SECTION 8 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 9 Limits and deductibles – Please indicate currency e.g. US$ Please indicate any preferred limits or deductibles Limit Deductible Alternative 1 Alternative 2
SECTION 8 – 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 9 – Limits and deductibles Please indicate currency e.g. US$ Please indicate any preferred limits or deductibles Limit Deductible Alternative 1 Alternative 2
Aircraft_managers_proposal_form.docx