Public & Products Liability Cover
Property Owner Liability only?
YesNo
What is the estimated sum you will pay to contractors, sub-contractors or labour hire companies in the next 12 months?(You do not need to include payments to yourself.)
Estimate the amount to be paid in the next 12 months:
Subcontractors - Labour only:
Subcontractors - Labour and plant:
Subcontractors - Labour, plant and materials:
Labour Hire - Labour Hire Firms:
Do you, or do you intend to, hire in equipment or hire out equipment and/or staff?
YesNo
What type(s) of work do staff from labour hire firms perform for you?
Is there a Hire Agreement with a disclaimer or legal waiver in place that the hirer signs before hiring?
YesNo
Is all equipment checked and maintained after each hire?
YesNo
Do you, or do you intend to, perform work away from your own premises?
YesNo
Do you, or do you intend to, perform external work over 2 storeys or 10 metres high?
YesNo
Limit of Liability - Public & Products Liability:
$5,000,000$10,000,000$15,000,000$20,000,000
Does your business import or export goods?
YesNo
Are there any interested parties you would like covered under this policy?
YesNo
Do you, or do you intend to, use, store or handle hazardous substances?
YesNo
What substances and what is the process for handling and storage?
Do you, or do you intend to, discharge waste or hazardous material into the atmosphere, sewer or elsewhere?
YesNo
what waste material, what is the method of discharge, and what are the safety procedures?
Do you maintain records identifying suppliers of all goods?
YesNo
Do you, or do you intend to, advertise your products and/or services?
YesNo
Claims History:
Any claims in the last 3 years under the sections to be insured?
YesNo
Please list all claims, the year of the claim, and the claim cost:
Is there anything else that might be relevant you want to share?
YesNo