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Adelaide Fringe Festival Events and Entertainment Insurance

Event or Entertainment Liability insurance is available for the smaller family gathering through to major events. This policy will provide protection to you, where you have a liability at law for property damage &/or bodily injury to another person.

In order for City Rural Insurance Brokers to provide you with an Obligation Free Quote, please complete the following.

All fields require completion

PERSONAL INFORMATION
Name of Person seeking insurance
Company Name
Address
Suburb/Town
State
Postcode
Email Address
Phone
Fax
Mobile Phone
Preferred method of contact
Email   Phone   Fax
Occupation
 
Name of Organisation/Event
Activities Undertaken
Venues
Number of Performances
Number of Attendees per Performance
Number of Tutors/Entertainers or Artists
Do you engage Sub Contractors and/or Service Providers? Yes No
If Yes, please provide full details
Are there any hazardous activities associated with your business? Yes No

Construction of Venue Questions

Walls
Floor
Roof
Number of Storeys
Age of Building
Fire Protection and Security Details
Have you had any insurance declined or cancelled, proposal rejected, renewal refused, claim rejected, special conditions or special excess imposed by an insurer? Yes No
If Yes, please provide full details
Have you ever been convicted of a criminal offence? Yes No
If Yes, please provide full details
Do you assume Liability under contract or hold others harmless (other than lease liability)? Yes No
Do you want transit insurance? Yes No
Are you or have you previously been insured against the risks to be insured? Yes No
Have you had any claims made against you (whether insured or not)? Yes No
Have you had any incident or accident occur which would have been covered by the proposed insurance policy? Yes No
Is there anything more you need to disclose to us? Yes No
If Yes to any of the above, please provide full details

Period of Insurance
Cover can only commence once full payment and completed application have been received and approved.

From (at 4pm)

To (at 4pm)


Limit of Liability

Option A - $10,000,000 Public and Products Liability
Option B - $20,000,000 Public and Products Liability

I have read the Duty of Disclosure (view)
Duty of Disclosure

In order to make an informed assessment of the risk and calculate the appropriate premium, your insurer needs information about the risk you are asking it to insure.

For this reason, before you enter into a contract of insurance, you have a duty under the Insurance Contracts Act 1984 to disclose to your insurer every matter that you know, or could reasonably be expected to know, is relevant to the insurer’s decision whether to accept the risk and, if so, on what terms. The duty also applies when you renew, extend, vary or reinstate a contract of insurance.

You do not have to disclose anything that:

  • Reduces the risk to be undertaken by the insurer;
  • Is common knowledge;
  • Your insurer knows, or in the ordinary course of its business, ought to know; or
  • If the insurer has waived your obligation to disclose.
If you do not comply with your duty of disclosure, your insurer may be entitled to reduce its liability in respect of a claim or may cancel your contract of insurance. If the non-disclosure was fraudulent, the insurer may be able to avoid (or cancel) the contract of insurance from its beginning. This would have the effect that you were never insured.

One important matter to be disclosed is the history of losses suffered by the person seeking insurance or any closely associated person or entity. As you are responsible for checking that you have made complete disclosure, we suggest that you keep an up to date record of all such losses and claims.

Signature
Title
Dated

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Member of National Insurance Brokers Association and Steadfast Group Limited

Australian Financial Services Licence No 237491 – General Insurance Broker

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