Terms and Conditions – Statement of Fact

STATEMENT OF FACT - Combined Liability Musicians Network Member Policy

This Statement of Fact is the record of information provided to Us by Your insurance advisor on Your behalf and in conjunction with the Policy Document and Schedule. 

Please take care to review all documentation to ensure that the information provided accurately reflects Your circumstances and that the cover provided suits Your requirements.  You should pay particular attention to any terms Conditions limits and Exclusions including Endorsements which may require You to take action.

You confirm that You have answered the questions to the best of Your knowledge and belief and that You have fairly presented the risk to Us. It is very important that You check that the information is accurate and complete and includes all circumstances that might affect Our decision to insure You or the terms upon which such insurance is given. If it is not, please contact Your insurance advisor.

Failure to disclose all relevant facts fully and accurately may invalidate Your Policy or affect the amount We pay You in the event of a claim. If You are unsure whether certain facts are relevant You should disclose them to Your insurance adviser.

The following are statements provided about You

General Declaration

Neither You or any principal partner director or shadow director involved in Your Business has ever:

been convicted or charged with (but not yet tried) or given an Official Police Caution in respect of any criminal offence other than a motoring offence or an offence that is now considered “spent” under the current Rehabilitation of Offenders Act TRUE
been convicted of, charged (but not yet tried) with or officially cautioned for a breach of any Health and Safety or Welfare or Environmental Protection legislation TRUE
been disqualified under The Company Directors Disqualification Act 1986 from holding a company directorship TRUE
had an insurance proposal declined, renewal refused, insurance cover cancelled or special terms applied TRUE
been involved or associated with the management of any Company Partnership or Business which has ceased to trade following or as a result of the appointment of a receiver, liquidator, administrator or other insolvency practitioner TRUE
been involved or associated with the management of any Company Partnership or Business with an administrator liquidator or a supervisor or nominee under a voluntary arrangement or any compromise or arrangement with creditors whether formal or informal  TRUE
been served with a prohibition or improvement order under health and safety legislation TRUE
had a county court judgement awarded against them TRUE

Claims :

there have been no claims in the past five years outside of your membership to the Mobile DJ Network  TRUE

Liability

no work is undertaken away from the premises involving the use of heat, including welding or cutting equipment  TRUE
there is no sale, process, treatment, repair or other work undertaken on any products exported to USA or Canada TRUE
no employees reside or work outside of Great Britain, Northern Ireland, the Channel Islands or the Isle of Man TRUE
no work is undertaken in or around aircraft or airports TRUE
no work is undertaken in or around collieries, mines, chemical works, gas works, oil refineries, power stations, offshore installations or bulk oil petrol gas or chemical storage tanks or chambers. TRUE
no work is undertaken in or about railways TRUE
no work is undertaken in or about canals, viaducts, bridges, tunnels, ships, docks, piers, wharves, breakwater, sea walls,  TRUE
no work carried out involving exposure to radioactive substances or devices TRUE
You do not hold now and have never held an asbestos removal licence in the last 10 years

If You or Your employees come into contact with asbestos or asbestos containing materials, work will cease immediately and a licenced sub-contractor will be engaged to deal with such material

TRUE
Whenever work is carried out by bona fide subcontractors You obtain documentary evidence that such subcontractors have in force public liability insurance providing a limit of liability not less than £5,000,000 or that provided by Your current policy whichever is the lower and that the subcontractors policy covers the work to be undertaken and cover is in force for the duration of such work TRUE
Your business annual turnover does not exceed £75,000  True 

If any of the above statements are FALSE please supply full details in the box below

If any of the above statements are FALSE please stop your application now and contact us for clarification

Data Protection
Musicians Network, Sharrocks and Pardus Underwriting are committed to protecting and respecting Your privacy.
Any personal data You supply to Us will be treated in accordance with the Data Protection Act 1998 (the “Act”) and any other legislation intended to protect Your personal information and privacy.
Any personal data provided to Us, including sensitive personal data (such as information relating to health or criminal convictions), will be processed by Us for the purposes of:
(a) providing insurance, handling claims and any other related purposes.
(b) offering renewal, research or statistical purposes.
(c) providing You with information, products or services that You request from Us or which We feel may interest You, where You have consented to be contacted for such purposes.
(d) notifying You about changes to Our service.
(e) safe-guarding against fraud and money laundering.
The personal data that We collect from You may be transferred to, and stored at, a destination outside the European Economic Area (“EEA”). It may also be processed by staff operating outside the EEA who work for Us or for one of Our suppliers. Such staff maybe engaged in, among other things the provision of support services. Where We transfer Your personal data outside of the EEA, We will take all steps reasonably necessary to ensure that it is treated securely.
Pen Underwriting may disclose Your personal data to third parties involved in providing products or services to Us, or to service providers who perform services on Our behalf. These include:
(a) Our group companies, which means Our subsidiaries, Our ultimate holding company and its subsidiaries, as defined in Section 1159 of the UK Companies Act 2006.
(b) affinity partners.
(c) reinsurers.
(d) other insurance intermediaries.
(e) insurance reference bureaus.
(f) credit agencies.
(g) medical service providers.
(h) fraud detection agencies.
(i) loss adjusters.
(j) solicitors/barristers.
(k) accountants.
(l) regulatory authorities; and
(m) as may be required by law
You have the right to ask Us not to process Your personal data for marketing purposes. We will usually inform You (before collecting your data) if We intend to use Your data for such purposes or if We intend to disclose Your information to any third party for such purposes. You can exercise Your right to prevent such processing by checking certain boxes on the forms We use to collect Your data. You have the right to access any personal information We hold about You. Your right of access can be exercised in accordance with the Act. Any access request may be subject to a fee of £10 to meet Our costs in providing You with details of the information We hold about You.
Fraud Prevention Agencies
If false or inaccurate information is provided and fraud is identified or suspected, details may be passed to fraud prevention agencies.
Law enforcement agencies may access and use this information.
We and other organisations may also access and use this information to prevent fraud and money laundering for example when:
• checking applications for and managing credit and other facilities and recovering debt;
• checking insurance proposals and claims;
• checking details of job applicants and employees.
We and other organisations that may access and use information recorded by fraud prevention agencies may do so from other countries.
Identity of Insurers:
Your policy is administered by Pardus Underwriting Limited a Managing General Agent and Underwritten by Accelerant Insurance Europe SA, Bastion Tower Level 20 Place du Champ de Mars 5, 1050 Brussels.
Sharrocks Insurance Services Ltd.
High Street, Sheerness,
Kent ME12 1UD
01795 580 800
enquiries@sharrock-insurance.com
www.sharrockinsurance.co.uk
Authorised and Regulated by the Financial Conduct Authority Sharrock Insurance Services Ltd Registered Address: Company No. 6842697 Managing director: Alan Doucy
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