Business Details
List all business activities conducted:
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Is manual work undertaken away from the Insureds premises?
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Please select.. Yes No
If Yes, please specify what manual work is undertaken and show the percentage (%) of total working time related to such work?
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Number of persons engaged in the business?
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Annual gross salaries / wages?
Annual gross turnover / sales / revenue?
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Do you engage contractors / sub contractors?
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Please select.. Yes No
Do you ensure that contractors and sub-contractors have their own liability insurance?
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Please select.. Yes No
Do you insist on a minimum limit of liability insurance for contractors and sub-contractors?
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Please select.. Yes No
If Yes, please specify the minimum limit of liability insurance for contractors and sub-contractors?
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Please describe the nature of work undertaken by the contractors and sub-contractors
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Annual total of amounts paid to contractors and subcontractors (excluding payments to labour hire firms) for Labour and Materials
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Annual total of amounts paid to contractors and subcontractors (excluding payments to labour hire firms) for Labour Only
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Do you use labour hire?
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Please select.. Yes No
Please provide details of the previous professional services undertaken
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Annual total of amounts paid to labour hire firms for Labour and Materials
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Do you have property in Physical or Legal Control?
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Please select.. Yes No
Please provide details of the contract or client that represents more than 30% of the Proposed Insureds fee income
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Do you own or use any unregistered vehicles, cranes or mobile plant and equipment?
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Please select.. Yes No
Please provide details of the unregistered vehicles, cranes or mobile plant and equipment
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Do you assume any liability under contract or hold harmless other parties under contract?
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Please select.. Yes No
Please provide details of the liability under contract or hold harmless other parties under contract
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Do you manufacture or import Products?
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Please select.. Yes No
Which Countries Do You Import Form?
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What Type of Goods Do You Import or Manufacture?
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Will any Products be exported in the next 12 months?
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Please select Yes No
Which Countries Do You Export To
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What Type of Goods Do You Export
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Do you strictly maintain a quality control program for all of your Products?
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Please select Yes No
Are any of your products used in aircraft, watercraft, hovercraft, power stations, chemical plants, petrochemical plants, pharmaceuticals, mining or drilling sites?
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Please select.. Yes No
Please provide details of the products used in high risk areas
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Do you strictly maintain a product recall program?
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Please select.. Yes No
Please provide details of the product recall program
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Are any of the Proposed Insureds business activities performed outside of Australia or provided to clients based outside of Australia?
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Please select.. Yes No
Please give details of the name of the client(s), the country they are located within and what service(s) are provided
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