Estimate for this financial year Estimate for next financial year SECTION 6 Sub-contracting – Do you sub-contract any of the activities which you undertake to Yes No companies that will not be shown as co-assured under your terms of entry? If on what terms do you sub-contract with these companies? “Yes”, Do you require these companies to have insurance for their Yes No errors and omissions? Are you a member of the International Ship Managers’ Yes No Association (ISMA)? Have you received quality assurance certification or adopted Yes No ISMA’s code of ship? Management standards? Yes No SECTION 7 Claims history – Have any claims been made against you, or have there been any Yes No circumstances likely to give rise to a claim being made against you, in the last 5 years? If please give details: “Yes” Has any insurer Declined to insure you Yes No Cancelled your insurance Yes No Refused to renew your insurance Yes No
Estimate for this financial year Estimate for next financial year SECTION 6 – Sub-contracting Do you sub-contract any of the activities which you undertake to companies that will not be shown as co-assured under your terms of entry? Yes No If “Yes”, on what terms do you sub-contract with these companies? Do you require these companies to have insurance for their errors and omissions? Yes No Are you a member of the International Ship Managers’ Association (ISMA)? Yes No Have you received quality assurance certification or adopted ISMA’s code of ship? Yes No Management standards? Yes No SECTION 7 – Claims history Have any claims been made against you, or have there been any circumstances likely to give rise to a claim being made against you, in the last 5 years? If “Yes” please give details: Yes No Has any insurer Declined to insure you Yes No Cancelled your insurance Yes No Refused to renew your insurance Yes No