Helpline: 01223 850742

Quotation Request

Marine Cargo - Short Period and Annual

Client Details
Insured Interest
Declarations
Notes

Client Details

Your Name:
Have you ever traded in another name?
If Yes; please detail name(s) here:
If Other; please provide brief details:
Your Address
Proposed inception date

Insured Interest

Do you require cover for a single consignment or multiple consignments?
Insured Interest; please describe Goods in as much detail as possible?
What is the maximum value this consignment ?
Basis of Valuation is amount of Invoice, Insurance and any Freight at risk.
The standard valuation for payment of cargo insurance claims, unless otherwise requested, is 110%. This means that the total premium owed is calculated using the policy rate times 110% of the total cost of goods, and any covered losses are paid at 110% of the cost of goods, freight and insurance premium of the shipment, less deductible.
£
What is the total value of Sendings estimated for the next 12 months:?
Basis of Valuation is amount of Invoice, Insurance and any Freight at risk.
The standard valuation for both annual volume reporting and payment of cargo insurance claims, unless otherwise requested, is 110%. This means that the total premium owed is calculated using the policy rate times 110% of the total cost of goods, and any covered losses are paid at 110% of the cost of goods, freight and insurance premium of the shipment, less deductible.
£
What is the maximum value any one vessel or location?
£
Please tell us about any of the following categories of high risk goods that you ship?
Perfumes or Watches, Hazardous Chemicals or Controlled Drugs, Temperature Controlled Goods, Mobile Phones, Computers or AV Equipment, Motor Vehicles, Textiles and Hanging Garments, Wines and Spirits, Cigarettes and Tobacco, Household Furniture, Live Animals, Live Plants or Birds. This is because we will impose special terms and security conditions on high risk shipments. Please also note our list of excluded goods* at foot of this page.

Transport of Your Goods

From Origin Address:
Specific address of location where your goods are originating from?
To Destination Address:
Specific address of location your goods are destined For.
If Other; please briefly describe handling and packing (if any) arrangements:
Any storage enroute to final customer?
If Yes; please provide location and security details here:
 
*Please note the following goods are excluded from cover unless specifically declared and accepted formally by CUIE: Bullions, Precious Stone, Cash/ Securities, Precious Metal Objects, Precious Jewellery, Valuable Works of Art, Bloodstock, Breeding or Prize Animals, Nuclear Waste/Material/Radioactive Substances.

Declarations

Claims Experience

In the last five years have you sustained any loss or damage or made a claim or had a claim made against you?
If Yes please describe:
Date of ClaimClaim DetailsClaim AmountClaim SettledClaim Amount Outstanding
Add row

Declaration

Have you, the Proposer or any Director or Partner or any Principal of the business ever been convicted of or charged with any criminal offence?
If Yes please describe:

Sign Off

Additional Notes

Additional Notes