8) Period that cover is required for:

12) Please advise the estimated turnover/wages of your business for the next 12 month period?

If cover is only required for a short term period or one-off event, please provide the estimated turnover or budget for the short term period/one-off event.

If yes, please provide copies of such agreements.

Note – a hold harmless or indemnity agreement is whereby one party assumes the liability risks of another party under contract. Your public liability policy is to cover your legal liability & no one else’s, therefore claims arising from these agreements are excluded. In some circumstances, your policy can be amended to include cover for these agreements providing your Insurer can review them & agree to their content. If you sign these agreements without first referring them to your Insurer, you may not be covered in the event of a claim.

Note – the above extension only operates if you are negligent in causing the loss or damage to the property in your care, custody or control. There can be situations where you have hired or borrowed other people’s property, & such property is lost or damage not as a result of your negligence. However, you may still be responsible for compensating the owner for their loss. In these circumstances, it would be prudent not to rely on the above extension on it’s own but also insure the hired or borrowed property under a General property insurance policy, which will operate regardless of fault or negligence.

20) Will your activities include the use of any of the following

ONLY COMPLETE THIS SECTION IF YOU CONDUCT PERFORMING ARTS TUITION

For dance, drama, performing arts tuition, please answer the following:

FOR ALL BANDS, ENTERTAINERS, PERFORMING GROUPS, DANCE & DRAMA SCHOOLS PLEASE ANSWER THE FOLLOWING QUESTIONS:

ONLY COMPLETE THIS SECTION FOR FILM OR VIDEO PRODUCTION ACTIVITIES

32) What type of productions will you be filming?

35) Estimated production budget

36) Will your productions involve the use of:

If yes, please advise

(It will be a policy condition that all stall holders or exhibitors to carry their own public and products liability insurance)

DECLARATION

I/We hereby declare that the information provided by me/we in this questionnaire is true and correct and that I/we have read and understand the Important Notices at the start of this questionnaire. I/We also agree that this questionnaire can be used as the proposal of insurance and therefore the basis of the contract of insurance between me/we and the underwriter, if so approved by the underwriter.

OTHER INSURANCES

We recommend that you consider the following other insurances, which are available, and which may also be pertinent when preparing any contingency or risk management plan. Please contact our office if we may answer any questions or if you require a quotation.