Your PremiumPersonal DetailsName* First Last Email Address* Phone*Mobile PhoneFaxAddress* Street Address City State Postcode Preferred method of contact*EmailPhoneMobileFaxName of showInsurance DetailsPeriod of Insurance - From* Period of Insurance - To* Limit of Indemnity Required*$10,000,000$20,000,000Preformance & Activities If business is musician, please state style of music played (Rock / Funk / Jazz / Orchestral / Country / Blues / Other)Name and Address of Venue(s) where Performances are HeldNumber of PerformancesNumber of Tutors / Entertainers or ArtistsEstimated Number of AttendeesPer PerformanceAll PerformancesDo you engage Sub-Contractors and/or Service Providers?*YesNoContractors and Subcontractors - A contractor / subcontractor is engaged as part of an overall contract for which the insured is providing goods or services. They are people or entities who are engaged, under contract, to carry out work for an insured, usually on their behalf. They may supply plant, tools and materials to complete the work undertaken and typically have their own public liability insurance. E.g. - A lighting contractor you have engaged to supply & setup lighting for your show or a rigger setting up your equipment for a show.Are there any hazardous activities associated with your business?*YesNoTransit InsuranceDo you want transit insurance?*YesNoPeriod of Insurance - From (Note: insurance starts 4pm) Period of Insurance - To (Note: insurance ends 4pm) Per Road Rail Air Sea Registered Post From (Suburb & State)To (Suburb & State)Equipment Sum Insured – List all items and Sum Insured separate with a commaTotal number of itemsTotal Sum Insured $Basis of Valuation: Market Value Cover: Institute Cargo Clauses (A) including loading and unloading, Ware & Strikes Clauses, Institute Replacement Clause and other clauses as per standard policy wordingGeneral InformationAre you or have you previously been insured against the risks to be insured?*YesNoIf Yes provide detailsHave you had any claims made against you (whether insured or not)?*YesNoIf Yes provide detailsHave you had any incident or accident occur which would have been covered by the proposed insurance policy?*YesNoIf Yes provide detailsHave you had any insurance declined or cancelled, proposal rejected, renewal refused, claim rejected, special conditions or special excess imposed by an insurer?*YesNoIf Yes provide detailsHave you ever been convicted of a criminal offence?*YesNoIf Yes provide detailsIs there anything more you need to disclose to us?*YesNoIf Yes provide detailsContractual Liability This policy does not cover liability in respect of Contractual liability: Any obligation assumed by You under any agreement or contract except to the extent that: the liability would have been implied by law; the liability arises from a provision in a contract for lease or real or personal property other than a provision which obliges You to effect insurance or provide indemnity in respect of the subject matter of that contract; the liability is assumed by You under a warranty of fitness or quality as regards to Your Products; the obligation is assumed under those agreement specified in the Schedule Duty of Disclosure In order to make an informed assessment of the risk and calculate the appropriate premium, your insurer needs information about the risk you are asking it to insure. For this reason, before you enter into a contract of insurance, you have a duty under the Insurance Contracts Act 1984 to disclose to your insurer every matter that you know, or could reasonably be expected to know, is relevant to the insurer’s decision whether to accept the risk and, if so, on what terms. The duty also applies when you renew, extend, vary or reinstate a contract of insurance. You do not have to disclose anything that: Reduces the risk to be undertaken by the insurer; Is common knowledge; Your insurer knows, or in the ordinary course of its business, ought to know; or If the insurer has waived your obligation to disclose. If you do not comply with your duty of disclosure, your insurer may be entitled to reduce its liability in respect of a claim or may cancel your contract of insurance. If the non-disclosure was fraudulent, the insurer may be able to avoid (or cancel) the contract of insurance from its beginning. This would have the effect that you were never insured. One important matter to be disclosed is the history of losses suffered by the person seeking insurance or any closely associated person or entity. As you are responsible for checking that you have made complete disclosure, we suggest that you keep an up to date record of all such losses and claims. I have read the Duty of Disclosure above.*YesCAPTCHA
