Online Security Proposal - Online Networksteadfast

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Step 1 of 11 - Applicant Details

9%

Insured and Trading Name (incl. all subsidiary companies)*
ABN*
Taxable (GST input)*
Address*
Street Address City State Postcode Country
Business Number*
Mobile Number*
Email Address*
Website*
Current Insurer*
Expiry Date of Current Policy*
DD slash MM slash YYYY
Business Operating Hours*
Year Business Started Operating*
Name of Partners/Directors*
Name Qualifications / Experience

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Period of Insurance
From*
DD slash MM slash YYYY
To*
DD slash MM slash YYYY
Limit of Liability required?*

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Describe your Business Activities*
Do You sell or distribute any products?*
- Yes
- No
If yes, please provide details below*
Total Expiring Turnover*
Total Estimated Turnover for the coming period of insurance*
Total Expiring Wages*
Total Estimated Wages for the coming Period of Insurance*
For the purpose of Stamp Duty, please provide a breakdown by State of the Turnover for the last Financial year*
ACT % NSW % VIC % TAS % SA % WA % NT % OS %
Number of Staff
Full Time*
Part Time*

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Do you use sub-contractors?*
- Yes
- No
Please provide detail on how you select and train Sub-Contractors?*
Do they work under Your direct supervision and control?*
- Yes
- No
Please provide detail on how you ensure sub-contractors follow your company policies and procedures?*
Do sub-contractors have their own insurance?*
- Yes
- No
If yes, do you sight their policy?*
- Yes
- No
What is the minimum limit for their public liability insurance?*
Actual Payments to sub-contractors last year?*
Estimated Payments to sub-contractors this year?*
For what activities do You use subcontractors?*
Do you utilise the services of a Labour Hire Firm?*
- Yes
- No
Estimated Wages Paid for Labour Hire this year*
For what activities do You use Labour Hire?*
Do you assume liability under contract or hold others harmless (other than lease liability)?*
- Yes
- No
If yes, please provide details*

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Design or alteration of Security Systems*
Design or alteration of Security Systems*
Sales, Servicing & Maintenance of Security*
Installation of Security Systems*
Traffic Controllers*
Security Training*
Education Programs*
Security System Consultants*
Use of Firearms*
Manufacturing of Security Systems*
Use of Dogs*
Alarm Monitoring*
Static Guarding - e.g. business premises, Shopping centres, etc.*
Guard Dog training and/or breeding and/or sale of dogs*
Crowd Control - (Crowd control addendum required)*
Alarm Response*
Mobile Patrols*
Body Guarding*
Debt Collecting*
Other activities*
Activities %

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Please describe the type of premises are your providing Static Guarding & Mobile Patrol operation for?*
(Example - Office, Retail, Shopping Centres, Construction, Industrial Warehousing, Council, Hotel)
Do you provide Static Guarding to Shopping Centres?*
- Yes
- No
If yes, please provide the name/s of shopping centre/s and scope of work*
(i.e patrolling inside, perimeter only, working boom gates)
Name of Shopping Centre Scope of Work
Is the work conducted during both the day and night?*
- Yes
- No
Are you responsible for any cleaning activities?*
- Yes
- No
Does the contract stipulate crowd control for the shopping centres as well as Static Guarding/Mobile Patrols or only Static Guarding?*
- Yes
- No
Do you have contracts in place?*
- Yes
- No
If Yes, is the contract reviewed by legal counsel to ensure you cannot be held liable for unrelated security claims from the shopping centre?*
- Yes
- No
If yes, please provide the name/s of hotels and scope of work*
Name of Hotel Scope of Work
If yes, please provide risk management procedures, including COVID safety plan and the contract for review.*
Guard Dogs
Do You require insurance cover for guard dog activities?*
- Yes
- No
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Are all dogs properly kennelled when not being used for guard duty?*
- Yes
- No
What Percentage of your turnover includes use of Guard Dogs?*
Please list the security activities where you use Guard Dogs?*
Firearms
Do You require insurance cover for use of firearms?*
- Yes
- No
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Are Firearms and ammunition stored separately in locked containers whilst not in use as required by legislation?*
- Yes
- No
Are the Firearms serviced each year?*
- Yes
- No
What Percentage of your turnover includes carrying firearms?*
Please list the security activities where your staff carry firearms?*
Cash in Transit
Do You require Cash In Transit insurance?*
- Yes
- No
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On average how many carries per week?*
What will be the maximum any one carry?*
What is the average carry limit?*
What is the estimated total annual carry for the next twelve months?*
Do You enter into contract agreements with each client that engages You for their cash carry?*
- Yes
- No
Should the carry limit exceed $200,000, please advise how often this amount will be carried:*
Cash in Safe
Do You require Cash In Safe insurance?*
- Yes
- No
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Address where safe is located?*
Street Address City State Postcode Country
Maximum amount to be insured at each location*
Construction of premises in which safe is located?*
Walls Roof Floor
Specification of safe
Make and Model of Safe*
Thickness of safe door*
Thickness of safe walls*
Is the safe drill resistant?*
- Yes
- No
Is the safe torch resistant?*
- Yes
- No
Is the safe fixed to the floor?*
- Yes
- No
Manufacturer’s cash rating on the safe or the Australian resistance grade?*
Number of staff entrusted with the safe combination?*
Should the cash holding exceed $200,000, please advise how often and for what extent of time this amount will be held in the safe?*

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Details of the Security and Alarm System of Premises
Manufacturer?*
Back to base/ local?*
Number of staff entrusted with the alarm code?*
Areas of premises monitored?*
Details of Maintenance contract including company and frequency?*
Details of physical security, e.g. barred windows, caged doors, etc*
Professional Indemnity
Do You require insurance cover for Professional Indemnity?*
- Yes
- No
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Limit of Indemnity*
- $1,000,000
- $2,000,000
Estimated Annual fees generated in respect to professional services/advise*
Do You have a current Professional Indemnity policy in place?*
- Yes
- No
Who is the current insurer?*
What is the retroactive date?*
Day
Month
Year
Are you aware of any incident(s) that have occurred in the last 5 years that have given/may give rise to a claim against you in respect to Professional Indemnity?*
- Yes
- No
If Yes, please provide details*
Fidelity Guarantee
Available only if Cash in Transit is Requested
Do You require fidelity cover?*
- Yes
- No
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Limit Required? (Maximum Limit $100,000)*
Do You segregate duties so that no one individual can control any of the following activities from commencement to completion without referral to others?*
- Yes
- No
Signing cheques, preparing cheque requisitions, reconciling bank statements or issuing funds transfer instructions above $5,000*
- Yes
- No
Refund of Monies or return of goods above $5,000?*
- Yes
- No
Reconciling of bank statements or corporate/company purchase credit cards?*
- Yes
- No
Is there an annual independent physical count or audit of stock or services that is reconciled against inventory stock and/or work completed?*
- Yes
- No
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Do You have suitable first aid equipment?*
- Yes
- No
Are personnel appropriately trained in its application?*
- Yes
- No
Do You keep and maintain an incident report procedure and log?*
- Yes
- No
Do You have the appropriate current accreditation in Risk Management and Occupational Health and Safety?*
- Yes
- No
Are You a member or accredited with any association?*
- Yes
- No
Do You comply with the Code of Conduct for Your association?*
- Yes
- No
Do You comply with all relevant Australian/New Zealand Standards and legislation that pertain to Your Business?*
- Yes
- No

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Have You, Your partners, any other office-holders, or if a corporation, any of its directors proposed to be insured under this Policy, either alone or jointly
a) been convicted of or charged with any civil or criminal offence?*
- Yes
- No
b) ever been declared bankrupt?*
- Yes
- No
c) ever had insurance refused or cancelled or has any insurer ever imposed special terms, conditions or restrictions on Your policies?*
- Yes
- No
Are You aware of any uninsured losses or unreported incidents that may give rise to a claim?*
- Yes
- No
If yes to any of the above questions, please provide details
Detail all insurance claims made in the last five years.*
Date Amount Description of Loss

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Type of Venue
Type of Activity
% of Crowd Control Turnover
Permanent Stadiums
Sports Stadium, Racecourse, Aquatic Centres, Racetracks
Sporting Events including AFL, NRL, Rugby Union, Netball, Soccer, Baseball, NFL, Tennis, Horse Racing, Swimming, Diving, Greyhound Racing, Harness Racing
% of Crowd Control Turnover*
Temporary Stadiums
F1 Racing Track, Rodeo Stands, Equestrian Park,
One off Events including: Sporting Events, Concerts.
% of Crowd Control Turnover*
Private Functions at Licensed venues:
Function centres, Function Rooms/ spaces in Hotels, Exhibition Centres, RSL Clubs, Bowling Clubs
Celebrations including: Birthday, engagement, wedding, Graduation, Staff Functions, Anniversary, Christmas
% of Crowd Control Turnover*
Private Functions at Unlicensed venues:
Community Centres, Town centre, Parks, Streets, Commercial Premises, Private Homes, Churches, Hospitals
Celebrations including: Birthday, engagement, wedding, Graduation, Staff Functions, Anniversary, Christmas,
% of Crowd Control Turnover*
Community Events:
Art Galleries, Town Centres, Parks, Streets, Community Centres.
Markets, Seasonal Festivals, religious celebrations, Street Parades
% of Crowd Control Turnover*
Licensed Venues:
Concert Venues, Theatre Restaurants, Function Centres Community Clubs
% of Crowd Control Turnover*
Licensed Venues:
Hotels
% of Crowd Control Turnover*
Licensed Venues:
Strip Clubs
% of Crowd Control Turnover*
Licensed Venues:
Karaoke Bars
% of Crowd Control Turnover*
Licensed Venues:
Night Clubs (cover charge applied)
% of Crowd Control Turnover*

Please provide the following details for all Crowd Control Security Contracts

Venue Name	Suburb & State	Type of Venue	Average attendees	Average Number of Security Staff supplied	Do you regularly use sub-contracted Security?	Number of days per year you provide security staff for this venue?	How long has contract been held?	Actions

There are no Crowd Control Security Contract.

Maximum number of crowd control security contract reached.

Is there any other information you would like to provide?

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Declaration
I hereby declare that:

• I have read and understood the Important Notices set out in the Proposal; and
• I am authorised to complete and sign this declaration on behalf of all the applicants; and
• The answers and statements in this Proposal are true, correct and complete and that no material facts have been misstated, omitted or suppressed; and
• I have diligently made all necessary and detailed enquiries in order to comply with the Duty of Disclosure; and
• I understand that, up until a contract of insurance is entered into, I am under a continuing obligation to immediately inform the Insurer of any change in the particulars or statements contained in this form or accompanying documents
Signature*
Print Name*
Position/Title*
Date*
DD slash MM slash YYYY
Email
This field is for validation purposes and should be left unchanged.

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