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Octagon House, 18 Nash Green, Hemel Hempstead, Herts. HP3 8AA Phone :
01442 242 400
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Goods In Transit
Quick Single Shipment Marine Insurance Quote Enquiry :
Company Name :
Address :
Postcode :
E-mail Address :
Contact Number :
Business Description :
Date Business Established :
Renewal Date (if applicable) :
Description of Goods to be Insured :
Details if Goods are not New (i.e. second hand or refurbished) :
Estimated Annual Turnover (£) :
Goods to be Insured & Estimated Value of Goods :
Maximum Value Any One Vessel/Air Transit/Post/Road Vehicle (£) :
Is coverage required for DOMESTIC TRANSIT where goods are NOT being imported or exported? :
Yes:
No
If Yes, Annual value of goods domestic transit (£) :
Maximum value any one vehicle - Hauliers (£) :
Maximum value any one vehicle - Owned or operated by the Assured (£) :
Is coverage required for Warehouse/Storage Risks
(OTHER than in the ordinary course of transit)? :
Yes:
No
If Yes, Details of Location and Maximum Value of Goods Stored :
Maximum Value Any One Location (£) :
If Yes, Estimated number per annum and locations :
Estimated Annual Imports/Exports
Imports to UK (£)
E.U. :
East Europe :
North America :
Africa :
Asia Pacific :
Australasia :
Others :
Details :
UK:UK Transit :
Exports from UK (£) :
E.U. :
East Europe :
North America :
Africa :
Asia Pacific :
Australasia :
Others :
Details :
Details of any other types of movement :
Details of ALL and ANY claims or losses in the last five years :
Details of any other material facts that may affect an insurers willingness to offer cover :
Comments/Additional Information :