Professional Indemnity

Page 1 of 7

This policy is only available to Australian domiciled persons.
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Period of Cover
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Please provide a breakdown of your gross fees / income for the last financial year and the current financial year.
Business 1
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Business 2
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Business 3
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Business 4
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Business 5
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Business 6
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Business 7
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Business 8
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In respect of gross fees/income for the last financial years, please provide a breakdown by state.
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Please provide details of your 5 largest contracts or projects undertaken.
Project 1
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Project 2
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Project 3
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Project 4
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Project 5
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Employee Information
Please provide the following;
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Please provide the following details for each of the Insured’s principals, partners, directors and qualified staff.
Insured Person 1
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Insured Person 2
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Insured Person 3
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Insured Person 4
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Insured Person 5
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Insured Person 6
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If previous Business cover is required, please completed the following details:
Name of Principal, Director or Partner 1
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Name of Principal, Director or Partner 2
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Name of Principal, Director or Partner 3
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Name of Principal, Director or Partner 4
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Name of Principal, Director or Partner 5
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Name of Principal, Director or Partner 6
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Risk Management
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Claims and Circumstances
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Note: if such facts of circumstances exist, any claim, action or proceeding arising therefrom is excluded from the proposal coverage.

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Announced Changes
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Prior Knowledge/Warranty
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Note: any such claim will be excluded from the proposed coverage.

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.

Declaration:Any Person who, knowingly and with intent to defraud any insurance company or other person, files a proposal form insurance containing any false information or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime.

By ticking this box you declare that to the best of your knowledge and belief that the statements set forth herein and all attachments hereto are true and immediate notice will be given should any of the above information alter between the date of this proposal and the proposed date of inception of the insurance. Although the submission of this proposal does not bind The Applicant or their directors, officers or other insured person to effect insurance, the Applicant agrees that this proposal and any attachments and the said statements herein shall be the basis of and will be incorporated in the policy should one be issued.

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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