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GENERAL ISURANCE COMPANY LIMITED

PROPOSAL PUBLIC INSURANCE FOR BOATS AND JET SKIS
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  • TERM OF INSURANCE 12 MONTHS:
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  • 1. State the risk to which insurance applies.
  • 2. What claims have been made during the last five years?
  • 3. Have you ever proposed for insurance or been insured against liability to which this proposal relates If so, state name of company
  • 4. Has any Company or Insurer
  • 5. Amount of indemnity required?
  • 100% ADDITIONAL PREMIUM AS TO TIME
  • We desire to effect with the Company insurance in the terms of the policy used for this class of business and I/We warrant that the above statements and particulars are correct and complete. I/We agree that this proposal shall be the basis of the contract between me/us and the Company.

  • Date Format: MM slash DD slash YYYY
  • The insurance will not be in force until the proposal has been accepted by the company.