ENTERTAINMENT AND EVENTS LIABILITY INSURANCE

Transcription

1 Arena Underwritg Pty Ltd ABN: AFS: Suite 8, 12 Alma Road, New Lambn NSW 2305 Tel: Fax: ENTERTAINMENT AND EVENTS LIABILITY INSURANCE Imptant tices Please read followg befe proceedg complete this proposal fm. Completed proposals should not be fwarded below privacy contact details. Completed proposals should be fwarded your surance broker Arena Underwritg Pty Ltd at address Arena Underwritg Pty Ltd (ABN , AFSL ) (Arena) acts as agent on behalf Calliden Insurance Limited (ABN , AFSL ) (Calliden), surer this product. General Insurance Code Practice Calliden is a signary General Insurance Code Practice. The Code aims raise standards service between surers and ir cusmers. F fmation about Code, cludg a copy Code, contact Calliden (see contact details above) Fancial Ombudsman Service on visit Duty Disclosure This Policy is subject Insurance Contracts Act 1984 (Cth). Under that Act you have a duty disclosure. Befe you take out surance with us, you have a duty tell us ythg that you know, could reasonably be expected know, that is relevant our decision sure you and terms that surance. you are not sure wher somethg is relevant you should fm us way. You have same duty fm us those matters befe you renew, extend, vary, restate your contract surance. duty how does not require disclosure matters that: reduce risk are common knowledge we know, dary course our busess, ought know, we have dicated we do not want know. you do not comply with your duty disclosure, we may be entitled : reduce our f claim cancel contract refuse pay claim avoid contract from its begng, if your nondisclosure was fraudulent. Privacy Statement Both Calliden and Arena respect your privacy. Any personal fmation d by you will be treated accdance with Privacy Act 1988 (Cth). This privacy notification s a summary how Calliden and Arena treat your personal fmation. Calliden and Arena primarily collect your personal fmation via this fm assess your request f surance and admister your Policy but may also use this fmation settle an surance claim, surance services as requested by you, and also notify you about services promotions from time time. you do not fmation requested you may breach your duty disclosure, your application may not be capable beg accepted, additional conditions may be imposed on cover d your Policy may not be able be admistered. In der its surance services Calliden and Arena may need disclose your personal fmation third parties cludg, but not limited : agents, underwriters, adviss and brokers; management and service rs; adjusters, loss assesss and vestigars; lawyers; resurers and resurance brokers; and Fancial Ombudsman Service, as required by law (f a full list see Calliden s and Arena s Privacy Policies). In event a claim, Calliden and Arena may disclose your personal fmation (cludg sensitive fmation) overseas resurers f purpose assessg your claim. Calliden and Arena will only share fmation with third parties where Calliden and Arena reasonably believe it is necessary assessg your surance claim and providg products and services requested. Calliden s and Arena s Privacy Policies conta fmation about how access and crect personal fmation about you and also how compla about a breach privacy. you would like additional fmation about privacy would like obta a copy Privacy Policies, contact Calliden s Privacy Officer by: Tel: Fax: privacy@calliden.com.au Mail: Privacy Officer, PO Box 348, Milsons Pot NSW You can download a copy Calliden s Privacy Policy by visitg You can also download a copy Arena s Privacy Policy by visitg ation Infmation The amount cover available under this Policy excludes Goods and Services (GST). you are not registered f GST, event a claim we will reimburse you GST component addition amount that we pay. The amount that we are liable pay under this Policy will be reduced by amount put tax credit that you are may be entitled claim f supply goods services covered by that payment. you are entitled an put tax credit f Premium you must fm us extent that entitlement at befe time you make a claim under this Policy. We will not demnify you f GST, fes penalties that arise from are attributable your failure notify us your entitlement ( crect entitlement) an put tax credit on Premium. you are liable pay an Excess under this Policy, amount payable will be calculated after deduction put tax credit that you are may be entitled claim on payment Excess. you are unsure about taxation implications this Policy, you should seek advice from your accountant tax pressional. Don t Prevent Our Right Recovery The Liability Policy contas a provision which states that if You surrender right seek recovery from an party f a loss covered by Policy, We have a right reject claim from You relation that loss. Arena Entertament & Events Liability Proposal Fm - CLARE E PROP

2 ENTERTAINMENT AND EVENTS LIABILITY INSURANCE PLEASE PLEASE ANSWER ANSWER QUESTIONS QUESTIONS FULLY, FULLY, USE USE BLOCK BLOCK LETTERS LETTERS AND AND TICK TICK APPROPRIATE APPROPRIATE BOXES BOXES PLEASE ANSWER QUESTIONS FULLY, USE BLOCK LETTERS AND TICK APPROPRIATE BOXES Details Details Details Tradg Tradg Tradg Registered Registered Busess: Busess: Registered Busess: Situation Situation Situation ABN ABN : : ABN : Input Input Input Credit: Credit: Credit: % % Postal Postal Postal Busess Busess Phone Phone.:.: Busess Phone.: Fax Fax.:.: Fax.: Period Period Insurance: Insurance: Period Insurance: From: From: / / at at 4 To: To: / / at at 4 From: / / at 4 To: / / at 4 General General Hisry Hisry General Hisry decled decled sure sure You? You? 1. decled sure You? decled decled renew renew surances? surances? 2. decled renew surances? required required special special terms terms befe befe surg surg you? you? 3. required special terms befe surg you? Name Name public/products public/products surer: surer: 4. Name public/products surer: Expiry Expiry date date policy: policy: / / / / 5. Expiry date policy: / / above above questions, questions, full full details. details. F F unsured unsured losses, losses, detail detail tal tal cost cost claim, claim, date date loss, loss, above how how questions, loss loss occurred, occurred, name name full details. F and and policy policy unsured number. number. losses, detail tal cost claim, date loss, how loss occurred, name and policy number. Claims Claims Hisry Hisry Claims Hisry Have Have been been made made agast agast You You respect respect legal legal f f jury jury damage damage 6. Have been made agast You respect legal f jury damage past past 5 years? years? past 5 years? yes, yes, followg followg details: details: yes, followg details: Date Date Incident Incident Date Incident Nature Nature Injury/Damage Injury/Damage Nature Injury/Damage Amount Amount Claim Claim Amount Claim $ $ Arena Entertament & Events Liability Proposal Fm - CLARE E PROP Arena Entertament & Events Liability Proposal Fm Calliden Insurance Limited /7

3 7. Are you aware circumstances which may give rise a claim future? yes, details. Details Busess 8. Please address location where you will be predomantly carryg out your busess activities: 9. Do you carry out activities outside Australia yes, names countries 10. Please describe all your busess activities be sured: 11. Please tick one me followg best describe your busess activities: Entertaer/perfmer/musician/band etc Theatre/perfmance group Drama/ dance school Bookg agency Event ganiser/ Concert promoter Market ganiser Community group/non-prit ganisation Film Video production Public Address, Lightg, Audio Visual, Stagg Riggg 12. How m years experience do you have this field and/ how long has your busess been operatg? 13. Will your activities clude use followg: Registered m vehicles Watercraft Aircraft hovercraft 14. Will you be directly responsible f supply and set up stagg systems? 15. Will you be conductg riggg activities which require a rigger s ticket? 16. Do you use contracrs/ sub-contracrs? so, what activities will your contracrs carry out? Arena Entertament & Events Liability Proposal Fm - CLARE E PROP

4 17. Do you sist on your contracrs / sub-contracrs carryg ir own public surance? (This will be a condition cover) Do you obta evidence same? 18. Please advise estimated: (a) wages / turnover your busess f next 12 months: (b) payments contracrs / subcontracrs f next 12 months: (c) number employees: (e) tal number members (if you are a non-prit ganisation) $ $ 19. Have you entered Contracts Agreement sunder which You have assumed f which You would not wise be liable, under which You have waived legal rights recovery (e.g.: Hold Harmless Indemnity Agreements)? yes, copies Contracts Agreements. te a hold harmless demnity agreement is whereby one party assumes risks an party under contract. public policy is cover your legal & no one else s, refe arisg from se agreements are excluded. In some circumstances, your policy can be amended clude cover f se agreements providg your can review m & agree ir content. you sign se agreements without first referrg m your, you may not be covered event a claim. 20. Will you require cover f arisg from loss damage people s property whilst Care, Cusdy Control?, advise Limit Liability required f one period surance? $ te above extension only operates if you are negligent causg loss damage property your care, cusdy control. There can be situations where you have hired browed people s property, & such property is lost damage not as a result your negligence. How, you may still be responsible f compensatg owner f ir loss. In se circumstances, it would be prudent not rely on above extension on it s own but also sure hired browed property under a General property surance policy, which will operate regardless fault negligence. Insurance Required 21. Please tick limit demnity required: $5,000,000 $10,000,000 $20,000, Period that cover is required f: Annual period Dates: From To OR Sht Term period Dates: From To ONLY COMPLETE THIS SECTION IF YOU ARE A MUSIC GROUP, BAND, ENTERTAINER, PERFORMING GROUP, DANCE OR DRAMA SCHOOL F dance, drama, perfmg arts tuition, answer followg: 23. Please followg details: (a) Total number registered students? (b) Number students per class? (c) How m classes per week? (d) How m teachers/superviss? Arena Entertament & Events Liability Proposal Fm - CLARE E PROP

5 24. Do student participate hazardous, strenuous physical activities? yes, describe nature activities? F all bands, entertaers, perfmg groups, dance & drama schools answer followg questions: 25. Please followg details: (a) Total number musicians / perfmers? (b) Estimated number perfmances durg an annual period? (c) Estimated attendance at each perfmance? 26. Do you hire venue stage your perfmances are you just booked turn up and perfm? ONLY COMPLETE THIS SECTION IF YOU ARE INVOLVED IN FILM OR VIDEO PRODUCTION ACTIVITIES 27. What type productions will you be filmg? Feature films Documentaries TV productions Cpate videos Private & public events occasions TV Commercials Music video clips Or productions ( describe) 28. annual cover required, advise estimated number productions durg next 12 month period? 29. Estimated number filmg days? 30. Please advise estimated production budget: F annual period if required F one f sht term period $ $ 31. Will your productions volve use followg: Fire, firewks, pyrotechnics Stunts explosions Dangerous activities ( describe) Aircraft, watercraft m vehicles ONLY COMPLETE THIS SECTION IF YOU ARE STAGING AN EVENT OR CONCERT 35. Name event 36. Date event Arena Entertament & Events Liability Proposal Fm - CLARE E PROP

6 37. Event times: From _ To 38. Please describe nature event 39. Estimated ticket price (if applicable) _ 40. Estimated attendance at your event / events (Please a tal estimate if surg me than one event) 41. Please advise if your event will volve followg activities ( attach an event program schedule): Live music/atrical/dance/artistic perfmances: Will members public audience members participate sptg, acrobatic, physically strenuous hazardous activities? Campg facilities available patrons: M-spt activities displays: Food market stalls Amusement rides, devices animal rides: Please ensure that all amusement / animal ride contracrs carry ir own public surance. Firewks pyrotechnic displays: Name firewks operar Use watercraft your event: Use aircraft your event: 42. Location where event is be held 43. Is event beg held: Indos OR Outdos (F larger outdo events, layout plan venue etc.) 44. Is re tempary seatg structures beg used? yes, ensure that contracr responsible f supplyg and settg up se structures carries ir own public surance. 45. Artists perfmg (if applicable) 46. your event is a concert perfmance, what style music perfmance is beg perfmed? 47. Do you require annual cover f all events staged durg annual period? yes, advise number events, concerts perfmances be covered? (Please supply a separate schedule events if possible) 48. Do you have a risk management plan safety procedures f your event/events? (Please a copy plan if applicable) 49. Who will be responsible f security? _ (Please ensure that contracted security comp carries ir own public surance) 50. Will you be servg, sellg supplyg alcoholic bages at your event? yes, advise:- a) Who is actually sellg servg bages? b) Do y carry ir own surance f this activity? c) Who has signed liqu license? 51. your event is an exhibition market, number stalls? Will all stall holders exhibirs carry ir own surance? (It is recommended that you sist on all stall holders exhibirs carry ir own public and products surance) Arena Entertament & Events Liability Proposal Fm - CLARE E PROP

7 52. What type products services do stall holders exhibirs sell display at your event? Declaration This declaration must be completed and signed by on behalf all parties applyg f surance. I/We declare that: (i) (ii) answers and fmation given by me/us this proposal are true and crect all respects and that no fmation has been withheld which would affect Calliden s decision about acceptg this surance; where answers this Proposal are not my/our own handwritg, y have been checked by me/us and I/we agree y are crect; (iii) I/we have read and undersod clauses detailed under Imptant tices section this Proposal; (iv) if re was sufficient space fully answer questions, we have attached supplementary pages providg additional fmation required; (v) I/we authise Calliden give, obta from surers an surance credit reference bureau, fmation relatg se surance covers, and surances held by me/us and under those surances; (vi) I/we understand that if this Proposal is accepted, my/our surance cover will be subject terms and conditions set out Aapplicable Policy; (vii) I/we furr acknowledge that Calliden, ir agents employees reserve right decle this Proposal. Proposer s Signature: Date: / / Proposer s Proposer s Title: Completed proposals should be fwarded your surance broker Arena Underwritg Pty Ltd at address fo@arenaunderwritg.com.au. Arena Entertament & Events Liability Proposal Fm - CLARE E PROP