1. Estimate GFR for renewal period
(GFR = All business transaction LESS payments to subcontractors LESS customs duty & LESS sales tax. Please add the payment
to subcontractors if your company has a subcontract to a third party)
3. Freight forwarding activities to be insured (total 100% with GFR declared) :
4. Percentage % of GFR for these commodities : (total 100%)
5. Do you issue any house transport documents?
6. Please update :
(a) Date company established - dd/mm/yyyy
(d) Warehouse address if there is any change/relocation
Information needed on EACH warehouse contracted for storage usage more than 3 months (and also other new warehouse
owned/leased/managed that not declared before).
Please also specify each warehouse is owned/leased/managed/third party warehouse. Example as per below
Note : If you will use warehouse storage for more than 3 months, please declare the contents.
NOTE:
- You are to disclose in this form fully and faithfully all facts you know or ought to know, otherwise the policy issued hereunder may be void.
- Liability is not attached until the proposal has been accepted by the insurance company.
- Any changes in the information given must be reported to the Company immediately or else the Company will reserve the right to decline all liability