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Entertainment & Events Liability Insurance Questionnaire

Please tick one or more of the following to best describe your business activities









Period that cover is required for:

Limit of cover required: *


If cover only required for short term period or one-off event, please provide estimated turnover or budget
for short term period/one-off event.


1. GENERAL INFORMATION – PLEASE COMPLETE THIS SECTION FOR ALL OCCUPATIONS


If yes, please provide copies of such agreements.


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 & 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 & 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.

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.

Will your activities include the use of any of the following:


2. ONLY COMPLETE THIS SECTION IF YOU ARE RUNNING WORKSHOPS, DANCE CLASSES, DRAMA CLASSES OR TEACHING OTHER ACTIVITIES


If yes, please advise number of concerts/performances/events for next 12 month
period, including average attendance per event?


3. PLEASE ONLY COMPLETE IF YOU ARE PERFORMER, BAND, ENTERTAINER



 

What style is your performance (please tick most appropriate)








4. ONLY COMPLETE THIS SECTION IF YOU ARE STAGING AN EVENT OR CONCERT (INCLUDING MULTIPLE EVENTS OR CONCERTS and INCLUDING PERFORMERS/BANDS WHO SELF-PROMOTE)



 

Please advise if your event will involve any of the following activities
(please attach an event program or schedule):

Please ensure that all amusement / animal ride contractors carry their own
public liability insurance.

If yes, please ensure that the contractor responsible for supplying and setting up these structures carries their own
public liability insurance.

If yes, please advise:

(It is recommended that you insist on all stall holders or exhibitors to carry their own public and products liability
insurance)


5. OTHER INSURANCES



 

DECLARATION

I/We hereby declare that the information provided by me/we in this questionnaire is true and correct and that I/we have read and understand the Important Notices at the start of this questionnaire. I/We also agree that this questionnaire can be used as the proposal of insurance and therefore the basis of the contract of insurance between me/we and the underwriter, if so approved by the underwriter.

I/We agree *

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