Description of Goods to be Insured *

The Goods are typically *

NewUsedCombination of Both New and Used

Maximum Value any one Shipment *

Estimated Annual Sendings *

Are goods transported by professional carrier or company own vehicles *

Professional CarriersCompany Own VehiclesCombination of Both

Description of Goods to be Insured *

The Goods are typically *

NewUsedCombination of Both New and Used

Voyages From *

Voyages To *

Maximum Value any one Shipment *

Estimated Annual Sendings *

Will the goods be transported in fully enclosed shipping containers *

YesNo

Description of Goods to be Insured *

The Goods are typically *

NewUsedCombination of Both New and Used

Voyages From *

Voyages To *

Maximum Value any one Shipment *

Estimated Annual Sendings*

Will the goods be transported in fully enclosed shipping containers *

YesNo

Description of Goods to be Insured *

The Goods are typically *

NewUsedCombination of Both New and Used

Voyages From *

Voyages To *

Maximum Value any one Shipment *

Estimated Annual Sendings*

Will the goods be transported in fully enclosed shipping containers *

YesNo