Marine Cargo Insurance - HDI Global · Marine Cargo Insurance Proposal Form Kind of goods Which...
Transcript of Marine Cargo Insurance - HDI Global · Marine Cargo Insurance Proposal Form Kind of goods Which...
Marine Cargo InsuranceProposal Form
Company data
Policy holder - who will be policy holder?
Name of company ……..................................................................................................
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Address ……..................................................................................................
Post code / Town .........................................................................................................
Contact person .........................................................................................................
Phone .........................................................................................................
Telefax .........................................................................................................
Insureds - which other branch offices and/or companies need to be insured?
Name Country / Town
Homepage .........................................................................................................
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HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
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Marine Cargo InsuranceProposal Form
Business information
Core business
Production of and trading with
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trading only with
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others
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Ancillary activities yes / no
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trading only with
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others
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Remarks
Production of and trading with
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Kind of goods
Which kind of goods is to be insured - please indicate particularities:
Packing BUYING IN % SELLING IN %
Cartons
Cartons on pallets
Cases
Crates
Casks / Barrels
Small casks
without packing
Container - Goods in packing
Container - Goods in crates
Container - Goods without packing
Who does the packing for sendings/exports?
the insured yes no
a professional packer
Is multiple use packing being used
If YES, which type? ………………………........................................................................................................
yes no
yes no
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Buying - what is being imported and wherefrom?
KIND OF GOODS COUNTRY YEARLY VOLUME INCHF
INCOTERMS / % 1)
Raw material:
Semi-finished products:
Finished products:
Means of production: - e.g. machinery for own use etc.
1)Please indicate chosen Incoterms with percentage
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Selling - what is being exported and whereto:
KIND OF PRODUCT COUNTRY YEARLY TURNOVER INCHF
INCOTERMS / %
Remarks:
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Means of transport - which method is being used?
MEANS OF TRANSPORT BUYING/IMPORTS IN SENDINGS/EXPORTSIN %
INLAND TRANSIT IN %
Rail
Lorry (Carrier)
Lorry (own)
Air
Vessel (inland waterways)
Vessel (high seas)
Parcel service
Post
...................................... pieces
...................................... pieces
...................................... pieces
……………………................ %
average value CHF .................................................
maximum value CHF .................................................
Additional information for parcel services (e.g. DHL, UPS, DPD etc.)
...................................... pieces
...................................... pieces
...................................... pieces
average value CHF .................................................
maximum valuet CHF .................................................
Which parcel service(s) are used?
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%
How many are registered inland?
How many parcels are sent per year?
How many parcels are sent per year?
Thereof inland?
Thereof abroad?
Values per post parcel:
Additional information for post
Values per post parcel:
Thereof abroad?
Thereof inland?
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Handling of transportation/shipping
own organisation share ............................................................%
Forwarders/carriers - first addresses share ............................................................%
Low cost forwarders/carriers share ............................................................%
Parcel service(s) share ............................................................%
Are there heavy lift shipments? yes no
Are individual pieces sent as heavy lift?
Own means of transport
Are there regular transports with own means, e.g. lorries?
If YES, please indicate
TYPE OF VEHICLE NUMBER OF VEHICLES VALUES PER SHIPMENT IN CHF
noyes
noyes
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Permanent storages (distribution storages), i.e. storages indipendent of a transport
PLACE / STORAGE HOLDER AVERAGE SUM INSURED MAXIMUM VALUE STORED
Storages at manufacturers or forwarders
PLACE / NAME OFMANUFACTURER ORFORWARDER
AVERAGE SUM INSURED MAXIMUM VALUE STORED
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Requested insurance - Scope of insurance
Restricted insurance as per art. 2 GCMI 2006 covering loss anddamage when they are the direct consequence of a so-calledspecified accident plus theft and disappearance of entirepackages or of whole consignments yes no
Insurance against all risks as per art. 4 GCMI 2006
Both forms cover loading, transhipment and discharge.
Place to place (Standort/Standort)
Chipping, scratching, grazing or chafing
Additional repair costs
Debris removal costs
Customs and excise duty
War
Mines
Strikes, disturbances, terrorism
Exports protection clause
Subsidiary insurance on imports
Difference in condition / Difference in limits (DIC/DIL)
On deck shipments
30 days intermediate storage
60 days intermediate storage
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noyes
noyes
noyes
noyes
noyes
noyes
noyes
noyes
noyes
noyes
yes no
noyes
yes no
noyes
noyes
yes no
noyes
yes no
noyes
Forms of cover
Extensions of cover - which of the following extensions is needed?
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Which sums insured per means of transport are needed?
MEANS OF TRANSPORT MAXIMUM SUM INSURED IN CHF
Lorry (Carrier), trailer included
Lorry (own), trailer included
Rail
Air
Vessel (inland waterways)
Vessel (high seas)
Postparcel
Parcel service, per parcel
Accumulation of goods in the same port, airport,postal office, railway station or any otherlocation
Requested insurance - Deductibles / franchises
Is a deductible/franchise wanted?
If YES, which type?
Deductible 1)
If YES, which amount? CHF ...........................................................
Franchise 2)
If YES, which amount? CHF ...........................................................
1) The chosen amount is deducted from the indemnity in all cases.
2) Damages upto the chosen amount will not be indemnified. Damages above the chosenamount will be indemnified in full.
noyes
noyes
noyes
Requested insurance - Sums insured
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Requested insurance - Various
Fairs/Exhibitions
Is cover for fairs/exhibitions needed?
If YES, please indicate the respective events:
FAIR/EXHIBITION COUNTRYTOWN
DURATION SUM INSUREDNEEDED IN CHF
Is cover for fairs/exhibitions needed?
If YES, please indicate the respective events: CHF ........................................................
noyes
yes no
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Manipulations (internal movements)
Is cover for manipulations needed?
If YES:
Which amount per movement is needed? CHF.............................................
Which means of manipulation are used?
Fixed cranes
Moving cranes
Hydraulic lift
Block and tackle
Conveyor belt
Manual pallet lift
Fork lift
Trolley
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yes no
noyes
noyes
yes no
noyes
yes no
noyes
yes no
noyes
yes no
noyes
yes no
noyes
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Luggage insurance
Is cover for luggage of staff on business travels needed?
If YES:
How many staff travel regularly? Number of staff .................................
How long do these journeys last as a rule? Days ............................................
Where do the staff travel to?SwitzerlandEuropeNorth AmericaSouth AmericaAfricaAsiaAustralia
What is the value of the luggage?CHF 3'000CHF 5'000CHF 10'000…………….
Should the luggage insurance include cover for?WatchesJewelleryComputers…………..
noyes
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48
Marine Cargo InsuranceProposal Form
Business equipment on journeys
Is cover for equipment on business travelsneeded?If YES:
How many staff do take business equipmenton their travels?
Number of staff ...................................................
How long do these journeys last as a rule? Days ......... ...............................................................
Where do the staff travel to?SwitzerlandEuropeNorth AmericaSouth AmericaAfricaAsiaAustralia
CHF...........................................................................
What type of equipment is to be insured?
Is such equipment taken in cars/vans?
If YES, how many cars/vans are used? Number of vehicles ...............................................
noyes
noyes
What is the value of the equipment taken ontravels?
HDI Global SEDufourstrasse 46, Postfach8034 ZürichTel: +41 44 265 47 47Fax: +41 44 265 47 48