Information needed to quote
Name
ABN (If registered)
Phone Number
Email Address
Event Date
Start Time
Finish Time
Performer, Musician, Band, Entertainer Details
Please describe the nature of your performing activities in as much detail as possible:
How many performers/entertainers require cover under this policy?
Estimated Annual Turnover
Dates of Cover Required (From - To)
to
Additional Information
Will your performance activities include any of the following?(if so, we may require some
additional information)
Audience participation
with use of firesporting
hazardous or dangerous activities
YesNo
Use of motor vehicles
YesNo
Fireworks or Pyrotechnics
YesNo
Use of animals
YesNo
Use of amusement rides or devices
YesNo
Running of workshops
YesNo
Any activities conducted outside of Australia
YesNo
If you have answered yes to any of the above, please provide describe the activities including who is responsible and if they have their own public liability insurances in place?
Other Information
Will you engage contractors/subcontractors?
YesNo
please describe the activities your contractors/subcontractors will be carrying out:
Do you insist that all your contractors/subcontractors carry their own public liability insurance?
YesNo
Do you require liability cover for any of your contractors/subcontractors under your policy?
YesNo
Will you hire out a performance venue to self-promote or stage your own performance, show, or concert?
YesNo
Underwriting Information
Has any insurer ever declined to insure you or declined to renew any of your insurances or imposed special terms and conditions?
YesNo
In the last 10 years, have you ever had any criminal convictions or been bankrupt?
YesNo
In the last 10 years, have you suffered any public liability claims or caused incidents that could give rise to a public liability claim?
YesNo
Have you previously been insured for liability?
YesNo
If you answered yes to the above, please provide details: