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IT Insurance

Covering Professional Indemnity and Public & Products Liability Insurance

To receive a confirmed quote, please complete the form below. You will receive a confirmed quote on the same business day or the next business day if received after hours.

If you would prefer to talk to a broker first, please call Liability Brokers 1300-881-779 between 8.15am and 5.15pm E.S.T. business days and receive an indicative quote over the phone.


Insured Name:
Trading Name:

ABN No.(if applicable):

Street Address:

Suburb or town:
    Postcode:   
Email Address:

Website Address (if applicable):

Telephone No:

Start date of business:

Do You require cover for any subsidiary or associated company? Yes    No
If you answered "Yes" above, please give details.
Does Your business incorporate any prior trading entities? Yes    No
If you answered "Yes" above, please give details.

Professional Duties... What is your occupation (eg.Software Designer):

Please provide Us with a full description of Your business activities. This should include a description of the primary purpose of software/systems provided, sold or licensed including details of any advice provided

   

Qualifications... Please detail your qualifications &/or experience in this field:

   

Quote Required...

Please nominate the amount of covers you require:

Professional Indemnity  .     Public Liability
$1,000,000 $5,000,000
$2,000,000 $10,000,000
$5,000,000 $20,000,000
$10,000,000

   

IT Services Provided...

Please provide Us with a percentage breakdown of Your business activities:
Revenue by Type of Service - Percentage (must add up to 100%)
Application software development/contract programming %
Billing Services %
Bureau services. %
Data communication services (ISP) %
Data processing/warehousing services %
Education and Training Services
%
Hardware sales (Reseller) %
Hardware sales (Own developed or exclusive importer) %
Help Desk services %
Integration services. %
Internet Service Provider %
IT General Consultancy %
IT Project Management %
Maintenance services. %
Network services. %
Pre-packaged Third Party software sales (Reseller) %
Pre-packaged software sales (Own developed or exclusive importer) %
Telecommunication services %
Other - provide details: %

   

Underwriting questions...

No. of people in the business


.
Gross Fees last 12 months
Australia
If Nil, put in 0    
USA/Canada
If Nil, put in 0    
Elsewhere
If Nil, put in 0    
.
Estimated Fees next 12 months
Australia
If Nil, put in 0    
USA/Canada
If Nil, put in 0    

Elsewhere
If Nil, put in 0    

If you conduct business in overseas countries, please provide details below:

Do you require USA and Canada Coverage?    Yes    No

   

Is more than 25% of the Your fees/income derived from the
Finance & Banking sector?
Yes    No
If you answered "Yes" above, please give details.

   

Please state the percentage of Your activities (based on income) applicable to each State
ACT NSW NT QLD SA TAS VIC WA O/Seas Total
% % % % % % % % % %

   

Has any contract or project experienced cost overruns, delays
in implementation, failure or system(s) or product(s) to meet
full functionality?
Yes    No
If "Yes", please provide full details:

   

Have any of your clients refused payment or requested a refund
of monies paid?
Yes    No
If "Yes", please provide full details:

   

Do You provide any services or supply components in the following industries?
Adult Entertainment Yes    No
Agricultural applications Yes    No
Artificial intelligence application or system Yes    No
Aviation, radar, aircraft, watercraft Yes    No
Critical parts of autos or other transportation equipment/controls Yes    No
Encryption software (Designer or Manufacturer) Yes    No
Financial Transaction or Analysis Software Yes    No
Fire, security or other emergency processes/applications (eg.CCTV) Yes    No
Industrial control systems/SCADA/robotics Yes    No
Manufacturing systems (eg. control systems, robotics, PLC, CAM) Yes    No
Medical technology (excluding admin and management systems) Yes    No
Military technology (weapons and combat systems) Yes    No
Mining industry applications Yes    No
Online Gaming or gambling applications Yes    No
Pollution control device systems Yes    No
Privacy applications Yes    No
Public Key Infrastructure software (design or manufacture) Yes    No
Resource processes (oil, gas, power, nuclear, waste disposal etc.) Yes    No
Security systems Yes    No
Services to stock exchange,broking or clearing house systems Yes    No
Telecommunications carriers Yes    No
Transport industry Yes    No
Utilities - water & power generation/distribution software Yes    No
If you answered "Yes", to any of the above please provide full details:

   

Does the Proposer undertake and welding or hot work? Yes    No
If Yes, please provide full details:
Does the Proposer undertake any underground digging or trenching? Yes    No
If Yes, please provide full details:

   

Contractors...
Do you employ contractors, sub-contractors? Yes    No
If you answered "Yes", what duties do they perform?
Do You require cover for sub-contractors? Yes    No
If "NO", do You insist they carry their own insurance? Yes    No

   

Contracts...
Do You always enter into written contracts with your clients covering the
specifications of products or services that You have agreed to provide?
(Time and Materials based contracts are acceptable for a "YES" answer).
Yes    No

   

Have you entered into any contracts or agreements which contain:
An "Hold Harmless" clause, "Indemnity Clause" or "Joint Insured" clause? Yes    No
If "YES", please give full details
  • "Hold Harmless" means you can't sue the other party even if they are at fault
  • "Indemnity" is where you agree to reimburse the other party for their losses whether you are at fault or not.
  • "Joint Insured" means that you have agreed to add the other party onto your policy as co-insured
NOTE: All contracts should be checked by your lawyer before signing.

   

Insured's History...

Have any Professional Indemnity or Liability claims been made against this Business or any of its predecessors or any prior business of any of its former Partners, Principals or Directors, or have circumstances been notified to insurers that might give rise to a claim?
Yes    No
If you answered "Yes" above, please give details.
Is any applicant aware of any claim or circumstances that might give rise to a claim against the Business or any prior business of any of their present or former Partners, Principals or Directors, which matter is not referred to above?
Yes    No
If you answered "Yes" above, please give details.
Has any applicant ever been subject to disciplinary proceedings for professional misconduct?
Yes    No
If you answered "Yes" above, please give details.
Has any applicant ever had a Liability Insurer decline to continue the applicant's insurance or cancel their insurance?
Yes    No
If you answered "Yes" above, please give details.

Have you (or any person receiving cover under this policy) ever:
  • Been involved in a company that has been declared bankrupt or insolvent?
  • Been liable for any civil offence or pecuniary penalty?
  • Been charged or convicted for any criminal offence?
  • Been charged or convicted for fraud, theft or dishonesty?
  • Yes    No
    If you answered "Yes" to any of the above, please give details.

    Declaration...
    By submitting this Declaration, the Applicant acknowledges:
  • they are authorised by each of the other Applicants to make this Declaration,
  • the contents of the Declaration are true and complete,
  • they are under a continuing obligation to immediately inform the insurer of any change in the particulars or statements contained in this Declaration or in the accompanying documents up until the contract is entered into,
  • they authorise the insurer to give or obtain from other insurers or insurance reference bureaus or credit reporting agencies, any information about this insurance or any other insurance held by the Applicant/s.
  • Name of person making this declaration:   

       


       

     

    Duty of Disclosure – What you must tell us
    Under the Insurance Contracts Act 1984 (the Act), you have a Duty of Disclosure. You are required before you enter into, renew, vary, extend or reinstate your Policy, to tell us everything you know and that a reasonable person in the circumstances could be expected to know, is a matter that is relevant to our decision whether to insure you, and anyone else to be insured under the Policy, and if so, on what terms.
    • You do not have to tell us about any matter
    • that diminishes the risk
    • that is of common knowledge
    • that we know or should know in the ordinary course of our business as an insurer, or
    • which we indicate we do not want to know.
    • If you do not tell us
    If you do not comply with your Duty of Disclosure we may reduce or refuse to pay a claim or cancel your Policy. If your non-disclosure is fraudulent we may treat this Policy as never having worked.

    Claims Made Policy
    The Professional Indemnity section of this Policy operates on a 'Claims made and notified' basis. This means that the Policy covers you for Claims made against you and notified to us during the Period of Insurance.
    This Policy does not provide cover in relation to:
    • acts, errors or omissions actually or allegedly committed prior to the retroactive date of the Policy (if a date is specified);
    • claims made after the expiry of the period of insurance even though the event giving rise to the Claim may have occurred during the period of insurance;
    • claims notified or arising out of facts or circumstances notified (or which ought reasonably to have been notified) under any previous Policy;
    • claims made, threatened or intimated against you prior to the commencement of the period of insurance;
    • facts or circumstances of which you first became aware prior to the period of insurance, and which you knew or ought reasonably to have known had the potential to give rise to a Claim under this Policy;
    • Claims arising out of circumstances noted on the proposal form for the current period of insurance or on any previous proposal form.
    Where you give notice in writing to the insurer or any facts that might give rise to a claim against you as soon as reasonably practicable after you become aware of those facts but before the expire of the period of cover, you may have rights under Section 40(3) of the Insurance Contracts Act 1984 to be indemnified in respect of any claim subsequently made against you arising from those facts notwithstanding that the claim is made after the expiry of the period of cover. Any such rights arise under the legislation only. The terms of the Policy and the effect of the Policy is that you are not covered for claims made against you after the expiry of the period of cover.







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