. adequately protect this risk?
*
Yes
No
Does risk have burglar alarm protecting all accessible openings? If yes, please answer the following:
*
Yes
No
Name of installing company
*
Type of alarm system
*
Central station
Monitoring station
Local
Does the existing alarm system adequately protect the risk?
*
Yes
No
Does risk have Security Guard Protection? (if 'yes' explain below)
*
Yes
No
Name of Security Company:
*
Has Applicant ever had insurance decline or cancelled? If “yes”, explain below.
*
Yes
No
Decline/Cancellation Explanation
List details of any losses in last 5 years:
Previous Insurer and policy no.
Expiry rates/prem.
Coverages
Property Insurance
Business Contents
Stock
Equipment
Tenant Improvements
Business Interruption
Tools
Other:
Liability
Limit Required
*
Other Coverages
Please include any other desired coverages (if any)
LIABILITY
Gross Receipts
Payroll
Cost of Work Sublet
U.S. Sales
Other Foreign Sales
Are any of the following associated with the applicant’s operations (if yes, describe in comments)
Asbestos, Chemicals, Radioactive Materials
*
Yes
No
Spray Painting, Welding, Hot Tarring
*
Yes
No
Liquefied Petroleum, Natural Gas, Gases
*
Yes
No
Explosives, Blasting, Pile Driving
Yes
No
Watercraft, Dock, Wharfs, Aircraft
*
Yes
No
Digging, Excavation
*
Yes
No
Underground Storage Tanks
*
Yes
No
Shoring, Underpinning, Caissons
*
Yes
No
Renovations, Demolition, Raising/Moving
*
Yes
No
Exports or Operations in Foreign Country
Yes
No
Are there any Liquid, Gaseous or Waste Discharge or Operations performed at sites where discharge occurs?
*
Yes
No
Are Sub-Contractors requested to carry liability insurance and provide proof of insurance?
*
Yes
No
Are formal contractual agreements entered into with sub-contractors?
*
Yes
No
Comments
Please use a narrative description of process, special hazards and protection for same:
Application Signature
Date
*
MM slash DD slash YYYY
Please type your name in capitals to signify your verification that all the information supplied is correct.
*
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