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Insurance Services Ltd

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members of:






   
 
Online Annual Marine Insurance Quote Enquiry
 

Same day quotes and instant cover available - for assistance please call
01384 442 165, Monday to Friday between 9.00 am - 5.00 pm
   
Company Name:
Contact Name (inc Title):  
Address:
Postcode:
Contact Number (optional):
Business Description:
Date Business Established:
E-mail Address:
Renewal Date (if applicable):
   
Risk Details
   
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
   
Is coverage required for Exhibitions?
Yes No
If Yes, Estimated number per annum and locations
Maximum value of goods at exhibitions
   
Estimated Annual Imports/Exports
   
Imports to UK
Exports from UK
E.U.
East Europe
North America
Africa
Asia Pacific
Australasia
Others

Details
 
UK:UK Transit
 
   
Details of any other types of movement:
   
Claims, Losses & Additional Information
   
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
 
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