Professional Indemnity for Pool Safety Inspectors
This form is for Pool Safety Inspections only.
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Professional DutiesWe need to understand what you do in order to rate your risk
Sums Insured
Underwriting Questions
Locations of Work
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 dutyFalse 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.
Manual Risks
Manual risk exposure involves:
Contractors
Insured's History
Declaration
By submitting this Declaration the Applicant acknowledges:
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