Public & Products Liability insurance is available for most arts activities. 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.

Personal Details

First Name *

Surname *

Business Name

Email *

Phone

Fax

Mobile

Preferred Method of Contact: -
PhoneFaxMobileEmail

Postal Address

Unit / Street

Suburb

State

Postcode

Insurance Details

Period of Insurance - Date From*

Period of Insurance - Date To*

Note: Limit of Liability: $20,000,000 Public and Products Liability

Description artistic and art related business activities undertaken:

Are there any hazardous activities associated with your business?  yes no

Relevant Credentials (Diploma/Degree/Dip Ed etc):

Details of Exhibitions, Workshops / Classes per Annum

Type of Exhibition

Number of Public Exhibitions

Estimated number of attendees Per Exhibition

Type of Workshops/Classes

Number Per Workshop/Class

Number of Tutors/Entertainers

Number of Other Staff

Turnover (last 12 months)

Turnover (Estimate for next 12 months)

Do you engage Sub-Contractors and/or Service Providers?  yes no

Contractors and Subcontractors -

A contractor / subcontractor is engaged as part of an overall contract for which the insured is providing goods or services. They are people or entities who are engaged, under contract, to carry out work for an insured, usually on their behalf. They may supply plant, tools and materials to complete the work undertaken and typically have their own public liability insurance. E.g. – A lighting contractor you have engaged to supply & setup lighting for your show or a rigger setting up your equipment for a show.

General Information

Have you or anyone this policy is to cover (in the past 5 years)

Made any claim(s) on an insurer for loss or damage? yes no

Had any insurance declined or cancelled, proposal/application rejected, renewal refused, claim rejected, special conditions or excess imposed by an insurer? yes no

Suffered any loss or damage which would have been covered by the proposed insurance policy? yes no

Have you or any partner(s) or director(s) of the business ever been declared bankrupt? yes no

Ever been involved in a company or business which became insolvent or subject to any form of insolvency or administration (e.g. liquidation or receivership)? yes no

Been convicted of any criminal offence within the past 5 years (other than minor traffic convictions)? yes no

Been liable for any civil offence or pecuniary penalty (exceeding $5,000)? yes no

If Yes to any of the above, please provide full details:

Contractual Liability

This policy does not cover liability in respect of Contractual liability: Any obligation assumed by You under any agreement or contract except to the extent that:

1. the liability would have been implied by law;
2. the liability arises from a provision in a contract for lease or real or personal property other than a provision which obliges You to effect insurance or provide indemnity in respect of the subject matter of that contract;
3. the liability is assumed by You under a warranty of fitness or quality as regards to Your Products;
4. the obligation is assumed under those agreement specified in the Schedule

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.

I have read the Duty of Disclosure above. *