Period and Limits of Insurance
Mining Specific Questions
Please list the relevant experience and qualifications of all persons employed or conducting work on behalf of the Insured, including number of years in this occupation (including Principals / Partners / Directors
Please enter the details regarding Mine Locations usually worked
(if applicable), including approximate depth
Provide details of the personal protective clothing and equipment being used
Please provide details of staff training given to new employees
Please provide details of staff training given to existing employees
Please provide details on products, including their use, and the estimated turnover for the next 12 months
If your products are required to comply with Australian Standards or other Government regulatory requirements, please provide details.
USA and Canada
You will be asked to supply copies of all contracts in relation to exports to the USA or Canada.
Claims / Insurance History
Please provide details of date, particulars, cost, and name of insurer (if any)
Statutory Liability, Enquiries and Reputation Cover
Declaration for and on behalf of Named Insured *
I/We declare and warrant that after enquiry all statements and particulars contained in this proposal and addenda are true and that no information whatever has been withheld which might increase the risk of the Underwriters or influence the acceptance of this proposal and should the above particulars alter in any way I/We will advise the Underwriters as soon as practicable.
I/We understand that failure to disclose any material facts which would be likely to influence the acceptance and assessment of the proposal may result in the Underwriters refusing to provide indemnity or voiding the policy in every respect.
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