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Cover Information

    01. General Information
    Business Description

    Does the Photo Booth occupation and business description accurately describe all aspects of the risk?
    Before the insured enters into an insurance contract, they have a duty to tell us anything that they know, or could reasonably be expected to know, that may effect our decision to insure them and on what terms

    YesNo

    Client Street Adress
    Client Suburb / Postcode
    Where Is Your Work Performed?

    02. Compulsory Insurance Types
    Public and Products Liability
    Public and Products Liability Limit

    Turnover(AU $)

    Photo Booths

    What percentage of turnover is paid to bona fide subcontractors?

    03. Optional Insurance Types
    General Property

    YesNo
    Sum Insured(AU $)

    Make

    Model

    Year

    Serial No.

    Make

    Model

    Year

    Serial No.

    Electronic Equipment Breakdown

    YesNo
    Sum Insured(AU $)

    04. Business Information
    ABN
    Entity Name

    Trustee

    Business Name

    05. Policy Information
    Policy Inception Date

    Policy Expiry Date

    06. Insured's Information
    Insured's First Name

    Insured's last Name

    Insured's Email Address

    Insured's Phone Number

    07. Other Questions
    Are subcontractors required to carry their own liability insurance?

    YesNo

    Has the insured or any director or partner involved with the business or any other business experienced any claims or are aware of any circumstances including regulatory investigations that could give rise to a claim that may have been covered by this policy?

    YesNo

    Has the insured or any director or partner involved with the Business or any other business have in the past 5 years ever been declared bankrupt or insolvent?

    YesNo

    Has the insured or any director or partner involved with the Business or any other business have in the past 5 years ever been convicted, charged or cautioned in respect of any criminal offence other than a motoring offence?

    YesNo

    Has the insured or any director or partner involved with the Business or any other business have in the past 5 years ever had any previous insurer decline a proposal, refuse to renew a policy or impose special terms or conditions?

    YesNo

    Has the insured or any director or partner involved with the Business or any other business have in the past 5 years ever been convicted of any offence relating to the Health and Safety of their employees or members of the public in connection with their business?

    YesNo

    Does the Insured erect/dismantle Scaffolding and/or Fall Arrest Protection Systems?

    YesNo

    Does the Insured work or operate the business outside of Australia?

    YesNo

    Will the insured hold the relevant qualitifications/licenses (if required) for undertalking all aspects of their work?

    YesNo

    Does the insured employ any staff that they will hire or subcontract out to other?

    YesNo

    How much industry experience does the insured have?

    Does the insured or subcontractors of the insured carry out any hot works?

    YesNo

    Has the insured imported any of their photo booths from overseas?

    YesNo

    Does the Insured sell, distribute, or hire out any other products or services that are not specific to the photo booth industry? (e.g. DJ, Photography, Videography)

    YesNo

    Does the Insured have property belong to others in their physical and legal control? (e.g. borrowing a photo booth or other property from someone)

    YesNo

    Does the Insured manufacture, import, supply, distribute or sell any products?

    YesNo