•  

    Professional Indemnity Insurance for Consultants

    Tell us about your business and if everything is straight forward a quote will be given at the end. There are some questions that if answered YES, will require manual rating.

    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.

  • Do You require cover for any subsidiary or associated company?*
  • Does Your business incorporate any prior trading entities?*
  • Professional Duties
    We need to understand what you do in order to rate your risk

  • Are you involved in consulting to large Public Companies?*
  • Sums Insured

  • Professional Indemnity*
  • Public Liability*
  • Underwriting Questions

  • Do you hold the necessary qualifications required to perform all the services you have selected to be included in your cover?*
  • Are you currently insured?*
  • Estimated Annual Gross Fees*
  • Do you require USA and Canada Coverage?*
  • Is more than 25% of the Your fees/income derived from the Finance & Banking sector?*
  • Locations of Work
    Please note the percentage of Your activities (based on income) for each State. Total must equal 100%

  • 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.*
  •  

     

    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?*
  • High Risk Services

    • Mergers, acquisitions or divestures
    • Restructuring or sale of assets
    • Tender or capital raising activities
    • Accounting, audit, insolvency or tax advice
    • Legal advice
    • Intellectual property consulting
    • Financial planning, investment or insurance advice
    • Providing valuations
    • Consulting to the utilities industries eg. electricity generation
    • Real estate or building consulting
    • Advising on mining processes or working at mine sites
    • Military installations, systems or warfare equipment
    • Oil & gas industry
    • Scientific, medical or technological advice
    • Consulting to the aerospace, aircraft industry
  • Do you provide advice or services in any of the above areas?*
  • Contractors

  • Do you employ contractors, sub-contractors?*
  • Do You require cover for sub-contractors?*
  • If "NO", do You insist they carry their own insurance?*
  • Contracts

  • Do You always enter into written contracts with your clients covering the services that You have agreed to provide?*
  • WARNING: Signing of Contracts

    There are potential insurance ramifications of signing contracts without appropriate legal advice. Many contracts have "hold harmless" clauses included in them and put the insured in a situation where they may not be covered under their liability policies. This policy has an exclusion relating to Contractual Liability. Basically, the exclusion states that the Insurer will only provide indemnity for any contractual liability where the signing of the contract does not increase the insured's liability beyond what would have applied had the contract not been signed.

    NOTE: All contracts should be checked by your lawyer before signing.

  • Insured's History

    YOU means this Business or any of its predecessors or any prior business of any of its current or former Partners, Principals or Directors.  

  • Have any claims been made in the last ten (10) years against YOU, or have circumstances been notified to insurers that might give rise to a claim?*
  • Are YOU aware of any claim or circumstances that might give rise to a claim which matter is not referred to above?*
  • Have YOU ever been subject to disciplinary proceedings for professional misconduct?*
  • Have YOU ever had a Liability Insurer decline to continue the insurance or cancel the insurance?*
  • Have YOU 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.
  • Your quote will be sent to the email address provided. 

    Please refer to this email for instructions on how to proceed.

  • Should be Empty: