Production Property and Public Liability Insurance

(Equipment, Office Contents, Props, Sets & Wardrobe)

Please fill out form and submit

Please do not close the web page or clear your browser until you submit the form, or the information will be lost.
If there is insufficient room on the form please provide additional information via email to david@galvaniize.com.au.

FILL OUT FORM

Production Property and Public Liability Insurance Form

"*" indicates required fields

General Information

1. Insured Name:*

2. ABN:*

3. Address:*

Street Address City State / Province / Region Zip / Post Code Country

4. Contact Name:*

5. Contact Email*

6. Contact Phone:*

7. Number of employees:*

8. Additional Insured(s) (if applicable):

9. Interested parties (if applicable):

10. Business activities (must confirm all):*

11. How many years of experience in the business activities declared:*

12. Period of Insurance:

From*

MM slash DD slash YYYY

To*

MM slash DD slash YYYY

13. You acknowledge the Film & Entertainment liability policy will have a strict stunts and hazardous exclusion. No cover is granted unless confirmed in writing by the Insurer upon receipt and acceptance of the safety report and/or risk assessment.*

Yes

14. Will there be any stunts; scenes involving animals; motor cycles; vehicles; watercraft; aircraft; explosives; pyrotechnics; use of trains/railroad; equipment mounted to any vehicles, watercraft/vessels, aircraft; or any other hazardous activities:*

Yes

Supply full details here. If not known please confirm you will supply GALVANiiZE Insurance with the safety report and / or risk assessment with full details for the Insurers consideration.

15. Have any of the Insureds:

i. Ever been convicted of a criminal offence relating to arson, fraud or otherwise involving dishonesty?*

Yes

ii. Ever had any insurance declined, cancelled or made the subject of special terms or conditions?*

Yes

iii. Lodged a claim on an insurance policy (other than for a motor vehicle or a life policy) during the past 5 years?*

Yes

iv. You acknowledge GALVANiiZE Insurance will need more information from you if you have answered yes to a. b. or c.?*

Yes

16. Have any of the Insureds arranged any other Film Liability insurance through another Insurer?*

Yes

17. Have you read the following Galvaniize Insurance compliance documents: *

Important Notices

General Advice Warning

Major Uninsured Risks

View Required Compliance Here

Public Liability Section of Cover

18. Gross Annual Production Costs (GAPC):*

19. Gross Revenue (If different to GAPC above):*

20. Limit of Indemnity:*

i. $10,000,000 (AUD)

ii. $20,000,000 (AUD)

iii. $50,000,000 (AUD)

21. Geographical Limits:*

Australia Wide

World Wide

22. Do you require any drone liability insurance

Yes

23. List filming locations (if known)

24. You acknowledge the Film & Entertainment liability policy attracts the following exclusions and other insurance may be required via Galvaniize Insurance:

i. “ANY” Aviation/Aircraft/Hovercraft (this includes Planes and/or Helicopters).*

Yes

ii. “ANY” registered Vehicles (Buses, Trucks, Motorhomes, Cars, Bikes, Cherry Pickers, etc.).*

Yes

iii. “ANY” Boat or Marine Vessel greater than 10 metres.*

Yes

iv. Construction - Contract values in excess of $500,000 (AUD).*

Yes

25. Have any of the Insureds entered into any agreement which would affect your right to make a claim against a responsible Third Party in the event of a claim under the insurance now being proposed?*

Yes

Production Property Section of Cover

26. You agree to provide a breakdown of all items to be insured via an excel spreadsheet (blank sheet to be emailed by GALVANiiZE Insurance).*

Yes

27. Total Sum of Production Property to be Insured:

Total Owned Equipment

Premises Only*

Australia Wide*

Worldwide*

Total Non-Owned Equipment

Premises Only*

Australia Wide*

Worldwide*

Total Office Contents:

Premises Only*

Australia Wide*

Worldwide*

Props Sets and Wardrobe:

Premises Only*

Australia Wide*

Worldwide*

Other (please specify)

Premises Only*

Australia Wide*

Worldwide*

28. Will equipment be loaned out, hired out or rented out?:*
Yes
No
If yes please email a copy of your terms of business (hire agreement) to GALVANiiZE Insurance

29. Please confirm you require fire cover*
Yes

30. Optional extensions required (additional premiums apply)?:*

i. Breakdown: Do you require any breakdown cover:*
Yes
No

ii. Loss of Use of Hire - Owned Equipment:*
Yes
No

31. Known Location(s) the Insured equipment is returned when not in use and overnight?*

32. Indicate by ticking if the following security measures are in place at premises where Equipment usually resides:*
Deadlocks on all external doors
Keyed locks on all windows
Local alarm
Monitored Alarm
Swipe Entry
24 hours Security
CCTV
None
Other (Please specify)

Other (Please specify)

33. Indicate by ticking if the following security is in place whilst equipment is locked in a motor vehicle:*
Question not applicable:
Engine immobiliser:
Alarm:
Full Metal Jacket:
Metal Cage:
Secured/Parked in a locked Garage overnight:
Secured/Parked in an unsecured driveway/carport
No Security:
Other (Please specify)

Other (Please specify)

34. Do all major items have protective transport casing when in transit or storage?*
Yes
No

DECLARATION
This Declaration must be signed by the intending insured. If the intending insured is a company, partnership or other business venture or involves more than one person or entity, then the person signing this declaration must be the one authorised to sign on behalf of all persons/entities identified as the intending insured.
Before completing this document, I/We have read and understood the information herein, including the Galvaniize Insurance Important Notices, General Advice Warning and the Major Uninsured Risks.
The answers given in this FACT FINDER / PROPOSAL FORM and any other information supplied by the intending insured or by any other party on their behalf, are truthful and accurate.
I/We understand that the Insurer(s) are relying on information supplied herein to decide whether or not to accept or reject this risk and that no material information has been knowingly withheld.

Signature*

Date: 23/06/2025

Print Name:*

Position / Title:*

Comments
This field is for validation purposes and should be left unchanged.

Galvaniize Pty Ltd ABN 26 600 154 354 CAR 471763 Corporate Authorised Representative and David McEwan AR 471764
Authorised Representative of Community Broker Network Pty Ltd T/As Community Broker Network (CBN) ACN 096 916 184 AFSL 233750.
CBN are a Steadfast Group Limited subsidiary.
Steadfast are a public listed company and listed on the Australian Stock Exchange.

OFFICE LOCATIONS

OFFICE LOCATIONS

CALL US

INTERNATIONAL

WHAT WE COVER

FIND YOUR INDUSTRY

ABOUT

RESOURCES

Production Property and Public Liability Insurance

Please fill out form and submit

Production Property and Public Liability Insurance Form

General Information

Public Liability Section of Cover

Production Property Section of Cover

DECLARATION

What our clients are saying

John Citizening

Get the inside track

OFFICE LOCATIONS:

POSTAL ADDRESS

CALL US

INTERNATIONAL

Get a Quote