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Q4. Do you hold events?
Yes - Please answer Questions BelowNo - Go to Q5

Q5a. Rides/Amusements/inflatables?
YesNo

Q5b. overnight camping or accommodation?
YesNo

Q5c. fireworks or any other pyrotechnics?
YesNo

Q5d. Any animals including but not limited to horse riding, petting zoos?
YesNo

Q5e. The use of unregistered vehicles?
YesNo

Q5f. The use of motorboats, aircraft?
YesNo

Q5g. Trampolining?
YesNo

Q6. Are you a Sporting Club or hold Sporting Events?
Yes - Please answer Questions BelowNo - Go to Q7

Q6c. Is there First Aid officers onsite?
N/AYesNo

Q6d. Do you have a working with children clearance?
N/AYesNo

Q6e. Will all matches be overseen and controlled by qualified referees?
N/AYesNo

Q7. Liability Limit
$10,000,000$20,000,000

Q8. Do you require cover for Voluntary Workers?
YesNo

Q9. Do you require cover for Management Liability?
Yes - Please answer Questions BelowNo - Go to Q10

Q9a. Have you formed a legal entity?
N/AYesNo

Q9b. Has there been or is there now a pending claim against any person proposed for their insurance in their capacity of either Director or Officer of the Club/Association or any other Club/Association?
N/AYesNo

Q9c. Has any person proposed for insurance ever been subject to disciplinary action, been fined or penalised or been subject to any inquiry in their capacity as Director/Officer?
N/AYesNo

Q9d. Was the Club/Association trading profitably at the close of the last business month?
N/AYesNo

Q9e. Has the Club/Association had a minimum of 2 years trading experience?
N/AYesNo

Q9f. Has the Club/Association had 2 consecutive years of trading at a loss?
N/AYesNo

Q9g. Do you have employees?
N/AYes - Please answer Questions BelowNo - Go to Q9h

Do you have written employment contracts?
N/AYesNo

Do you use outside employment counsel for employment advice?
N/AYesNo

Do you have a policy that advice must be sought from the Human Resources Manager prior to terminating an employee?
N/AYesNo

Do you conduct background checks on all employees prior to commencement of employment?
N/AYesNo

Q9h. Do you require cover for Fidelity?
N/AYes - Please answer Questions BelowNo - Go to Q10.

Two signatures on all payments?
N/AYesNo

Are dual authorities required for all fund transfers and refunds?
N/AYesNo

Is a monthly reconciliation conducted of all bank accounts by someone who does not hand deposits, sign cheques, have access to electronic or mechanical signatures or conduct funds transfers?
N/AYesNo

Is an external audit conducted on all accounts including payroll?
N/AYesNo

Q10. Have any claims for Public Liability, Professional Indemnity or Property been made against the Applicant or anyone associated with the Applicant in the last five years?
N/AYesNo

Q10a. Have there been any incidents in the last five (5) years that may result in claims against the Applicant, whether the Applicant was insured or not?
N/AYesNo

Q10b. Has any Insurer ever declined, refused to renew or imposed special terms and conditions to any application, renewal or policy held by the Applicant?
N/AYesNo

Q10c. Has the Applicant or anyone associated with the Applicant ever been declared bankrupt, convicted of a criminal offence, arson, fraud or dishonesty of any kind?
N/AYesNo