Cancelled your insurance Yes No Refused to renew your insurance Yes No Imposed penalties or special terms Yes No If please give details: “Yes” Are you currently insured against the risks covered by ITIC? Yes No If with whom?) “Yes”, SECTION 8 Limits and deductibles – Please indicate currency e.g. US$ Please indicate any preferred limits or deductibles Limit Deductible Alternative 1 Alternative 2
Cancelled your insurance Yes No Refused to renew your insurance Yes No Imposed penalties or special terms If “Yes” please give details: Yes No Are you currently insured against the risks covered by ITIC? If “Yes”, with whom?) Yes No SECTION 8 – Limits and deductibles Please indicate currency e.g. US$ Please indicate any preferred limits or deductibles Limit Deductible Alternative 1 Alternative 2
ITIM_aircraft_CAMO_proposal_form.docx