Film & Video Liability

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  1. This policy is only available to Australian domiciled persons.
  2. Where did you hear about Action Entertainment Insurance?
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  3. Have you previously spoken to an Action Representative regarding this quote?(*)
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  4. Name of representative?
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  5. Name of Insured(*)
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  6. ABN
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  1. Are you completing this proposal as a client or broker on behalf of the client?(*)
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  2. Brokerage Name (*)
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  3. Contact Name(*)
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  4. Postal Address(*)
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  5. Suburb(*)
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  6. State(*)
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  7. Postcode (*)
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  8. Phone Number(*)
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  9. Fax Number
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  10. Email Address (*)
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  11. Website Address
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  12. Clients Address (*)
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  13. Clients Website Address
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  1. Business Activities to be Insured(*)
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    Please describe your activities in as much detail as possible.
  2. How many years experience do you have in this field and / or how long has your business been operating for?
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  3. Period that cover is required(*)
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  4. Start Date
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  5. End Date
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  6. Limit of cover required(*)
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  7. Business Address you operate from? (*)
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    Please provide address or location of where you will be predominantly carrying out your business activities
  8. Please advise the estimated turnover / wages of your business for the next 12 months?(*)
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    If cover is only required short-term, please advise for turnover or budget for the short-term period
  9. Do you require cover for any activities outside of Australia?(*)
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  10. Number of Employees
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  11. Which countries will you be working in?
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  12. Dates of travel / time spent in each country?
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  13. Details of activities conducted overseas?
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  14. Turnover derived from overseas activities?
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  15. Do you use contractors / sub-contractors?(*)
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  16. What activities will your contractors carry out?(*)
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  17. Estimated payments to contractors / sub-contractors?
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  18. Do you insist on your contractors / sub-contractors carrying their own public liability insurance?* (*)
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    This will be a condition of cover
  1. Will you be signing any contracts that contain hold harmless or indemnity agreements?(*)
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  2. Please provide copies of such agreements
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  3. Note – a hold harmless or indemnity agreement is whereby one party assumes the liability of 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 are excluded. In some circumstances, your policy can be amended to include cover for these agreements providing your Insurer can review them and 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.
  4. Will you require cover for liability claims arising from loss or damage to other people’s property whilst in your care, custody or control?
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  5. Please advise limit of cover required?
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  6. 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.
  7. Have you suffered any Public Liability claims or have you caused incidents that could give rise to a Public Liability Claim?(*)
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  8. Please provide details
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  9. Have you previously been insured for Public/Products liability?(*)
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  10. Please advise name of Insurer
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  11. In the last 10 years, have you ever had any criminal convictions, been bankrupt or refused insurance?(*)
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  12. Please provide details
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  13. Will your activities include the use of the following:
  14. Register Motor Vehicles
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  15. Watercraft
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  16. Aircraft or Hovercraft
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  1. Are you the overall producer of the Production/s? (*)
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  2. Please advise your role, responsibilities and duties?
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  3. What type of productions will you be filming?








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  4. Please provide details
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  5. Estimated number of productions during the period of insurance?(*)
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  6. Estimated number of filming days during the period of insurance?(*)
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  7. Estimated production budget?
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  8. Will there be large crowds involved in the production(s)?
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  9. Will your productions involve the use of:
  10. Fire, Fireworks, Pyrotechnics?
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  11. Stunts or explosions?
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  12. Dangerous Activities?
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  13. Aircraft, watercraft or motor vehicles?
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  14. If you have answered Yes to any of the above please provide details:
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  15. Where will the majority of the filming take place?(*)
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  16. Please provide location where filming is to take place?(*)
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  17. Please provide the percentage of work on location & details(*)
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  18. Please provide a Synopsis of your Film/s?
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  19. Will your activities include the use of UAV’s or Drones?* (*)
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  20. Note: We may come back to you and request additional information prior to providing you with a quotation.
  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. 1.That diminishes the risk to be undertaken by us;
    2. 2.That is of common knowledge;
    3. 3.That we know or, in the ordinary course of our business, ought to know;
    4. 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. I have read and understand the Statutory Notices:(*)
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  3. I have read and understand the Subrogation Clause(*)
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  4. Anti-Spam(*)
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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

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