Freight Cargo Insurance

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Freight Cargo Insurance

Personal Information

Last Name *

First Name *

Middle Initial *

Is the proposer *OwnerChartererBareboat ChartererLeasor

Address *

Mobile Number *

Telephone Number

Email Address *

Description of Business (Please include non ship-owning activities if any) *

Year Shipowning Business was Established *

Please provide details of the qualifications and credentials of persons involved in the ship management (e.g. previous positions held, no. of years of experience etc.) *

Details of Ship Operations

Cargos Carried *

Ports Served *

Routes *

Number of Full time Crew Employee *

Others *

Are Vessel Operations ISM Certified? *YesNo

Vessel Details

Please provide details of all owned / managed ships even if insurance is not required for all of them, (in which case please indicate * for ships not requiring insurance).

Vessel Name *

Vessel Type *

Year Built *

Yard Built *

Gross Tonnage *

Dead Weight *

Propulsion *

Year Acquired *

Current Classification Society *

Typical Cargos Carried *

Last Drydocked *

Value (PHP) *

PHP

Describe how your values are arrived at (e.g. new replacement values, current second hand values, depreciated acquisition cost, etc.) *

Are there mortgages on the ship(s)?(If so please give details and amounts of Mortgage outstanding per vessel)

Vessel *

Bank *

Amount *

PHP

Does proposer operate a planned maintenance program for each vessel? *YesNo

Please give details

Please provide details of all loss incidents from the previous 5 years (whether insured or not), including any total losses. Please state date of each incident, type of incident and the cost of repairs / amount of liability etc. in each case, irrespective of any insurance recovery

Year *

Details of Incident *

Who are current insurers? *

Do current insurers only cover total loss of vessel risk? *YesNo

What are current insuring conditions and deductibles? *

Have current insurers or any previous insurers denied any claims to you under any Hull & Machinery Insurance Policy? *YesNo

If so please give details

Do you have any Protection & Indemnity Cover for your ships? *YesNo

If so please give details (e.g. Club or insurer, limit of liability)

Please provide any other information which you think could affect the Underwriters’ assessment of the risk of insuring your ship(s), (eg training of crew, use of third party ship management, accreditation with major shippers, use of new technology) *

Please provide copy of up to date company profile if one is available

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Freight Cargo Insurance

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