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

    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: