Eventsure

Page 1 of 4

  1. This policy is only available to Australian domiciled persons.
  2. Where did you hear about Action Entertainment Insurance?
    Invalid Input
  3. Have you previously spoken to an Action Representative regarding this quote?(*)
    Invalid Input
  4. Name of representative?
    Invalid Input
  5. Name of Insured(*)
    Invalid Input
  6. ABN
    Invalid Input
  1. Are you completing this proposal as a client or broker on behalf of the client?(*)
    Invalid Input
  2. Brokerage Name (*)
    Invalid Input
  3. Contact Name(*)
    Invalid Input
  4. Postal Address(*)
    Invalid Input
  5. Suburb(*)
    Invalid Input
  6. State(*)
    Invalid Input
  7. Postcode (*)
    Invalid Input
  8. Phone Number(*)
    Invalid Input
  9. Fax Number
    Invalid Input
  10. Email Address (*)
    Invalid Input
  11. Website Address
    Invalid Input
  12. Clients Address (*)
    Invalid Input
  13. Clients Website Address
    Invalid Input
  1. Type of Event / Function
    Invalid Input
  2. Please describe your activities in as much detail as possible(*)
    Invalid Input
  3. Location / Address of where your event is being held(*)
    Invalid Input
  4. Period that cover is required
  5. From Date(*)
    Invalid Input
  6. To Date(*)
    Invalid Input
  7. Date of Event
  8. Event Date(*)
    Invalid Input
  9. Event Times
  10. From Time(*)
    Invalid Input
  11. To Time(*)
    Invalid Input
  12. Estimated attendance(*)
    Invalid Input
  13. Will you be serving, selling or supplying alcoholic beverages at your event?(*)
    Invalid Input
  14. Please advise who is actually selling or serving beverages
    Invalid Input
  15. Who will be responsible for security?(*)
    Invalid Input
  16. Please ensure that the contracted security company carries their own public liability insurance
  17. Limit of cover required(*)
    Invalid Input
  18. Do you use contractors / sub-contractors?(*)
    Invalid Input
  19. Subcontractors own liability is excluded under this insurance. Please ensure all subcontractors carry their own liability insurance.
  20. Will you be signing any contracts that contain hold harmless or indemnity agreements?(*)
    Invalid Input
  21. 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 and no one else’s, therefore claims arising from these agreements is excluded. Please do not sign these agreements. If you do without first referring them to your insurer, you may not be covered in the event of a claim.
  22. Have you suffered any public liability claims or have caused incidents that could give rise to a public liability claim?(*)
    Invalid Input
  23. Please provide details
    Invalid Input
  24. Have you previously been insured for liability?(*)
    Invalid Input
  25. Please advise name of Insurer
    Invalid Input
  26. In the last 10 years, have you ever had any criminal convictions, been bankrupt or refused insurance?(*)
    Invalid Input
  27. Please provide details
    Invalid Input
  28. Will your performance activities include(*)






    Invalid Input
  1. Disclaimer

    Privacy Policy

    At Action Entertainment Insurance Pty Ltd Corporate Representative No. 237473 as an authorised representative of Action Insurance Brokers P/L AFS 225047, we are committed to protecting your privacy in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles. This Privacy Policy describes our current policies and practices in relation to the collection, handling, use and disclosure of personal information. It also deals with how you can complain about a breach of the privacy laws and how you can access the personal information we hold and how to have that information corrected.

    Please visit https://www.entertainmentinsurance.net.au/privacy-policy to read our full privacy policy.

    Your Duty of Disclosure

    When entering into a contract of general insurance you need to tell us

    Before you enter into a contract of general insurance with us, you have a duty, under the Insurance Contracts Act 1984, to disclose to us every matter that you know, or could reasonably be expected to know, is relevant to our decision whether to accept the risk of the insurance and, if so, on what terms.

    When entering into a subsequent or renewing a contract of general insurance

    You have the same duty to disclose any matter to us before you renew, extend, vary or reinstate a contract of general insurance, which may affect our decision to insure you.

    What you are not required to disclose

    Your duty does not require disclosure of any matter:

    1. That diminishes the risk to be undertaken by us;
    2. That is of common knowledge;
    3. That we know or, in the ordinary course of our business, ought to know;
    4. Where compliance with this duty is waived by us.

    Non disclosure and its consequences

    If you fail to comply with your duty of disclosure at law, and/or have not answered our questions honestly and not told us what you, as a reasonable person in the circumstances would have answered, we may be entitled to reduce our liability under the contract in respect of a claim or may cancel the contract.

    Fraudulent non disclosure and its consequences

    If your non disclosure is fraudulent, we may also have the option of avoiding the contract from its beginning.

    Subrogation

    You may prejudice your rights with regard to a claim if, without prior agreement from the Insurer, you make agreement with a third party that will prevent the Insurer from recovering the loss from that, or another party.

    Your policy contains provisions that either exclude the Insurer from liability or reduce their liability, if you have entered into any agreements that excludes your rights to recover damages from another party in relation to any loss, damage or destruction which would allow you to sustain a claim under this policy.

  2. You acknowledge that you are entering into a legally binding contract for the provision of insurance cover and will settle all amounts due in accordance with the Terms and Conditions.(*)
    Invalid Input
  3. You acknowledge that you have read the Financial Services Guide (FSG)(*)
    Invalid Input
  4. I have read and understand the Statutory Notices(*)
    Invalid Input
  5. I have read and understand the Subrogation Clause(*)
    Invalid Input
  6. I have read and understand the Binder Advice Warning(*)
    Invalid Input
  7. Please enter the code shown below(*)
    Please enter the code shown below RefreshInvalid Input

Action Entertainment Insurance Pty Ltd ABN 20 103 891 265 Corporate Representative No. 237473 as an authorised representative of Action Insurance Brokers P/L ABN 39 080 844 426 AFS 225047

Privacy Policy
Financial Services Guide