Broadform Liability 38 P PLB

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Broadform Liability 38 P100032 PLB"

Transcription

1 Policy Schedule Class of Insurance: Policy Number: The Insured: Address of the Insured: Broadform Liability 38 P PLB Athletics Australia Australian Masters Athletics, irun, the following affiliated Member Associations, Queensland Athletics, Athletics Western Australia, Athletics New South Wales, Athletics Victoria, Athletics North Queensland, Athletics South Australia, Athletics Tasmania and Northern Territory Athletics and all affiliated clubs and bodies including all members, coaches, directors and officers, executives, voluntary workers, officials, referees, approved event managers and race directors, directors and officers and or subsidiary and/or related Corporations as defined under Australian Corporations Law and/or financiers and all parties for whom the Insured undertakes to insure for their respective rights, interests and liabilities C/- Willis Australia Ltd Level 28 Angel Place, 123 Pitt Street SYDNEY NSW 2000 The Business: Administration, coordination, promotion and development of sports affiliated with Athletics Australia, risk management and governance of sanctioned events, games, tournaments and training sessions. Period of Insurance: From: 1/04/2015 at 4:00 pm To: 1/04/2016 at 4:00 pm Limit of Liability: Our maximum liability in respect of any claim or any series of claims caused by or arising out of one Occurrence will not exceed: Our total aggregate liability during any one Period of Insurance for all claims arising out of Products will not exceed: $20,000,000 $20,000, SUB-LIMITS Errors and Omissions $10,000,000 Molestation (Annual) $250,000 Molestation (Whilst in Miami) $1,000,000 USD Care, Custody & Control $250,000 v11.14 Page 1

2 Policy Schedule Deductible: You will pay the following amount(s) in respect of each Occurrence and/or Claim, except as stated elsewhere within Policy Endorsements: Products Property Damage: $1,000 Personal Injury: $1,000 All Other Claims Property Damage: $1,000 Premium: Personal Injury: $1,000 And For $5,000 Molestation $10,000 USA & Canada claims As per Tax Invoice Policy Wording: Endorsements: Leisure Plus Broadform Liability Wording QM with the following endorsements 1. Exclusion 3.13 is hereby deleted. Territorial limit is extended to USA and Canada for athletes attending events in those countries. MOLESTATION ENDORSEMENT: Exclusion 3.21 is hereby deleted. This Policy does not apply to Personal Injury arising out of or as a result of the molesting or interfering with any person by: (a) You; (b) any of Your Employees; (c) any person acting on Your behalf; however it is understood and agreed that We will defend any action, suit or proceeding against You arising out of an allegation against You of molestation or interfering with any person by: (a) You; (b) any of Your Employees; (c) any person acting on Your behalf. The limit of liability hereby provided is $250,000 any one Occurrence and in the aggregate in respect of all claims made and reported to Us during the Period of Insurance. v11.14 Page 2

3 Policy Schedule The limit of indemnity is extended to $1,000,000 USD for the insured s representative whilst in Miami. Errors and Omissions It is hereby declared and agreed that with effect from 01/04/2007: Personal Injury or Property Damage arising from providing such professional advice or service is not given for a fee except where such professional advice or service is given in Your capacity as a coach, instructor, referee. Our liability in respect of such professional advice or service shall be limited to $10,000,000 any one Occurrence and in the aggregate in respect of all claims made and reported to Us during the Period of Insurance. Security: Percent Underwriter 100%% QBE Insurance (Australia) Limited ABN Business Code: Insured Location: Melbourne VIC 3000 Signed: Signed: Date: 5 May 2015 for and on behalf of Pen Underwriting Pty Ltd ABN v11.14 Page 3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

GROUP PERSONAL ACCIDENT POLICY SCHEDULE

GROUP PERSONAL ACCIDENT POLICY SCHEDULE QBE INSURANCE (AUSTRALIA) LIMITED ABN 78 003 191 035 GROUP PERSONAL ACCIDENT POLICY SCHEDULE Policy Number: AN A044726 PAD Policy Wording: The Insured: The Business: Period of Insurance: QBE QM 360-0312

More information

Business Pack Insurance Certificate of Currency

Business Pack Insurance Certificate of Currency Issued By Period of Insurance From 01/07/2014 To 01/07/2015 at 4pm This certificate acknowledges that the policy referred to is in force for the period shown. Details of the cover are listed below. The

More information

GROUP PERSONAL ACCIDENT POLICY SCHEDULE

GROUP PERSONAL ACCIDENT POLICY SCHEDULE QBE INSURANCE (AUSTRALIA) LIMITED ABN 78 003 191 035 GROUP PERSONAL ACCIDENT POLICY SCHEDULE Policy Number: AN A043307 PAD Policy Wording: The Insured: The Business: Period of Insurance: QBE QM 360-0312

More information

Period of Insurance From 30 June 2016 at 4:00pm to 30 June 2017 at 4:00 pm

Period of Insurance From 30 June 2016 at 4:00pm to 30 June 2017 at 4:00 pm Policy Schedule Class of Insurance Management Liability Policy Number 33 2225918 ZML Policyholder All Incorporated Cricket Clubs and Affiliated Associations of each State and Territory, including ACT Cricket

More information

SCHEDULE OF COVER Public/Products Liability

SCHEDULE OF COVER Public/Products Liability SCHEDULE OF COVER Public/Products Liability OUR REFERENCE 12040203 INSURER POLICY NUMBER 511283939LCP INSURED Hang Gliding Federation of Australia Incorporated and (a)subsidiary companies, organisations

More information

Principally promoters, organisers and operators of Mini Trotting events including all associated activities.

Principally promoters, organisers and operators of Mini Trotting events including all associated activities. Personal Accident INSURED BENEFICIARIES BUSINESS GEOGRAPHICAL SCOPE PERIOD OF INSURANCE SCOPE OF COVER Voluntary Workers of Mini Trotting Clubs and Associations as detailed below including all members,

More information

Certificate of Currency Our Ref: 076719. Surf Life Saving Western Australia, including clubs, branches and/or affiliated entities.

Certificate of Currency Our Ref: 076719. Surf Life Saving Western Australia, including clubs, branches and/or affiliated entities. 24 October 2014 Jardine Lloyd Thompson Pty Ltd ABN 69 009 098 864 27 Evelyn Street NEWSTEAD QLD 4006 PO Box 2321 Fortitude Valley BC QLD 4006 Tel +61 7 3246 7555 Fax +61 7 3246 7590 www.jlta.com.au Certificate

More information

GROUP PERSONAL INJURY INSURANCE

GROUP PERSONAL INJURY INSURANCE CHUBB INSURANCE COMPANY OF AUSTRALIA LIMITED A.B.N. 69 003 710 647 A.F.S. Licence No: 239778 Citigroup Centre, Level 29, 2 Park Street, Sydney 2000 Telephone: 61-2-9273 0100 Facsimile: 61-2-9273 0101 DX:

More information

QBE INSURANCE (AUSTRALIA) LIMITED ABN 78 003 191 035

QBE INSURANCE (AUSTRALIA) LIMITED ABN 78 003 191 035 GROUP PERSONAL ACCIDENT POLICY SCHEDULE Policy Number: Policy Wording: The Insured: The Business: AN A042331 PAD QBE QM 360-0312 Sports Injury Insurance Policy Wording (as attached) Cycling Australia Inc.,

More information

PLAYER INSURANCE BROCHURE 2016

PLAYER INSURANCE BROCHURE 2016 PLAYER INSURANCE BROCHURE 2016 INSURANCE INFORMATION This plan has been arranged by the Australian Rugby Union on behalf of all Insured persons. WHO CAN MAKE A CLAIM? A claim can be made by any person

More information

Badminton Australia National Insurance Programme - 2009

Badminton Australia National Insurance Programme - 2009 Badminton Australia National Insurance Programme - 2009 Contents GROUP PERSONAL ACCIDENT INSURANCE 3 LIABILITY / PROFESSIONAL INDEMNITY INSURANCE 5 FREQUENTLY ASKED QUESTIONS 7 SERVICE DIRECTORY 11 IMPORTANT

More information

Personal Accident. Schedule of Benefits

Personal Accident. Schedule of Benefits Personal Accident INSURED Harness Racing Australia Inc (HRA) and it s Members (State Controlling Bodies excluding Harness Racing New South Wales), Australian Mini Trotting Clubs (as below), Junior Member

More information

Worldwide Sports Insurance

Worldwide Sports Insurance Worldwide Sports Insurance ABN 30 129 444 828 AFS Lic No: 342385 WWSI is a Business Unit of PSC Horsell Insurance Brokers Pty Ltd Level 12 P O Box N661 Tel: (02) 9247 1700 189 Kent Street Grosvenor Place

More information

Cash Back Cover We ve got you covered for life.

Cash Back Cover We ve got you covered for life. Cash Back Cover We ve got you covered for life. Contents Combined Product Disclosure Statement and Financial Services Guide Page No. Product Disclosure Statement 3 About Cash Back Cover 3 Information about

More information

COMMINSURE HOME INSURANCE PREMIUM, EXCESS AND DISCOUNT GUIDE.

COMMINSURE HOME INSURANCE PREMIUM, EXCESS AND DISCOUNT GUIDE. COMMINSURE HOME INSURANCE PREMIUM, EXCESS AND DISCOUNT GUIDE. This document provides you with information to help you understand how your total premium has been calculated, discounts that are available

More information

EXCESS SOLICITORS PROPOSAL FORM

EXCESS SOLICITORS PROPOSAL FORM EXCESS SOLICITORS PROPOSAL FORM PROFESSIONAL INDEMNITY London Australia Underwriting Pty Ltd Level 35, 100 Miller Street rth Sydney Australia 2060 t 02 8912 6400 f 02 8912 6401 www.lauw.com.au IMPORTANT

More information

Group Personal Accident and Sickness Insurance

Group Personal Accident and Sickness Insurance Group Personal Accident and Sickness Insurance WE hereby agree, to the extent and in the manner hereinafter provided, to indemnify or otherwise pay YOU in respect of the contingencies or events specified

More information

Who is insured? Australian Polo Federation (APF) including all State Associations, Clubs, committees and members and APF sanctioned events.

Who is insured? Australian Polo Federation (APF) including all State Associations, Clubs, committees and members and APF sanctioned events. FAQ S & ANSWERS Who are Affinity Insurance Brokers? Affinity is a licensed insurance broker and has been in operation for over 30 years specialising in tailoring insurance solutions for their clients.

More information

Business Pack Insurance Certificate of Currency

Business Pack Insurance Certificate of Currency Issued By Period of Insurance From 02/11/2015 To 02/11/2016 at 4pm This certificate acknowledges that the policy referred to is in force for the period shown. Details of the cover are listed below. The

More information

Sportscover Australia Pty Ltd AFS Licence No. 230914 ACN: 006 637 903 ABN: 43 006 637 903. Sportscover Syndicate 3334 at Lloyds Underwriters

Sportscover Australia Pty Ltd AFS Licence No. 230914 ACN: 006 637 903 ABN: 43 006 637 903. Sportscover Syndicate 3334 at Lloyds Underwriters Type of Cover: Insurer: Underwritten by: Policy Form/Ref.: Policy Number: S U M M A R Y General Liability Insurance Policy Sportscover Australia Pty Ltd AFS Licence No. 230914 ACN: 006 637 903 ABN: 43

More information

Serpentine Jarrahdale Shire. Community Groups Insurance Program

Serpentine Jarrahdale Shire. Community Groups Insurance Program Serpentine Jarrahdale Shire Community Groups Insurance Program Serpentine Jarrahdale Shire Community Groups Insurance Program Public Liability Public Liability Insurance provides you with insurance cover

More information

BICYCLE NEW SOUTH WALES PERSONAL INJURY CLAIM FORM

BICYCLE NEW SOUTH WALES PERSONAL INJURY CLAIM FORM Office use only Policy Number: AN A044041 PAD Claim Number: BICYCLE NEW SOUTH WALES PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR BICYCLE NEW SOUTH WALES INC V-Insurance Group Pty Ltd V-Insurance Group

More information

PERSONAL INJURY CLAIM FORM

PERSONAL INJURY CLAIM FORM Office use only Policy Number: AN A038364 PAD Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TRIATHLON AUSTRALIA V-Insurance Group Pty Ltd Level 28, Angel Place, 123 Pitt Street, SYDNEY

More information

Miscellaneous Professional Indemnity Insurance

Miscellaneous Professional Indemnity Insurance Miscellaneous Professional Indemnity Insurance Proposal Form 1. All questions must be answered giving full and complete answers. 2. Please ensure that this Proposal Form is Signed and Dated. 3. All fee

More information

Miramar Broadform Liability Insurance Proposal

Miramar Broadform Liability Insurance Proposal Miramar Broadform Liability Insurance Proposal IMPORTANT NOTES YOUR DUTY OF DISCLOSURE Before You enter into a contract of general insurance with an insurer, You have a duty, under the Insurance Contracts

More information

Policy Schedule. Personal Accident Insurance for Voluntary Workers

Policy Schedule. Personal Accident Insurance for Voluntary Workers Policy Number: 2400013510 Named Insured: Queensland Council of Parents and Citizens' Association (QCPCA) trading as P&Cs QLD, P&Cs QLD Areas and the President, Board and Members for the time being of the

More information

Archery Australia Insurance Handbook 2009-2010

Archery Australia Insurance Handbook 2009-2010 Archery Australia Insurance Handbook 2009-2010 Index Introduction... 3 Public & Products Liability (including errors & omissions)... 4 Who is Insured? 4 When are you Insured? 4 Where are you Insured? 4

More information

Combined Liability Insurance Policy

Combined Liability Insurance Policy Schedule of Insurance Class of Policy: Sports Liability Insurance Policy No: ATCSL00126 The Insured: Basketball States & Territories Associations Invoice No: 9999946010 Our Ref: BASKETSTAT Combined Liability

More information

Take charge of your financial future

Take charge of your financial future Take charge of your financial future with UniSuper Advice November 2009 ADVICE Are you looking for a financial advice service you can trust? Introducing UniSuper Advice. From the day you become a UniSuper

More information

Payroll Tax Nexus Provisions

Payroll Tax Nexus Provisions Payroll Tax Nexus Provisions Background The payroll tax nexus provisions determine in which Australian State or Territory (jurisdiction) payroll tax is to be paid in respect of payments made to workers

More information

Certificate of Currency

Certificate of Currency Certificate of Currency Risk Management and Insurance This Certificate of Currency is a summary of cover provided under the policy, current as at the date of issue. The certificate is provided for information

More information

Golf Australia Ltd Member Association Group Insurance Program Summary of Cover

Golf Australia Ltd Member Association Group Insurance Program Summary of Cover Golf Australia Ltd s Insurance arranged for Queensland Golf Inc which includes District Golf Associations as per policies. All policies expire 30 th June 2010 1. Property Insurance (ISR) Interest Insured

More information

Professional Indemnity Insurance

Professional Indemnity Insurance QBE Insurance (Australia) Limited ABN 78 003 191 035 Professional Indemnity Insurance Application Form Pool Safety Inspectors Notice to the Applicant This notice must be read before you complete the Application

More information

Workers compensation insurance. Application

Workers compensation insurance. Application Workers compensation insurance Application Workers compensation insurance Please complete this application carefully to ensure that it meets your needs. How to complete this form 1. Read the important

More information

Your Guide To Premiums, Excesses,

Your Guide To Premiums, Excesses, Your Guide To Premiums, Excesses, Discounts and Claims Payments Home & Contents Insurance CONTENTS Your guide to Premiums, Excesses, Discounts and Claims Payments 1 Premiums 1 How various factors affect

More information

INSURANCE BENEFITS FOR SSAA AFFILIATED CLUBS

INSURANCE BENEFITS FOR SSAA AFFILIATED CLUBS INSURANCE BENEFITS FOR SSAA AFFILIATED CLUBS THE INSURED IS NOTED AS: Sporting Shooters' Association of Australia Incorporated Sporting Shooters' Association of Australia (NSW) Incorporated Sporting Shooters'

More information

Business. insurance information

Business. insurance information Business insurance information A The CGU Business Package is designed to meet the needs of Australian small-to-medium sized businesses. Whether you are a manufacturer, importing or storage, retailer, service

More information

YOUR GUIDE TO PREMIUMS, EXCESSES, DISCOUNTS AND CLAIMS PAYMENTS HOME & CONTENTS INSURANCE INSURANCE FOR MOTORING ENTHUSIASTS

YOUR GUIDE TO PREMIUMS, EXCESSES, DISCOUNTS AND CLAIMS PAYMENTS HOME & CONTENTS INSURANCE INSURANCE FOR MOTORING ENTHUSIASTS YOUR GUIDE TO PREMIUMS, EXCESSES, DISCOUNTS AND CLAIMS PAYMENTS HOME & CONTENTS INSURANCE CONTENTS Your guide to Premiums, Excesses, Discounts and Claims Payments 1 Premiums 1 How various factors affect

More information

PERSONAL INJURY CLAIM FORM

PERSONAL INJURY CLAIM FORM Office use only Policy Number: ANA042769PAD Claim Number: BICYCLE QUEENSLAND PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR BICYCLE QUEENSLAND; V-Insurance Group Pty Ltd Authorised Representative No.

More information

PERSONAL INJURY CLAIM FORM

PERSONAL INJURY CLAIM FORM Office use only Policy Number: ATCSI00035 Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TABLE TENNIS AUSTRALIA V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised

More information

Office. insurance information

Office. insurance information Office insurance information CGU Office Package provides all-in-one protection for people who operate their business from an office, including medical and health, financial services, professionals, consultants

More information

JUA Underwriting Agency Pty Ltd

JUA Underwriting Agency Pty Ltd JUA Underwriting Agency Pty Ltd Engineers & Architects Professional Indemnity Proposal Form Please answer every question fully, incomplete answers will not be accepted, and may result in a delay in terms

More information

WORK EXPERIENCE/PLACEMENT INSURANCE COVERS FOR NSW CATHOLIC SCHOOLS

WORK EXPERIENCE/PLACEMENT INSURANCE COVERS FOR NSW CATHOLIC SCHOOLS WORK EXPERIENCE/PLACEMENT INSURANCE COVERS FOR NSW CATHOLIC SCHOOLS Revised 7 February 2013 This Statement provides a general overview of available insurance cover; it does not represent legal advice.

More information

Professional indemnity insurance

Professional indemnity insurance Professional indemnity insurance 2014 mini policy for CPA Australia members What is CPA Australia s mini policy? Fenton Green & Co. has arranged a professional indemnity insurance (Pll) mini policy (mini

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM Answer all questions. Blanks &/or dashes, or answers known to underwriters or brokers or N/A are not acceptable & will delay consideration of this proposal.

More information

QBE PROFESSIONAL LIABILITY. Directors & Officers Liability INSURANCE PROPOSAL PROPOSAL

QBE PROFESSIONAL LIABILITY. Directors & Officers Liability INSURANCE PROPOSAL PROPOSAL QBE PROFESSIONAL LIABILITY Directors & Officers Liability INSURANCE PROPOSAL PROPOSAL Directors & Officers Liability tice to the Proposed Insured This notice must be read before you complete the proposal

More information

LIV Limitation of Liability Scheme Guide UPDATED AUGUST 2015

LIV Limitation of Liability Scheme Guide UPDATED AUGUST 2015 LIV Limitation of Liability Scheme Guide UPDATED AUGUST 2015 2 Professional benefits for LIV members The LIV is pleased to have in force a Limitation of Liability Scheme pursuant to the Professional Standards

More information

Financial Services Guide

Financial Services Guide Financial Services Guide JLT Discretionary Trust (JDT) Arrangement MARCH 2014 About JLT The JDT Arrangement is a well-established proven alternative to standard insurance for many companies throughout

More information

Guidelines for professional indemnity insurance

Guidelines for professional indemnity insurance Guidelines for professional indemnity insurance Contents Introduction 1 Who needs to use these guidelines? 1 Summary of guidelines 1 Background 1 1. Professional indemnity insurance arrangements 1 2. Adequate

More information

HOME INDEMNITY INSURANCE - WESTERN AUSTRALIA POLICY WORDING

HOME INDEMNITY INSURANCE - WESTERN AUSTRALIA POLICY WORDING POLICY WORDING HOME INDEMNITY INSURANCE - WESTERN AUSTRALIA GLA RBUA HII WA 1115 Effective Date 01 November 2015 Welcome to the financial security provided by RBUA Home Indemnity Insurance - Western Australia

More information

DIRECTOR S & OFFICER S LIABILITY INSURANCE PROPOSAL FORM SHIELD

DIRECTOR S & OFFICER S LIABILITY INSURANCE PROPOSAL FORM SHIELD DIRECTOR S & OFFICER S LIABILITY INSURANCE PROPOSAL FORM SHIELD The following documents must be submitted with this proposal form: ( ( ( (d) (e) The annual report and financial statements of the company

More information

Public and Products Liability Proposal Form

Public and Products Liability Proposal Form Public and Products Liability Proposal Form Solution Underwriting Agency Pty Ltd Level 5, 289 Flinders Lane Melbourne, Victoria. Australia 3000 T. 03 9654 6100 F. 03 9654 6200 www.solutionunderwriting.com.au

More information

MULTI-STATE WORKERS COMPENSATION GUIDANCE MATERIAL

MULTI-STATE WORKERS COMPENSATION GUIDANCE MATERIAL Topic : State : Premium 1. How To Apply For A New Worker s Compensation Policy AUSTRALIAN CAPITAL TERRITORY When is a new Workers Compensation policy required? Under s.147 of the Workers Compensation Act

More information

PERSONAL INJURY CLAIM FORM

PERSONAL INJURY CLAIM FORM Office use only Policy Number: AN A043307 PAD Claim Number: ATHLETICS AUSTRALIA PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR ATHLETICS AUSTRALIA V-Insurance Group Pty Ltd Authorised Representative No.

More information

MEMBERSHIP AND INSURANCE GUIDE

MEMBERSHIP AND INSURANCE GUIDE Federation of Parents and Citizens Associations of New South Wales MEMBERSHIP AND INSURANCE GUIDE 1 AUGUST 2014 31 JULY 2015 Federation of Parents and Citizens Associations of New South Wales Locked Bag

More information

FINANCIAL SERVICES GUIDE

FINANCIAL SERVICES GUIDE FINANCIAL SERVICES GUIDE V-Insurance Group PTY LTD Authorised Representative No. 432898 ABN: 67 160 126 509 Date of issue 1 November 2014 www.vinsurancegroup.com FINANCIAL SERVICES GUIDE This Financial

More information

Quotation. Corporate Passport Travel Insurance

Quotation. Corporate Passport Travel Insurance Named Insured: CATHOLIC CHURCH INSURANCE LIMITED; World Youth Day Policy Period: From: 01 Apr 2016 (at 4.00pm. Local Standard Time) To: 01 Apr 2017 (at 4.00pm. Local Standard Time) Broker: Catholic Church

More information

REAL ESTATE AGENTS & PROPERTY MANAGERS PROFESSIONAL INDEMNITY PROPOSAL FORM

REAL ESTATE AGENTS & PROPERTY MANAGERS PROFESSIONAL INDEMNITY PROPOSAL FORM IMPORTANT NOTICES CLAIMS-MADE INSURANCE REAL ESTATE AGENTS & PROPERTY MANAGERS PROFESSIONAL INDEMNITY PROPOSAL FORM This policy is issued on a claims-made basis. This means that the policy only covers

More information

PRIVACY NOTICE AND CONSENT

PRIVACY NOTICE AND CONSENT Australian Credit Licence Number 387406 PRIVACY NOTICE AND CONSENT This privacy notice and consent relates to an application (the application) you make to a mortgage manager for a loan (your loan) or in

More information

CASUALTY CASUALTY INSURANCE SOLUTIONS

CASUALTY CASUALTY INSURANCE SOLUTIONS CASUALTY CASUALTY INSURANCE SOLUTIONS CONTENTS Casualty Insurance Solutions 03 Products and coverage extensions 04 Preferred industry segments 04 Casualty Capacity by NAIC code 05 About ACE 05 ACE Global

More information

National Training Funding Summary

National Training Funding Summary National Training Funding Summary T R A I N I N G I R E D E F I N I N G P E R F O R M A N CE Federal and State Government Training Funding Summary The following table outlines the Government incentives,

More information

PERSONAL INJURY CLAIM FORM

PERSONAL INJURY CLAIM FORM Office use only Policy NO: CANO01SII-0613 Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR : V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised representative of

More information

Accountants Professional Indemnity Insurance

Accountants Professional Indemnity Insurance Accountants Professional Indemnity Insurance Proposal Form 1. All questions must be answered giving full and complete answers. 2. Please ensure that this Proposal Form is Signed and Dated. 3. All fee or

More information

PURPL Liability Insurance Application

PURPL Liability Insurance Application QBE INSURANCE (AUSTRALIA) LIMITED ABN 78 003 191 035 PURPL Liability Insurance Application Notice to the Applicant This notice must be read before you complete the application form. (Pursuant to the provisions

More information

ACE Insurance Limited ELITE II PROFESSIONAL INDEMNITY INSURANCE POLICY

ACE Insurance Limited ELITE II PROFESSIONAL INDEMNITY INSURANCE POLICY ELITE II PROFESSIONAL INDEMNITY INSURANCE POLICY Renewal Proposal Form - Miscellaneous ABN 23 001 642 020 AFSL 239687 Page 1 of 8 ACE ELITE II PROFESSIONAL INDEMNITY INSURANCE RENEWAL PROPOSAL FORM Miscellaneous

More information

What s Covered What s Not

What s Covered What s Not What s Covered What s Not Standard Youth Soccer Insurance Coverage US Youth Soccer Risk Management Committee REMEMBER: Every policy is individual know your policy! This presentation is only a representation

More information

Personal Accident & Sickness Claim Form IMPORTANT NOTES

Personal Accident & Sickness Claim Form IMPORTANT NOTES Personal Accident & Sickness Claim Form IMPORTANT NOTES PRIVACY STATEMENT In this Privacy section we, us or our means Great Lakes Australia and Winsure, unless specified otherwise. CONTACT US We are committed

More information

PERSONAL INJURY CLAIM FORM

PERSONAL INJURY CLAIM FORM Office use only Policy Number: SUA/002202 Claim Number: Willis Australia Limited ABN 90 000 321 237 AFS 240600 PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TRIATHLON AUSTRALIA Willis Australia Limited

More information

Financial Services Guide (FSG) Version# 120618

Financial Services Guide (FSG) Version# 120618 ACTION INSURANCE BROKERS PTY LTD ABN 39 080 844 426 ACN 080844426 AFS Licence No. 225047 Suite 301, Building A, 20 lexington Drive Bella Vista NSW 2153 Phone: (02) 8935 1500 Fax: (02) 8935 1501 Website:

More information

Combined Professional Indemnity and Public Liability Insurance Proposal Form

Combined Professional Indemnity and Public Liability Insurance Proposal Form Combined Professional Indemnity and Public Liability Insurance Proposal Form Australian Institute of Landscape Designers and Managers Ltd and Australian Institute of Horticulture Inc Important Notice Relating

More information

Ontario Lawn Bowls Association

Ontario Lawn Bowls Association COMMERCIAL INSURANCE PROGRAM FOR: November 1, 2015 January 1, 2017 PRESENTED BY: Dan Lawrie Insurance Brokers Brenda McClung, CIP Associate Broker bmcclung@danlawrie.com Sport Liability Insurance- an Overview

More information

Miscellaneous Risks Professional Indemnity Insurance Civil Liability Professional Indemnity Claim / Notification Form

Miscellaneous Risks Professional Indemnity Insurance Civil Liability Professional Indemnity Claim / Notification Form Miscellaneous Risks Professional Indemnity Insurance Civil Liability Professional Indemnity Claim / Notification Form Try to answer all questions fully, using additional sheets if necessary. Please also

More information

sp rts Sports Coaching & Clinics Insurance Application Form Underwriting Australia Sports Leisure Licensed Clubs

sp rts Sports Coaching & Clinics Insurance Application Form Underwriting Australia Sports Leisure Licensed Clubs sp rts Underwriting Australia Insurance Application Form Sports Leisure Licensed Clubs Please use this application for occupations relating to the including: Sports Clinics Sports Coaches School Sports

More information

NAB Commercial Cards Liability Insurance

NAB Commercial Cards Liability Insurance NAB Commercial Cards Liability Insurance Policy Information Booklet Preparation date: 13 May 2014 Effective date: 1 June 2014 QM5030 0614 Contents Important Information 2 Details of the Insurance 3 Sanctions

More information

Swimming NSW and Accor Hotels announce new Partnership

Swimming NSW and Accor Hotels announce new Partnership Swimming NSW and Accor Hotels announce new Partnership Swimming NSW is proud to announce a new Partnership with Accor Hotels which will deliver our members excellent value when they travel throughout NSW

More information

IT Contracting Options

IT Contracting Options IT Contracting Options RIGHT PEOPLE! RIGHT PLACE! RIGHT OPTION! Welcome to Paxus! Australia s 1 st choice for IT people! We have been placing IT people since 1973 and our focus hasn t changed. You can

More information

Business Pack Insurance Certificate of Currency

Business Pack Insurance Certificate of Currency Issued By Period of Insurance From 31/05/2015 To 31/05/2016 at 4pm This certificate acknowledges that the policy referred to is in force for the period shown. Details of the cover are listed below. The

More information

QBE FORWARD Cover BROADFORM PUBLIC & PRODUCTS LIABILITY INSURANCE

QBE FORWARD Cover BROADFORM PUBLIC & PRODUCTS LIABILITY INSURANCE QBE FORWARD Cover BROADFORM PUBLIC & PRODUCTS LIABILITY INSURANCE for Public Liability for Public & Products Liability FLEXIWRITE Proposal Every forward-looking manager will consider the daunting implications

More information

Capability Report. JLT Sport

Capability Report. JLT Sport Capability Report JLT Sport Table of Contents Introduction to JLT 3 The JLT Sport Difference 4 JLT Sport Service Platform 5 Sport Expertise 6 Risk Management Solutions 7 2 Introduction to JLT Distinctive.

More information

JUDO FEDERATION OF AUSTRALIA

JUDO FEDERATION OF AUSTRALIA Office use only Policy Number: ANA043293PAD Claim Number: JUDO FEDERATION OF AUSTRALIA PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR : V-Insurance Group Pty Ltd Authorised Representative No. 432898 an

More information

BHG Live KitchenAid Ticketing Promotion HOW TO ENTER

BHG Live KitchenAid Ticketing Promotion HOW TO ENTER BHG Live KitchenAid Ticketing Promotion HOW TO ENTER To enter and automatically receive one (1) entry into the prize draw, individuals must: a) Purchase a ticket for the Better Homes and Gardens Live -

More information

Ambulance and Cash Back Cover Only available to residents of NSW & ACT

Ambulance and Cash Back Cover Only available to residents of NSW & ACT Ambulance and Cash Back Cover Only available to residents of NSW & ACT Valid until 2014-15 Reg. No. 5037 Health Insurance Australia 2009-2014 April 2015 Why you need Ambulance and Cash Back Cover The cover

More information

PURPOSE OF THE INSURANCE PROGRAM

PURPOSE OF THE INSURANCE PROGRAM Hockey Canada Insurance Program PURPOSE OF THE INSURANCE PROGRAM The Insurance Program must ensure that adequate financial resources are in place to compensate those who are injured or who have suffered

More information

Investment Structures Insurance Solutions (ISIS)

Investment Structures Insurance Solutions (ISIS) Investment Structures Insurance Solutions (ISIS) Directors and Officers Liability Entities Securities Professional Liability Crime Proposal form Instructions to applicant Completing the Proposal Form Please

More information

Preamble A. Where services are performed wholly in one jurisdiction section 11(1)(a) Ruling B. Where services are performed in more than

Preamble A. Where services are performed wholly in one jurisdiction section 11(1)(a) Ruling B. Where services are performed in more than Revenue Rulings Nexus Provisions Payroll Tax Act 2007 Revenue Ruling Ruling history Ruling no. Status Current Issue date May 2011 Replaces - Dates of effect From 1 July 2009 To - Preamble The nexus provisions

More information

DIRECTORS & OFFICERS LIABILITY INSURANCE PROPOSAL FORM IMPORTANT INFORMATION: PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THIS PROPOSAL

DIRECTORS & OFFICERS LIABILITY INSURANCE PROPOSAL FORM IMPORTANT INFORMATION: PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THIS PROPOSAL DIRECTORS & OFFICERS LIABILITY INSURANCE PROPOSAL FORM IMPORTANT INFORMATION: PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THIS PROPOSAL A. Obtaining a Quotation To minimise delays in obtaining

More information

FINANCIAL SERVICES GUIDE (FSG) 07/01/2016 Version 11

FINANCIAL SERVICES GUIDE (FSG) 07/01/2016 Version 11 1 P a g e FINANCIAL SERVICES GUIDE (FSG) 07/01/2016 Version 11 Minerva Horsham Pty Ltd ATF Schlosser Family Trust T/A HI Insurance Services ABN 81 472 956 953 ASIC Authorised Representative No: 435330

More information

MISCELLANEOUS PROFESSIONAL LIABILITY / GENERAL LIABILITY APPLICATION

MISCELLANEOUS PROFESSIONAL LIABILITY / GENERAL LIABILITY APPLICATION MISCELLANEOUS PROFESSIONAL LIABILITY / GENERAL LIABILITY APPLICATION COVERAGE PART A PROFESSIONAL LIABILITY INSURANCE COVERAGE THIS APPLICATION IS FOR A CLAIMS MADE INSURANCE POLICY Please read your policy

More information

Hole In One Policy Wording

Hole In One Policy Wording Hole In One Policy Wording V03.14 Pen Underwriting Pty Ltd ABN 89 113 929 516 AFSL 290518 Our name comes from the expression to pass the pen. It reflects what we do and what we bring to the insurance industry

More information

Professional Indemnity MISCELLANEOUS PROPOSAL

Professional Indemnity MISCELLANEOUS PROPOSAL Professional Indemnity MISCELLANEOUS PROPOSAL Please complete, sign and return with all attachments to: Name Position Address Email Phone If you have any questions regarding this form, please do not hesitate

More information

JUA Underwriting Agency Pty Ltd

JUA Underwriting Agency Pty Ltd JUA Underwriting Agency Pty Ltd Valuers Professional Indemnity Proposal Form Please answer every question fully, incomplete answers will not be accepted, and may result in a delay in terms being issued

More information

directors & officers liability insurance information

directors & officers liability insurance information directors & officers liability insurance information CGU Professional Risks, as one of Australia s leading directors and officers insurers for over 20 years, offers an insurance policy that is designed

More information

Smart Term Insurance

Smart Term Insurance Smart Term Insurance Combined Product Disclosure Statement and Financial Services Guide Product Disclosure Statement About Smart Term Insurance HCF Smart Term Insurance is a term life insurance product

More information

Financial Institutions Directors and Officers Liability Insurance Proposal Form

Financial Institutions Directors and Officers Liability Insurance Proposal Form Financial Institutions Directors and Officers Liability Insurance Proposal Form The following documents must be submitted with this proposal form: ( ( ( (d) (e) The annual report and financial statements

More information

Public Liability Insurance

Public Liability Insurance Public Liability Insurance Claim Form Claim Number (office use only) How to Get Quick Action on Your Claim Catholic Church Insurance Limited will act on your claim as soon as we receive this form. You

More information

Professional Indemnity Insurance Proposal Form Lawyers Excess of Loss / Top-Up Insurance

Professional Indemnity Insurance Proposal Form Lawyers Excess of Loss / Top-Up Insurance Professional Indemnity Insurance Proposal Form Lawyers Excess of Loss / Top-Up Insurance IMPORTANT NOTICE Your Duty of Disclosure Before you enter into a contact of general insurance with any insurer,

More information

Practitioner Indemnity Insurance Policy Application Form

Practitioner Indemnity Insurance Policy Application Form Practitioner Indemnity Insurance Policy Application Form Avant Mutual Group Limited ABN 58 123 154 898 Membership with Avant Mutual Group Limited ABN 58 123 154 898 Practitioner Indemnity Insurance with

More information

IMPORTANT NOTICE PLEASE READ THE FOLLOWING ADVICE BEFORE PROCEEDING TO COMPLETE THIS PROPOSAL FORM

IMPORTANT NOTICE PLEASE READ THE FOLLOWING ADVICE BEFORE PROCEEDING TO COMPLETE THIS PROPOSAL FORM IMPORTANT NOTICE PLEASE READ THE FOLLOWING ADVICE BEFORE PROCEEDING TO COMPLETE THIS PROPOSAL FORM Your Professional Indemnity Insurance Policy is issued on a CLAIMS MADE basis. This means that this policy

More information

Introducing Aquire, a Business Rewards Program available to Harvey Norman Commercial Division Customers.

Introducing Aquire, a Business Rewards Program available to Harvey Norman Commercial Division Customers. Approved Account Customers Only* Introducing Aquire, a Business Rewards Program available to Harvey Norman Commercial Division Customers. *Available to approved account customers only. Refer to full Aquire

More information

Initial Claim Form Income Protection

Initial Claim Form Income Protection Initial Claim Form Income Protection March 2014 OnePath Custodians Pty Limited (OnePath Custodians) ABN 12 008 508 496 AFSL 238346 RSE L0000673 OnePath Life Limited (OnePath Life) ABN 33 009 657 176 AFSL

More information