Tour Operator’s Liability

IMPORTANT NOTICE: It is your duty to disclose all material facts to underwriters. A material fact is one that is likely to influence an underwriter’s judgment and acceptance of your proposal. If your proposal is a renewal, it should also include any change in facts previously advised to underwriters. If you are in any doubt about facts considered materials, disclose them. FAILURE TO DISCLOSE could prejudice your rights to recover in the event of a claim or allow underwriters to void the Policy.

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Thank you for your response. ✨

NAME OF PROPOSER

PO BOX

TELEPHONE NUMBER

ADDRESS

NUMBER OF OFFICES

WHEN WAS THE FIRM ESTABLISHED

TRADE OF BUSINESS

COMPANY WEBSITE

GIVE GENERAL DESCRIPTION OF OPERATIONS CARRIED ON BY PROPOSER

ADDRESSES OF ALL PREMISES OR SITES FROM WHICH THE BUSINESS IS TO BE CONDUCTED

PLEASE STATE AT WHAT PLACES, IF ANY, YOU EXPECT TO EMPLOY CONTRACTORS OR SUBCONTRACTORS AND THE NATURE OF THEIR WORK

ARE YOU AT PRESENT OR HAVE YOU EVER BEEN INSURED AGAINST TOUR OPERATORS LIABILITY RISKS BEFORE? (required)

YES NO

IF “YES”, STATE THE NAME OF INSURER

HAVE YOU EVER HAD INSURANCE DECLINED, CANCELLED OR REFUSED RENEWAL EXCEPT AT AN INCREASED RATE OF PREMIUM OR ON ALTERED TERMS OR CONDITIONS?(required)

YES NO

IF “YES”, PLEASE GIVE DETAILS

GIVE PARTICULARS OF ALL CLAIMS MADE AGAINST YOU DURING THE PAST THREE YEARS, WHETHER OR NOT ANY PAYMENT HAS BEEN MADE

STATE AMOUNT OF INSURANCE REQUIRED IN RESPECT OF ANY ONE ACCIDENT AND IN THE AGGREGATE

STATE NUMBER OF EMPLOYEES AND AMOUNT OF THEIR WAGES ETC. DURING THE PAST TWELVE MONTHS AND GIVE ESTIMATED FIGURES FOR THE NEXT TWELVE MONTHS

NUMBER OF EMPLOYEES DURING PAST 12 MONTHS

WAGES, SALARIES AND OTHER EARNINGS DURING THE PAST 12 MONTHS

ESTIMATED NUMBER OF EMPLOYEES IN THE NEXT 12 MONTHS

ESTIMATED WAGES, SALARIES AND OTHER EARNINGS IN THE PAST 12 MONTHS

ACTUAL TURNOVER LAST YEAR

ESTIMATED TURNOVER FOR NEXT YEAR

ARE YOU INVOLVED WITH CONFERENCE ORGANIZING AND INCENTIVE/GROUP TRAVEL ARRANGEMENT(required)

YES NO

IF YES , PLEASE STATE WHAT % TURNOVER THIS REPRESENTS

PLEASE GIVE AN APPROXIMATE BREAKDOWN OF TURNOVER AS FOLLOWS (IN PERCENTAGE) SPLIT BETWEEN LOCAL / EUROPE / USA/CANADA/CARIBBEAN OR ELSEWHERE

ARE YOU ENGAGED IN ANY WINTER SPORTS OR ADVENTURE SPORTS I.E. SCUBA DIVING, CLIMBING, WHITE WATER RAFTING ETC..

DO YOU HANDLE INCOMING TOURS?(required)

YES NO

IF YES , PLEASE GIVE APPROXIMATE PASSENGER NUMBER i.e (A) AMERICAN NATIONALS (B) OTHERS

IF COVER IS REQUIRED IN RESPECT OF POISONING ARISING FROM FOOD OR DRINK CONSUMED ON THE PREMISES, PLEASE GIVE DETAILS

OTHER SPECIFIC REQUIREMENTS, PLEASE SPECIFY

We hereby declare that the statements made by us in this online questionnaire are, to the best of our knowledge and belief, complete and true and we hereby agree that this online questionnaire forms the basis and is part of any policy issued in connection with the above proposed risks.

Thank you for your response. ✨

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