Salt Search Contractor Declaration

PRIVACY STATEMENT

i2i Brokers are bound by the obligations of the Privacy Act 1993 regarding the collection, use, disclosure and handling of your personal information.  We will protect the privacy of your personal information.  We will use the information you provide in this Declaration Form to consider your application for insurance under Salt Contractor's Indemnity programme, to determine any special policy terms, to assess a claim, etc.

We will disclose this information to the Insurer of this programme, Chubb, who will use your information for the purposes we provided it to them (or if required by law)

COVER SUMMARY 

As a Contractor to Salt, you have the option to enrol into the Salt Contractors Professional Indemnity and Public Liability programme.  This covers any unintentional wrongful acts , errors or omissions or third party property damage or bodily injury that you may cause in the provision of your services whilst on assignment to a host client via Salt (it is not a motor vehicle cover nor is it an Income Protection policy).  It is exclusive to your activities while on assignment via Salt and does not extend to any other agency work or client direct engagements.  

Cover is NZD 2,000,000 Professional Indemnity and NZD 2,000,000 Public Liability in respect of on-hired temporary and contract white collar professionals; and USD 10,000,000 Professional Indemnity and USD 10,000,000 Public Liability in respect of on-hired temporary and contract graphic design and marketing services professionals, but only in respect of the Hong Kong based Facebook and Google contracts.


Lets get to know you

Are you on assignment with Salt as:
Which country is your assignment with Salt based?

Will you be providing any Products or Services involving any of the following:

Aviation Industry that in any way impact flight and/or navigation of Any Aircraft
Defence Industry that in anyway impact any weapon or combat systems
Medical Industry that in anyway impact the diagnosis or treatment of any ailment, illness or disease
Financial Services Industry that in anyway provides Financial or Investment Advice
Front end Network Security

If you have ticked "yes" in any box above, please provide a clear and concise description of what you are doing

Prior history

Have you had any claims for professional negligence, errors or omissions in the past 5 years?
Have you had any disputes with payment of your fees in the past 5 years?

Declaration