On-line Security Guards Public and Products Liability Insurance

Thank you for considering our on-line security guards public and products liability insurance service.   Because Greater National Group is an insurance broker, not an insurance company, we will process your application with major insurance companies in order to find the right security guards public and products liability insurance for you.

Please fill in the following form as fully as possible, then click 'submit' at the end of the form.
You can use the TAB key to move to the next field. We will respond with your terms as soon as we have researched the market for the right available deals that fit your requirements.

Limit of Liability Required:
1a. Please select the amount of Liability cover required:
$5,000,000 $10,000,000 $15,000,000 $20,000,000
Public Liability (any one occurrence)
Products Liability (each Period of Insurance)
1c. Property in Care Custody and/or Control (Premises, Vehicles, Employees Property, other Property excluding keys, money and documents) Limit of Liability: $
1d. Total amount of Money and Documents carried during this year: $
1e. Loss of Money and Documents Limit of Liability: $
1f. Loss of Keys Limit of Liability: $
1g. Errors and Omissions Limit of Liability: $
2. Do you currently have Public Liability insurance?
Yes No
If Yes, please provide details below:
Expiry Date
Insurance Company
Indemnity limit $
Excess $
Premium $
Business Details:
3. Name of Partners/Directors:
4. Background of Partners/Directors:
5. Are you a member of a security association?
Yes No
If Yes, please provide details:
6. Date established:
7. Number of full time staff:
8. Number of part time staff:
9a. Actual Turnover for last year: $
9b. Estimated Turnover for this year: $
10a. Actual Wages for last year: $
10b. Estimated Wages for this year: $
11. What percentage of turnover is derived from the following:
Design or alteration of security systems: %
Installation of security systems %
Investigation %
Service and maintenance of security systems %
Static guarding e.g. Business premises, shopping centre's banks, gate-houses %
Mobile patrols %
Responding to alarms %
Cash carry %
Use of Firearms %
Use of Dogs %
Body guarding %
Debt collections %
Traffic control %
Education programs i.e. self defence etc. %
Fire arms training %
Guard dog training, breeding or sale %
Monitoring of alarms %
Manufacture of security systems %
Airport Security %
Medivac Services %
Crowd Control %
Crowd Control - Hotels %
Crowd Control - Concerts %
Crowd Control - Discos %
Crowd Control - Entertainment venues %
Other (please specify) %
12. Do you use sub-contractors? Please note: Any and all subcontractors whose services are used by the Insured are deemed NOT to be Employees and shall provide their own liability insurance in an amount as least equal to this insurance or a greater Limit of Liability as required by the Insured.
Yes No
13a. Do you provide guard dog security?
Yes No
If Yes, please state:
13b. Total number of dogs:
13c. Are dogs permanently under control of handler?
Yes No
If No, please provide details:
13d. Are all dogs properly kenneled when not being used for guard duty?
Yes No
13e. Are all dogs professionally trained prior to being used for guard duty?
Yes No
14a. Do you use firearms?
Yes No
If Yes, please state:
14b. What percentage of your turnover is derived from gun use? %
14c. Number of guards licensed to use guns?
14d. Number and type of firearms used?
14e. Are firearms serviced each year?
Yes No
14f. How often is shooting practice undertaken each year and provide details:
14g. Confirm all firearms are licensed and is copy of Licence sighted?
Yes No
14h. Confirm all guns are stored, when not in use, under government approved storage conditions?
Yes No
15a. Do you use batons?
Yes No
If Yes, please state:
15b. Number and type of baton used?
15c. Please provide details of training undertaken:
16a. Do you provide warning signs or notices?
Yes No
If Yes, please state:
16b. Types of signs/notices:
16c. Are signs well posted and open to full display?
Yes No
16d. Do you display signs at minimum distances?
Yes No
17a. Do you have a clear protocol and security for the locking of keys out of hours?
Yes No
Please provide details:
17b. Is a record kept of who has swipe card access and times used?
Yes No
Please provide details:
17c. Is any re-keying done with your knowledge?
Yes No
Please provide details:
18. Do you provide any indemnities, hold harmless conditions to any customers, suppliers or other parties?
Yes No
If Yes, please provide the details or attach a copy of the contracts:
19. Do you contract to any State, Federal Authorities or Airports?
Yes No
If Yes, please provide full details:
20. Do you provide and Medivac services?
Yes No
If Yes, please provide full details:
21. Have you in the past, either alone or in partnership or jointly with any party, or if a corporation any of its directors:
21a. Suffered any loss, destruction or damage for risks to be insured under the proposed policy?
Yes No
21b. Had any insurer decline any claims submitted?
Yes No
21c. Had any insurer decline any Proposals submitted?
Yes No
21d. Had any insurer cancel or refuse to renew a Policy?
Yes No
21e. Had any insurer require any increased premium or imposed special conditions?
Yes No
21f. Every been bankrupt?
Yes No
21g. Been convicted of or charged with any civil or criminal offence?
Yes No
If you answered Yes, to any of the above, please provide full details:
22. Detail all insurance claims made in the last five years together with any uninsured losses. Please include dates and amounts:
Date of Loss Type of Loss Amount Name of Insurer

Duty of Disclosure:
Are you aware of any matters not disclosed above that is relevant to the underwriter's consideration of this insurance?
Yes No
If so, please provide details:
I/We hereby declare that:
My/Our attention has been drawn to the Important Notices accompanying this form and further I/we have read these notices carefully and acknowledge my/our understanding of their content. The above statements are true, and I/we have not suppressed or mis-stated any facts and should any information given by me/us alter between the date of this form and the inception date of the insurance to which this relates I/we shall give immediate notice thereof. I/We authorise GNG and the Insurer to collect or disclose any personal information about another individual (for example, an employee, or client), I/we declare that the individual has been or will be made aware of that fact and the Privacy Policy. I/We also confirm that I/we am/are 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 form and I/we complete this form on their behalf.
Any other comments, requests or relevant information you need to add:
Contacting you about your quote:
In order to select the most appropriate cover for you, it may be important to discuss quote details in person. Please leave a contact phone number and best time to call to facilitate this.
Your full name:
Company/Business/Name of Applicant to be Insured:
Your phone number (please include area code):
Your mobile phone number:
Best time(s) to call:
Please send my quote by (select at least one):
email phone fax mail
Your email address:
Your website address:
Your fax number:
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