Performsure

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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. Please describe your activities in as much detail as possible(*)
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  2. How many performers in your group?*(*)
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  3. Please note injury to PAYG employees is excluded under this insurance
  4. Period that cover is required(*)
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    Please note that this is an annual policy (duration is 1 year from the start date you select)
  5. Limit of cover required
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  6. Estimated annual income (turnover)?*(*)
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  7. Do you use contractors / sub-contractors?(*)
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  8. Subcontractors own liability is excluded under this insurance (except for contracted or substitute performers). Please ensure all subcontractors carry their own liability insurance.
  9. Do you intend to hire out a performance venue to self-promote or stage your own performance?(*)
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  10. Note: If yes, please note that this insurance will not cover claims arising from activities where you are an event organiser or event promoter or self-promoter of your own performance. You will need alternative insurance. Please either contact our office to discuss further or complete our Entertainment & Events Liability proposal.
  11. Will you be signing any contracts that contain hold harmless or indemnity agreements?(*)
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  12. 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.
  13. Have you suffered any public liability claims or have caused incidents that could give rise to a public liability claim?(*)
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  14. Please provide details
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  15. Have you previously been insured for liability?(*)
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  16. Please advise name of Insurer
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  17. In the last 10 years, have you ever had any criminal convictions, been bankrupt or refused insurance?(*)
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  18. Please provide details
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  19. Will your performance activities include(*)






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  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.

    Version BA1 - Binder Advice Warning

    In arranging this insurance policy for you, it is important that you are made aware of the following information: -

    Action Insurance Brokers P/L (AFS# 225047) is a licensed insurance broker. Whilst in most cases, we act as an agent of you, our client, we have not done so in this instance.

    This policy has been arranged under a "Binder" between Action Insurance Brokers and the Insurance Company. A binder is an arrangement where we, the broker, act as an agent of the insurance company and not the client. We have such arrangements to obtain the best possible cover and price on a specific type of insurance policy.

    Whilst we believe our offer to arrange this insurance policy is well based, any recommendation we give you does not take into account your personal or business or specific needs or financial situation.

  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.(*)
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  3. You acknowledge that you have read the Financial Services Guide (FSG)(*)
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  4. I have read and understand the Statutory Notices(*)
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  5. I have read and understand the Subrogation Clause(*)
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  6. I have read and understand the Binder Advice Warning(*)
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  7. Please enter the code shown below(*)
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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

Privacy Policy
Financial Services Guide