INSURANCE DETAILS. Do you have Public Liability Insurance? ☐ Yes Commercial businesses, not-for-profit organisations and regular users require public liability Attach copy of your Certificate of Currency for the amount determined by the local government covering the scope and dates of the activity. ☐ No Private casual users only Complete next section (Casual User of Council Facilities Liability Insurance Acknowledgement and Declaration Form).
INSURANCE DETAILS. 1. If insurance policies meeting the Requirements of this contract are not generally available to Contractor, Contractor may provide substantially Similar coverage and shall so notify Owner in writing.
INSURANCE DETAILS. (a) The insurance policies specified in clause 19.1 must:
INSURANCE DETAILS. (a) The insurance policies specified in clause 13.1 must be held with a sound and reputable insurer.
INSURANCE DETAILS. The Contractor must provide the following in accordance with clause 5.19 of this Contract: Insurance Type Insured Amount
INSURANCE DETAILS. I have a current Public Liability Insurance certificate. (Please attach a copy as part of this request) YES NO I’d like to purchase Council’s Public Liability Insurance coverage for $28.15 (Applies to Community groups & private citizens only) YES NO
INSURANCE DETAILS. Name of Insurance Company: ……………………………………...... ......................................................................................... Insurance Company advised on: ………………………………….... Date: ……………………… Signatures: I/We agree to be bound by the attached terms and conditions of the Self Storage Licence Agreement ........................................................... Date: ……………………… Customer’s Signature: ........................................................... Date: ……………………… Signed on behalf of Kaizen Management Ltd Trading as Doubtless Bay Storage
INSURANCE DETAILS. Medical and travel insurance is compulsory to attend Greenhithe School. The insurance must cover the date the student departs their home country to the date they depart New Zealand. The school recommends that a parent staying with their child also chooses to take out medical and travel insurance. The school insurance company is Southern Cross. Do you wish to purchase insurance through the school? Yes / No If ‘Yes, do you also need to purchase for additional family members? ▢ Mother ▢ Father ▢ Sibling(s) ▢ Other Relative If you are providing your own insurance, please ensure cover is unlimited. You must provide the school with an English translation of this insurance cover, including the student’s name. Name of Insurance Company: Policy Number: Policy Start Date: Policy Expiry Date: PART TWO THE TERMS AND CONDITIONS APPENDED TO THIS APPLICATION, FORM AND GOVERN THE STUDENT’S TUITION AT THE SCHOOL. BY SIGNING BELOW THE SCHOOL AND THE PARENTS OR LEGAL GUARDIAN AGREE TO THOSE TERMS AND CONDITIONS. PLEASE ENSURE THE TERMS AND CONDITIONS ARE READ CAREFULLY.
INSURANCE DETAILS. Do you wish to purchase insurance through the school? ⬜ Yes ⬜ No If you are providing your own insurance, please provide a copy of the Policy in English to the College once purchased. Please state clearly any medical condition or illness, physical or mental, the student is suffering from that we should be aware of and that may require medical attention: Student Accommodation: Please select ONE from the following checkboxes:
INSURANCE DETAILS. The Contractor must provide the following in accordance with the MSA: Insurance Type Insured Amount Public liability e.g. $50,000,000 Loss of aircraft hull Required <insert Insurance Type> $<insert as per table below> <insert Insurance Type> $<insert as per table below> <insert Insurance Type> $<insert as per table below>
