Mining Contractors

For a Mining Liability and Professional Indemnity Insurance indication quote subject to a satisfactory completed and signed proposal, please complete the form below.

Quotes can also be completed online at www.miningliabilityinsurance.com.au .

Insured / Business Name *
Address of business *
Broker *
Contact person *
Email address *
Website address *
Full business description of all activities *
Have you or will you sign a contract with the mine? Yes      No
If so, we will need a copy of the Insurance section to enable us to provide you with the correct cover.
Where do you work * Aboveground %, Underground %
Estimated Annual Turnover for the next 12 months $
Number of years experience in this industry
Have you had any claims or incidents that may result in a claim? Yes      No
If yes, please provide full details below.
 
Do you manufacture, supply, distribute or sell products? Yes      No
If yes, please provide full details of products and estimated turnover from product sales for the next 12 months.
 
   
1) Public Liability quote:
Limit required $10,000,000       $20,000,000
2) Professional Indemnity quote
Limit required $2,000,000       $5,000,000
 
If you require Professional Indemnity, please advise the estimated Annual Fee Charged for professional advice for the next 12 months:
 
With the above information we can provide you with an indication quote subject to satisfactory completed proposal.