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Public Liability Insurance Application Form

We’ve made it easy for you to apply on line!

Looking for public liability insurance cover can be extremely time consuming and often very frustrating. At Builtin Insurance we aim to make the process of obtaining public liability insurance as simple as possible.

We deal only with one insurer who is able to offer comprehensive insurance cover at extremely competitive rates.

Click here to find out “What you must tell us”

You must tell us all information you know (or could reasonably be expected to know) which would influence the judgement of a prudent underwriter whether or not to accept your application, and if it is accepted, on what terms and at what cost.

Examples of information you may need to disclose include:
• anything that increases the risk of an insurance claim;
• any criminal record;
• if another insurer has cancelled or refused to renew insurance, or has imposed special terms;
• any insurance claim you have made in the past.

Examples of information you do not need to disclose include:
• anything that reduces the risk of an insurance claim;
• anything we say you do not need to tell us about;
• anything that is common knowledge;
• anything you have already told us, or that we should be expected to know in the ordinary course of our business.

These examples are a guide only. if you are not sure whether you need to disclose a particular piece of information, please ask.

WHEN in doubt – disclose. All information will be treated confidentially.

Please answer all questions. Blanks and/or dashes, or answers ‘known to underwriters or brokers’ are not acceptable and will delay consideration of this proposal.

Where appropriate, please tick the Yes or No box which best indicates your reply.

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Your details    
  Name of your business or company  
  Contact name    
  Telephone  
  What is your email address
(our preferred method of communication)
 
  Area of your operations  
  Postal address

 
  Main trade / occupation  
  Other trade, if any  
       
Business Details    
  How many years experience do you have in the trade?  
  How long have you been in business? years  
  Trading style  
  Number of principals and employees  
       
Cover    
  Estimated turnover next 12 months  
  Public Liability cover –  limit  required  
  Do you wish to include extension for  Defamation Liability? Yes No  
  Do your require Faulty Workmanship cover? Yes No  
  Do you wish to include extension for  Professional Indemnity? Yes No  
  Do your require Employers Liability cover? Yes No  
  Do your require Statutory Liability cover? Yes No  
  Do your require Employment Disputes cover? Yes No  
       
Claim History    
  Have you (either personally or under a trading/company name) made any Public Liability claim within the last 5 years?
Yes No  
  If you answered 'Yes' to the above question, please provide details  
  Previous/current insurer(s)  
       
Other Details    
  How did you come to find out about Builtin Public Liability Insurance? I am a Certified Builder
Through a Certified Builder
Google or other Search Engine
Advertising
Other
 
  Are you an approved broker? Yes No  
       
Cover Details    
  Can we contact you in the future via e-mail with details of other products and services that we offer? Yes No  
       

 

I hereby declare that the above statements are true, and I have disclosed all material facts and should any information given by me alter between the date of this proposal form and the inception date of the insurance to which this proposal relates I shall give immediate notice thereof.  
       

 

I authorise Builtin New Zealand Ltd on behalf of the underwriter, CBL Insurance Limited, to collect or disclose any personal information relating to this insurance to/from any other insurers or the Insurance Claims Register.  
       

 

I also confirm that I am authorised to act for and on behalf of all persons who may be entitled to indemnity under any policy which may be issued pursuant to this proposal form and I complete this proposal form on their behalf and with their consent.  
       
 

Defamation liability

Defamation (also called vilification, slander, and libel) is the communication of a statement that makes a false claim, expressively stated or implied to be factual, that may harm the reputation of an individual, business or product. Most jurisdictions allow legal actions, civil and/or criminal, to deter various kinds of defamation and retaliate against groundless criticism.

Defamation liability protects against infringement of trademarks, copyright, registered designs and plagiarism – along with unintentional defamation including negligent advice, mistake or misprint contained in a business publication

Professional Indemnity

Professionals and professional service firms perform in an environment of increased responsibility and accountability in New Zealand.  With litigation becoming an increasingly common means of settling disputes, professionals are being held more culpable for their advice and actions and any losses suffered as a consequence.

Builders and tradesmen, seen by clients as experts, particularly fall into the grey area of being “professional” – often draughting plans and specifications for small projects, inspecting homes pre-purchase, advising on application etc.

Very few, other than those companies which specialise in “design & build”, take Professional Indemnity cover, and they are inadequately covered under their Public Liability insurance policies.

Employers Liability

(This New Zealand terminology must not to be confused with similarly named global products and is sometimes referred to as ACC Shortfall):
 The Policy

The Employers Liability policy provides protection to employers for:

  • Settlements or damages payable (including exemplary damages) in respect of claims for personal injury to employees suffered in the course of their employment and not covered by Accident Compensation.
  • The costs incurred in defending or settling these claims, including any prosecution, inquiry or investigation.
  • The costs incurred in defending allegations of a breach of the Health and Safety in Employment Act 1992.
  • Reparation awards made by a Court following a prosecution under the Health and Safety in Employment Act 1992 and amendments.

Common Law Exposures for Employers

  • Mental anguish, in the absence of physical injury
  • Food poisoning
  • Injury caused by a gradual process; (disease or infection caused by passive smoking, and air conditioning systems for example).
  • Heart attack or stroke caused by stress.
  • Nervous shock or fright.
  • Stress and/or fatigue.

Health and Safety in the Workplace

The Health and Safety in Employment Act (1992) is now more than a decade old and during this period a significant number of employers and businesses have had experience in dealing with the Occupational Safety and Health Service in relation to workplace accidents.

Legal costs and ultimately fines have been the result for many and with the introduction of the Health and Safety in Employment Amendment Act in May 2003 the cost to business for a breach of the legislation is likely to increase significantly.

Among the changes introduced in May 2003 were:

  • Increased level of fines for companies and individuals
  • Specific confirmation of stress and fatigue as a basis for prosecution under the legislation.
  • Amended workplace definition to include motor vehicles as a place of work.
  • The prohibition on Insurers ability to indemnify its customer/s for fines and penalties.
  • The introduction of reparation awards made by courts in favour of employees who suffer harm as a result of a workplace accident. This has its origins in the passing of the Sentencing Act 2002 in July 2002.
  • The expanded definition of “employee” to include volunteers, trainees and workers on loan for the purpose of providing protection to such persons under the legislation.
  • Employees in NZ are covered for workplace accidents through ACC, however there are some exceptions as ACC does not cover emotional effects such as stress, hurt feelings, and loss of enjoyment. As a result the builderr employees can sue the builder for work related conditions that are not covered by ACC.
  • Employment Disputes

    (This is New Zealand terminology and is also called Employment Matters and might be better called Employment Issues):

    The Policy

    Employment Dispute insurance provides protection to employers for personal grievance actions taken by employees and prospective employees as a result of unjustified dismissal, discrimination or other disadvantage.

    Coverage is provided for:

    • Compensation for intangible loss, such as humiliation or loss of future prospects of employment (but not remuneration).
    • Compensation for most breaches of an employment contract, and also certain breaches of the Privacy Act 1993 and Human Rights Act 1993
    • The costs incurred in defending injunctions or orders restraining employers from initiating dismissal or other disciplinary procedures.
    • Defence costs, fines and penalties arising out of breach of certain compliance provisions of the Employment Relations Act 2000.

    A Challenging Environment for Employers

    Recent History has seen a number of changes in employment law which have and will continue to challenge even the most careful employers.

    The Employment Relations Act 2000 has provided the opportunity for unions to monopolise the collective agreement negotiating process and regain their right of access to employers.

    Statutory Liability

    The Policy

    The Statutory Liability policy provides protection to businesses for:

    • Defence costs associated with alleged breaches of the Building Act, Consumer Guarantees Act, Fair Trading Act, Privacy Act and most other statutes affecting commercial activities. The notable exceptions are police prosecutions and taxation legislation.
    • The costs of representation at an investigation or inquiry.
    • Any fine or cash penalty payable by the insured following conviction for an offence under the insured statutes, except under the Health & Safety in Employment Act.

    Under much of the legislation particularly the Building Act, Health and Safety in Employment Act, Commerce and Fair Trading Acts the result of an adverse judgement can be disastrous both financially and in terms of reputation, Maximum penalties are substantial and the cost of defence can easily exceed the fine itself.

    Most recently the introduction of the Health and Safety in Employment Amendment Act has created a number of new areas of exposure for businesses, an even more stringent compliance regime for workplace safety and with it harsher penalties.