Do you use standard trading terms and conditions? Yes No (if please provide a copy) “Yes” – Do you have any contracts or agreements with specific clients? Yes No (if please advise the name(s) of these clients and provide “Yes” – a copy of the contract or agreement) SECTION 5 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 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 6 Limits and deductibles – Please indicate currency e.g. US$ Please indicate any preferred limits or deductibles Deductible
Do you use standard trading terms and conditions? (if “Yes” – please provide a copy) Yes No Do you have any contracts or agreements with specific clients? (if “Yes” – please advise the name(s) of these clients and provide a copy of the contract or agreement) Yes No SECTION 5 – 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 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 6 – Limits and deductibles Please indicate currency e.g. US$ Please indicate any preferred limits or deductibles Deductible
ITIM_naval_architects_proposal_form.docx