Agent Sure

Considering the legal implications and regulatory framework under which Property Practitioners operate, they are required to provide skilled and accurate professional advice regarding property transactions to avoid any negligence or delictual claim arising against them.

LSG, in conjunction with Camargue Underwriting Managers (Pty) Ltd have created a professional indemnity cover Agent Sure that protects property practitioners from liability for the cost of defending negligence claims instituted against them from, inter alia, the provision of incorrect advise, listing property incorrectly, failing to disclose material defects in properties and misrepresentation or breach of contract.

Application Form

Policy Wording

Property Practitioners Professional Indemnity Insurance [PPPII]

Premium Table

Revenue Per Annum	Limit of R1m Annual Premium	Limit of R1m Monthly Premium	Limit of R2.5m Annual Premium	Limit of R2.5m Monthly Premium	Limit of R5m Annual Premium	Limit of R5m Monthly Premium
R1 – R500k	5,500	505	9,500	870	14,000	1,285
R500k - R1m	6,000	550	10,000	915	14,500	1,330
R1m - R1.5m	6,500	595	10,500	965	15,000	1,375
R1.5m - R2m	7,000	642	11,000	1,010	15,500	1,420

Excess: R10,000
For revenue per annum in excess of R2m please refer to simon@lsginsurance.co.za

Extentions

Cover	First Amount Payable	Limit of Indemnity
Loss of Documents	R25,000	5% of the main PI limit of indemnity maximum R500,000 in the aggregate
Defamation (Libel and Slander)	R10,000	R1,000,000 in the aggregate
Statutory Defence Costs	Nil	R 250,000 in the aggregate

Risk Management Services Included

Service	Benefit to Client
Crisis Communication & PR	Public relations support and media disaster management
Legal Support	Contract vetting and management
Private Arbitration	Alternative options to costly litigation in commercial and employment disputes

Insured Person
Name of agency (If sole proprietor use name)*
Registration number (If sole proprietor use identity number)*
VAT number
Company Registration Number
Physical address*
Postal address (if different from physical address)
Telephone number*
Fax
Email*
Website
Turnover
Turnover*
Limit of Indemnity*
Limit of Indemnity*
If turnover greater than R2m please confirm turnover and we will send you a quote.
Split business activity by revenue as a percentage
Residential Sales % Commercial Sales % Residential Rentals % Commercial Rentals %
Who is your current broker?
Who are your current insurers / underwriters?
When does your current policy expire?
What was your last premium paid (inclusive of VAT)?
Has any application for insurance of this nature ever been declined, cancelled or has renewal been refused or have special terms been imposed?:*
- Yes
- No
If YES, please provide the reason for this below.
4. CLAIMS OR CIRCUMSTANCES THAT COULD LEAD TO A CLAIM
Over the past 5 years are you aware of the following against you*
- Any claim/s being made or settled?
- Any circumstance/s that could lead to a claim being reported to Insurers?
- Yes
- No
If YES, please provide the reason for this below.
After having made full enquiries, are you aware of ANY circumstances, no matter how remote, which may result in any claim being made against you which has not already been reported to Insured's?*
- Yes
- No
If YES, please provide the reason for this below.
I hereby authorise Camargue Underwriting Managers (Pty) Ltd or its authorised administrator to debit my account with the agreed monthly Insurance premium and collection fee. I understand that should my payment not be received by Camargue Underwriting Managers (Pty) Ltd or its authorised administrator by the 15th, there is no Insurance cover from the 1st day of that month and the Insurance policy will be cancelled, unless prior arrangements have been made.
Total
R0.00
Bank*
Branch Code*
Branch*
Type of account*
Account Number*
Name of Account Holder*
Notice: Debits cannot be raised through FNB Savings, Master Card Holders or account numbers exceeding 13 digits
Debit order date*
- 1st
- 15th
- I/we declare that after proper enquiry the statements and particulars given above are true and that I/we have not miss-stated or suppressed any material fact.
- I/we agree that this Proposal Form, together with any other material information supplied by me/us shall form the basis of any contract of insurance affected thereon.
- I/we undertake to inform underwriters of any material alteration to these facts occurring before the completion of the contract.
- I/We understand that submitting this electronic declaration form will from the basis of this contract.
- I/We understand that the Binding Fee included in the premium relates to services provided and hereby consent to such fee.
- Insurance is not bound until accepted by insurers
- Only property in South Africa
- I/We understand that in order to provide you with insurance, we must process your personal information. We will share your personal information with other insurers, industry bodies, credit agencies and service providers. This includes information about your insurance, claims and premium payments. We do this to provide insurance services, prevent fraud, assess claims and conduct surveys. We will treat your personal information with caution and have put reasonable security measures in place to protect it. By electronically submitting this form, you agree to the processing and sharing of your personal information.
Copy of policy wording available on request.

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Property Practitioners Professional Indemnity Insurance [PPPII]

Premium Table

Extentions

Risk Management Services Included

LSG Insurance Service (Pty) Ltd

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