Cargo Insurance Questionnaire

IMPORTANT:

If you wish to apply for cargo insurance via PrestMarine, please complete this proposal form. We shall revert with our quotation for your consideration. The insurance will be effected once we receive your confirmation of acceptance.

Before you enter into a contract of insurance with an insurer you have a duty to disclose to the insurer every matter that you know, or should know, or could reasonably be expected to know, which is relevant to the insurers decision to accept the risk, and if so on what terms. You have the same duty to disclose those matters to the insurer before you renew, extend, vary or reinstate a contract of insurance. Non-disclosure and / or misrepresentation of the risk may entitle the insurer to void the policy.

No insurance is in force until this application is accepted in accordance with the agreed policy terms, conditions and exclusions.

The information gathered in this document is to assist PrestMarine determining your cargo insurance requirements and may be shared with insurers to obtain quotations.

Cargo Insurance

Subject matter to be Insured

For subject matter not shipped in bulk indicate how they will be packed:
Is the Cargo

CARGO VALUATION

Please advise how your shipments are valued:

Imports: CIF/CIP/DAP plus 10%
Exports: Total delivered cost to final destination plus 10%
Cross Voyages: CIF/CIP/DAP plus 10%
Transits within SA: Selling price incl. ancillary costs incurred

VOYAGES

Do you require cover for shipments where it is not shipped to or from South Africa
Do you require goods in transit cover within South Africa

DELIBERATE STORAGE

Do you require deliberate storage

LIMITS REQUIRED

Maximum value of shipment any one conveyance

CONVEYANCE

TURNOVER

Estimated Annual Value of Insured Shipments

REQUIREMENTS

Do you require SASRIA cover

CLAIMS EXPERIENCE

Please provide claims details covering year to date and the last three years

RISK MANAGEMENT DETAILS

OTHER

DECLARATION *