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Goods in Transit Questionnaire
This document constitutes an integral part of the Policy certificate issued.
Email Address:
Trading Name:
Vat Number:
Name of owner(s):
List of addresses of all depots operated:
1.
2.
3.
Previous trading names (if applicable):
Registration Date of Business:
COMMODITIES HAULED
PERCENTAGE
AVERAGE VALUE
MAXIMUM VALUE
A:
%
R
R
B:
%
R
R
C:
%
R
R
D:
%
R
R
Gross haulage fees (including fees generated by sub-contractors):
Estimated forthcoming year:
R
Current year:
R
Past year:
R
Sub-contractors:
R
Radius of Operations:
Local (i.e. max 160km):
%
Long Distance:
%
Area of operation:
Goods in Transit Claims Experience (losses) last 3 years (if not insured for any period, list losses that occured):
INSURER
YEAR
LOSSES
Current Transit Insurer:
Branch / Office:
Policy No:
Cover Required:
Fire, collision & overturning only
Fire, collision, overturning & hijacking only
All risks
All risks including Deterioration
Define events (specify):
Load Limit Required:
R
How many prime movers are in the fleet:
Trucks:
Trailers:
Trucks / Tractors:
Other:
Specify:
Are you the owner / driver?:
Yes
No
How many drivers are utilized in a vechileat a time?:
Are vechiles operated between
22:00 & 04:00?:
Yes
No
Is cover required for sub-contractors?:
Yes
No
SUB-CONTRACTOR (NAME)
HOW MANY TRUCKS / TRUCK TRACTORS
HAULAGE FEES
CLAIMS EXPERIENCE
Please indicate if any written contract with clients exists which stipulates that the selling price is the basis of identity:
Yes
No
Any other underwriting information:
HIGH RISK / HIJACKING EXPOSURE (To be completed if hijack cover is required)
Are the following commodities carried?:
Liquor
Yes
No
Cigarettes / Tobacco
Yes
No
Foodstuffs
Yes
No
Textiles
Yes
No
Electronic Equipment
including Radios & TV sets
Yes
No
Computers
Yes
No
Paper
Yes
No
Clothing & Footwear
Yes
No
Steel
Yes
No
Motor Vechiles
Yes
No
Abnormal Loads
Yes
No
Specify:
Please confirm that if none of these commodities mentioned above are carried, it is not your intention to carry any of these within the next 12 months:
Yes
No
Do you use protected truck – stops only?:
Yes
No
If not, where does your vechiles stop?:
Do you deliver goods into high – risk areas?:
Yes
No
What form of communication do you have
with your driver’s whilst they are on the road?:
Do you have any contingency plans following a hijack?:
Yes
No
Are your drivers aware of these contingency plans?:
Yes
No
State procedure:
Do you travel in a convoy?:
Yes
No
Are your vechiles protected against theft in any way? (i.e. immobiliser, satellite, alarm, etc):
Yes
No
If so, state make and brief description of operation:
Get in Touch
Telephone
021-930 9166
