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Broker & Agent Distributions CERTIFICATE OF CURRENCY Date of Issue: 06 Aug 2019 This is to certify that the undernoted Public & Products Liability Insurance policy is current for the period specified and is issued in accordance with the terms, conditions, definitions, limitations and exceptions noted therein: Name of Insured: DUCK FOR COVER ENTERTAINERS GROUP (covering Paid Member of Duck for Cover specified below) Insured members Name: BRETT HUNT (Duck Membership Number: 8691) Policy Number: 71 0182031 LCP Period of Insurance: 06 Aug 2019 until 4pm 12 August 2020 Limits of Indemnity: Public Liability $30,000,000 any one occurrence Products Liability $30,000,000 any one occurrence and in the aggregate during the period of Insurance. Situation: World Wide excluding North America Note: Duck for Cover members who are visitors to Australia are covered only in Australia. Insured Activities: Performing, busking, rehearsing, recording, exhibiting, adjudicating and teaching (subject to Workshop Extension Endorsement detailed below) the following insured activities: Actor / Theatre Performer / Theatre in Education Performer , Musician / Singer Specific Conditions: VENUE HIRE INCLUSION This Policy extends to cover the Insured member as an Event Organiser when hiring a venue in the Commonwealth of Australia for the following primary purpose: Performance of their insured activities (limited to 500 attendees) An end of workshop performance by students and/or member (limited to 500 attendees) Rehearsals , Sound recordings, workshops (where workshop cover is provided for that activity) Display of own artwork The policy specifically excludes any additional Liability imposed on the insured member by sole virtue of a signed Venue Hire Agreement which includes a Hold Harmless Agreement. It is noted that "Door Deals" where the insured member is remunerated by the venue based on the number of attendees at the performance and the venue provides all other services will not be deemed a Venue Hire and as such the attendee limit will not apply. WORKSHOPS EXTENSION - STANDARD The insured member is automatically covered for Workshops and Teaching of their listed activities. Students performing under the direction of the insured member are also covered under this extension while staging a show that forms the end of the workshop. No cover is provided for workshops or teaching which include any of the following: Aerial Performer Sword Swallowing Angle Grinding Parkour Cooking Bed of Nails Fire Acts Own Body Piercing Roller Skating / Skateboarding Interested Parties This policy automatically indemnifies any principal who hires a Duck for Cover member to perform or on whose land or premises the Duck for Cover Member temporarily occupies for the purpose of performing, busking, rehearsing, recording, exhibiting, adjudicating and teaching (including where required local Governments comprising City Councils, Municipal Councils, and other Authorities in Australia), in respect of such principal's liability for the acts, errors or omissions of the Duck for Cover member in the performance of work or as a result of the use of land or premises of such principal, subject always to the extent of cover and Limit of Indemnity provided in the Policy. This certificate confirms coverage for the full period of insurance shown (policy is non-cancellable). For all enquiries regarding this certificate please contact James Finucane of Steadfast IRS on 02 9034 5555. For all Duck for Cover membership enquiries please contact Anne Colman at Duck for Cover on 03 9439 5991. Signed by Allianz Allianz Australia Insurance Limited 2 Market St Sydney GPO Box 4049 Sydney, NSW 2000 DX 10154 SSE ABN 15 000 122 850 AFSL 234708

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Page 1: Allianz Australia Insurance Limited 2 Market St Sydney GPO ...troubie.com.au › wp-content › uploads › 2020 › 01 › Brett-Public-Liabili… · This certificate confirms coverage

Broker & Agent Distributions

CERTIFICATE OF CURRENCY Date of Issue: 06 Aug 2019 This is to certify that the undernoted Public & Products Liability Insurance policy is current for the period specified and is issued inaccordance with the terms, conditions, definitions, limitations and exceptions noted therein:

Name of Insured: DUCK FOR COVER ENTERTAINERS GROUP(covering Paid Member of Duck for Cover specified below)

Insured membersName: BRETT HUNT (Duck Membership Number: 8691)

Policy Number: 71 0182031 LCP

Period ofInsurance: 06 Aug 2019 until 4pm 12 August 2020

Limits of Indemnity: Public Liability $30,000,000 any one occurrenceProducts Liability $30,000,000 any one occurrence and in the aggregate during the period of Insurance.

Situation: World Wide excluding North AmericaNote: Duck for Cover members who are visitors to Australia are covered only in Australia.

Insured Activities: Performing, busking, rehearsing, recording, exhibiting, adjudicating and teaching (subject to Workshop ExtensionEndorsement detailed below) the following insured activities:Actor / Theatre Performer / Theatre in Education Performer , Musician / Singer

SpecificConditions:VENUE HIRE INCLUSIONThis Policy extends to cover the Insured member as an Event Organiser when hiring a venue in the Commonwealth of Australia for thefollowing primary purpose:

Performance of their insured activities (limited to 500 attendees)An end of workshop performance by students and/or member (limited to 500 attendees)Rehearsals , Sound recordings, workshops (where workshop cover is provided for that activity)Display of own artwork

The policy specifically excludes any additional Liability imposed on the insured member by sole virtue of a signed Venue Hire Agreementwhich includes a Hold Harmless Agreement.It is noted that "Door Deals" where the insured member is remunerated by the venue based on the number of attendees at theperformance and the venue provides all other services will not be deemed a Venue Hire and as such the attendee limit will not apply.

WORKSHOPS EXTENSION - STANDARD

The insured member is automatically covered for Workshops and Teaching of their listed activities. Students performing under thedirection of the insured member are also covered under this extension while staging a show that forms the end of the workshop. No coveris provided for workshops or teaching which include any of the following:

Aerial Performer Sword Swallowing Angle Grinding Parkour Cooking

Bed of Nails Fire Acts Own Body Piercing Roller Skating / Skateboarding

Interested Parties

This policy automatically indemnifies any principal who hires a Duck for Cover member to perform or on whose land or premises the Duckfor Cover Member temporarily occupies for the purpose of performing, busking, rehearsing, recording, exhibiting, adjudicating andteaching (including where required local Governments comprising City Councils, Municipal Councils, and other Authorities in Australia), inrespect of such principal's liability for the acts, errors or omissions of the Duck for Cover member in the performance of work or as a resultof the use of land or premises of such principal, subject always to the extent of cover and Limit of Indemnity provided in the Policy.

This certificate confirms coverage for the full period of insurance shown (policy is non-cancellable).For all enquiries regarding this certificate please contact James Finucane of Steadfast IRS on 02 9034 5555.For all Duck for Cover membership enquiries please contact Anne Colman at Duck for Cover on 03 9439 5991.

Signed by Allianz

Allianz Australia Insurance Limited2 Market St SydneyGPO Box 4049 Sydney, NSW 2000 DX 10154 SSE ABN 15 000 122 850 AFSL 234708

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YOUR WWCC IS CLEARED (EMPLOYEE)

Working With Children Check Number: WWC0647612E

Dear Brett Hunt

You have been cleared to work with children in both volunteer and paid roles.

Your details are:

Surname HUNT

First Name Brett

Other Name Maurice

WWC Number WWC0647612E

Type of Clearance Valid for paid and unpaid work

Expiry Date 15/03/2025

Important information about your Working with Children Check

You must give your WWC number and expiry date to your employer and anyone else you provide

a child-related service to, along with your full name as it appears on your identification documents

and date of birth. They will verify you on our system for ongoing monitoring. If you are self

employed, provide this information to those you are providing services for.

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Keep your WWCC number somewhere safe - if you move to another child related role, you will

need to give it to your new employer.

This Check is valid for 5 years. Keep your contact details up to date on our system and we will tell

you when it is time to renew

The WWCC number is now available for retrieval on the Service NSW app.

For name or gender changes, you will need resubmit your proof of identity.

Yours sincerely

Steve Gholab

Director

Working With Children Check

Office of the Children's Guardian

30/12/2019

The Office of the Children's Guardian is an independent statutory authority in NSW Government. We

protect children in NSW by promoting and regulating quality, child safe organisations and services.

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Page 5: Allianz Australia Insurance Limited 2 Market St Sydney GPO ...troubie.com.au › wp-content › uploads › 2020 › 01 › Brett-Public-Liabili… · This certificate confirms coverage

Dear Brett Hunt,

This email is to confirm that Sydney Catholic Schools (SCS) has successfully verified your

Working with Children Check (WWCC) and received your completed Safe School

Expectations Undertaking. Please note that completion of this process does not guarantee that

you will be offered work as a contractor or volunteer in a Sydney Catholic school but is a pre-

requisite to engaging with a school in that capacity. Please remember in completing the Safe

Schools Expectations Undertaking you have agreed to adhere to standards of behaviour

appropriate to an educational setting. If your circumstances change with respect to any of the

matters that were included in your Undertaking, you are required to advise SCS as soon as

possible.

Should you have any questions regarding this process please contact the SCS registration

team at [email protected].

Regards,

SCS

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This declaration must be completed by:

Volunteers who are

• Working as part of a fonnaf mentoring program (whether or not a parent or close relative at the school at which they ara volunteering) or

• Involved In intimate, personal care of children with a disability (whether or not a parent or close relative at the school at which they are volunteering) or

• Not a parent or close relative of a student et the school at which they are volunteering

Contractors who are

• Ordinarily involved In direct contact with children (for e.g. Speech Pathologists, health wor1(ers, band tutors, music tutors)

Those wori<efs listed above need to pmvlde the school with this completed form, a WNCC clearance and 100 points of ID In order that they can be verffted via eCPC. This documentation will be filed In secure storage at the school for 7 years post employment/engagement.

Cetegory of worker.

§ Specified volunteer

Child related contractor

Duke of Edinburgh Assnsor

Oaa,ollenf: MtfdnV...,, CM:n,I Check -Appendix 11- 0ec1nlan fort:Nld,--,Mltt - .-:Jl/ed~Md t:Nld ,.,,,.,c:onfr'ldDrl PnttlDoc: ~ with Chlldrln Ctiedt Procedwe Pswd Doc Number. HRP0001 0.- fPPIU'l/9d: 14 l'ebrlWY 2011 Doc No: HROOC01 I

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Sumame First Name Middle Name 1-\U Y\'t ~re tt Hauric CL Previous Names/Aliases Date of Birth

1 Gender I

Employee ID flf known) ,~ los 1q 1s t-fa <L

Telephone I Mobile Phone tJ A O't13 b8J o i b O'l-'23 bo3 o~~ Email Address

Wori(Phone b '"'- H- hu-,.., t- v ~"'"' p) a ph..> ~ "'--½ • C.Of'\I\ . Q '1 t--J A

Address 1 (Number,.Street Name) Mobile

J '3. 2 J I tv\fY"\Or"\ .S <S ~ ~-z...3 ~~ 3 osb Address 2 (Suburb/City)

State Postcode £,..,~ore... ~lW 2.042... Suburb/City/Town of Birth State of Birth (Australia Only) Country of Birth

lse o.°'- Nl W ~v.)tra\ ;°' Country of Citize~hip DOB 'NWCC clearance A ... .,+r.::-\ , c. 1v / og]191~ i I \ ( d t. +c.; h ~ lot.lJ

Please provide details of the approved documents according to the 100 point proof of ID check (100 point proof of ID is not required for Duke of Edinburgh Assessors)

Document Name Issuing Agency Reference number \.Jar k;n°' wi"·P·, C~ ldn"' N.\~ G,ovq_ f t"\C'"\el'\ J- l,.JWC064i lo 1'2 E

V Chtc..\c {2.oo.d5 q,._d Hct,; i;""'q_ Dr; ve r L,· oz.nt e_ ~ e r vi c f"\ (o4 -& 21i A.

H tc\i C 'i''- ccvd Dc.pttrt~e."t- of

~v M a,,, ~l?.rv, ·c ( ) 23~+ 1 3 \"2..4

I declare that:

1. I have no criminal convictions in the past ten years and em not subject to any pending court proceedings relating to a criminal matter in Australia or overseas.

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2. I have no convictions that cannot become spent within the meaning of the Criminal Records Act 1991 including but not limited to:

(i) convictions for which a prison sentence of more than six months has been imposed; or

(ii) convictions for sexual offences.

3. In making this declaration, I understand that •conviction· is defined in the Criminal Records Act 1991 end includes a conviction, whether summary or on Indictment, for an offence, end includes a finding or order that an offence has been proved, or that a person is guilty of an offence, without proceeding to a conviction.

Oocurnent WDrllklg with Chidnln Ch«lc -Apperdx 11- Dtclantlon lor chOd related wo111' - ,peci/ied WJ11111tHr and child relnd conlt'IC10r5 Pawlt Doc: ~ with Chiknn Clieck PrrJt»dur9 P"'911f Doc Number: HRPD001 Date approwd: 14 Febtulty 2017 Doc No: HROOC011

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• •

the depattma Ill~ Ilg.,, ofter of e,agager.,ert that ll has made t> me: Of

the depw;,1e1t lei,1111116ag m, •igagemert. or lakilg disdplil•y adion which may mclude my ~.and

• the~ C01adlt'1ag-,, false 0< mi1fe ads,g infomwtion r provide. when oons'dering any hue~ .. by me loreiigage,ne,-t.

~Wtlmlfat,\OIM9f,Oiect·~''-Oaa.,,b'dr/llJ,__,_._....,~,,., ~,..., ........ ,,,,.,,Doc ~--OIMWI ~~ ,-.,.,.0s~ HRPO(J01 0.- .,,,,.,,-: 14 Ff/bNrf Z017 Ooc:MJ:J#IIDOC01 f

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