• IT Insurance Proposal (Professional Indemnity & Public Liability)

    Tell us about your business and we will find you a competitive quote. Once you have completed the form, click the Submit button to send your information.

    Your request for a quote will be handled promptly.

    Prefer to talk it through? You can call Liability Brokers during business hours to discuss your quote, or leave us a recorded message at the bottom of this form..

  • Are you an existing Liability Brokers client?*
  • Do You require cover for any subsidiary or associated company?*
  • Does Your business incorporate any prior trading entities?

  • Professional Duties

    Now we need to understand what you do in order to rate your risk

  • Qualifications

  • Do you hold the necessary qualifications required to perform all the services you have selected to be included in your cover?*

  • Quote Required

    Select the amount of cover you require.
  • Professional Indemnity*
  • Public & Products Liability*
  • Are you currently insured?*

  • Underwriting Questions

  • Rows
  • Rows
  • Do you require USA and Canada Coverage?*
  • Is more than 25% of the Your fees/income derived from the Finance & Banking sector?
  • Rows

  • NSW Small Business Stamp Duty Exemption

  • I declare that I/we are a small business eligible to seek a stamp duty exemption and have an aggregated turnover of less than $2 million.*

  • Notes:
    Aggregated turnover is your Australia wide annual turnover plus the annual turnovers of any business entities that are your affiliates or are connected with you.

    A fraudulent declaration may invalidate your insurance contract.

    The declaration covers all policies issued to you during the last financial year.

    An insurer will place reliance on your declaration in charging the applicable insurance duty

    False declarations may result in penalties up to $11,000 by Revenue NSW plus the Insurance duty not paid and penal interest on that balance.

    Revenue NSW may also be able to darify your queries relating to the law and your obligations.

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    IT Services Provided

    Please provide a PERCENTAGE breakdown of Your business activities -

    Revenue by Type of Service.

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    ** ERROR - The total must equal 100%

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    Industries Serviced

    Do You provide any services or supply components in the following industries?

  • Adult Entertainment
  • Agricultural applications
  • Artificial intelligence application or system
  • Aviation, radar, aircraft, watercraft
  • Critical parts of autos or other transportation equipment/controls
  • Encryption software (Designer or Manufacturer)
  • Financial Transaction or Analysis Software
  • Fire, security or other emergency processes/applications (eg.CCTV)
  • Industrial control systems/SCADA/robotics
  • Manufacturing systems (eg. control systems, robotics, PLC, CAM)
  • Medical technology (excluding admin and management systems)
  • Military technology (weapons and combat systems)
  • Mining industry applications
  • Online Gaming or gambling applications
  • Pollution control device systems
  • Privacy applications
  • Public Key Infrastructure software (design or manufacture)
  • Resource processes (oil, gas, power, nuclear, waste disposal etc.)
  • Security systems
  • Services to stock exchange,broking or clearing house systems
  • Telecommunications carriers
  • Transport industry
  • Utilities - water & power generation/distribution software
  • Do You undertake any welding or hot work?
  • Do You undertake any underground digging or trenching?*

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    Manual Risks

    Manual risk exposure involves:

    • Manual labour or manual tasks performed by yourself (apart from measuring).
    • The supervision of manual labour or manual tasks performed by other parties.
    • The responsibility of manual labour or manual tasks performed by other parties.
    • The training of others on how to perform manual tasks.
  • Does your business involve Manual Risk exposure?*

  • Contractors

  • Do you employ contractors, sub-contractors?*
  • Do You require cover for sub-contractors you hire?*

  • 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).*
  • Have you entered into any contracts or agreements which contain an "Hold Harmless" clause, "Indemnity Clause" or "Joint Insured" clause?*
    • "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?*
  • 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?*
  • Has any applicant ever been subject to disciplinary proceedings for professional misconduct?*
  • Has any applicant ever had a Liability Insurer decline to continue the applicant's insurance or cancel their insurance?*
  • Have you (or any person receiving cover under this policy) ever been involved in a company that has been declared bankrupt or insolvent or been liable for any civil offence or pecuniary penalty or been charged or convicted for any criminal offence including fraud, theft or dishonesty?*

  • 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.
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  • 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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