Central Districts Field Days Public Liability Insurance Acknowledgement

Please note if you supply your PLI certificate you will not need to complete this form. Check below for the requirements.
Name *
It is a requirement of the Central Districts Field Days (“Organiser”) terms and conditions that all exhibitors who answer “yes” to any of the questions listed in the table below must have public liability insurance cover for an amount not less than $2,000,000.00 (“Cover”). All of those who require Cover must provide proof of Cover or a sworn affidavit to the same effect to the Organiser prior to 20 January 2019. If an exhibitor is required to have Cover and does not have their own the Organiser will arrange a separate public liability policy that the Exhibitor can access for a fee of $50.00 including GST which will be invoiced to the exhibitor. A summary of the Cover made accessible by Stuff Limited is as follows: Insurer: Vero Liability Insurance Limited The Insured: Exhibitors and site holders as declared to the insurer The Business Description: Exhibitor and site holder at Stuff Limited Central District Field Days event Period of Insurance: Actual number of days of the event, including set up and set down days Limit: $2,000,000 any one occurrence Excess: $1,000 Important Exclusion – Products Liability: The policy does not apply to third party property damage or personal injury caused by, arising out of or in any way connected with your products. Important Exclusion - Motor Vehicles: The policy does not include liability arising out of use of motor vehicles. If evidence of Cover is not received by 20 January 2019 it will be assumed that the exhibitor requires Cover to be made available and the exhibitor will be invoiced accordingly. Please answer the questions below and indicate whether the Exhibitor has its own Cover or will be requiring Cover to be made available.
If the Exhibitor answers “Yes” to any of the below questions Cover will be required: *
Please tick the option which applies: *
Please indicate whether the following applies: *
The Exhibitor has previously supplied proof of Cover to the Organiser, the Cover has been renewed and no changes have been made.
By submitting this form the Exhibitor acknowledges its public liability insurance requirements as an exhibitor at the Central Districts Field Days, confirms it is authorised to submit this form, and warrants that the answers to the above questions are true and correct. Please send any cheques to Stuff Limited, Private Bag 4906, Christchurch 8140. Once complete please sign and click Submit