Open Cargo Insurance Form   AUSTRALIA NEW ZEALAND - ASIA PACIFIC MARINE INSURANCE
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Open Cargo Insurance QUOTE FORM

Thank you for allowing United Marine Insurance the opportunity to arrange a quote for your Cargo Insurance requirements. Completing this Proposal will not obligate you to accept terms offered or pay any fees or charges for these initial services. This proposal is for an "Open Policy" for regular shippers such as Exporters & Importers Freight Forwarders & Shipping Agents who require flexible insurance cover without need to insure single shipments.
PROPOSER DETAILS -
Section 1
Name of Proposer
     
In which Country and State is the Proposer's principal office located
     
PARTICULARS OF GOODS TO BE INSURED-
YOU CAN HAVE MULTIPLE CATEGORIES OF GOODS IN ONE SHIPMENT
Section 2

Please select the categories of goods that you wish to insure under this annual policy. You can choose as many categories as you wish.

Tick all

General Merchandise/General Cargo
Household Goods and Personal Effects
Glass & Fragile Goods (Not Machinery or Artworks)
Fine Arts
Heavy Machinery (Mobile & Static)
(Inc. Cranes & Earthmoving)
Equipment
Precision Instruments & Fragile Machinery
Computers & Software
Electronics (excluding mobile/cell phones)
Mobile/Cell Phones
Branded Goods
Bottled Beverages containing Liquors		 Bottled Products for Human Consumption
(excluding Liquor)
Non-Perishable Food
Frozen Foods
Frozen Meat
Chemicals & Hazardous Materials
Steel Sheets, Coils, Bars, Billets and the Like
Automobiles & Motorbikes
Yachts and Boats
Aircraft
Livestock
Mixed Cargo / Goods
Other Cargo / Goods

General Merchandise/General Cargo
(not including Brand New Furniture containing Glass)

NEW or refurbished goods that are not specifically subject to breakage such as,
Fabrics, Clothes, Textiles, Metal and Plastic Items, Toys, Books, Shoes, Stationery, Brand New Furniture without Glass, Products in Iron Drums, Housework Articles, Tools, Ironmongery (Metal hardware), Taps, Wire, Bicycles, Domestic Appliances, Washing Machines, Dishwashers, Ovens, Cookers, Grills, Fridges etc, Automobile and Motorcycle parts, Engines, Transmissions, etc.

Other Cargo

Cargo or goods other than the ones listed on the menu.

Mixed Cargo

Cargo or goods that are mixed and/or fit under multiple categories

Glass & Fragile Goods  (Not Machinery – Not Artworks)

Furniture, Fittings and Goods made of or containing Glass, Enamelware and/or Glassware, Sanitary Ware, Chinaware, Potteries, Crystal Ware, Light Bulbs, Neon Lights, Fluorescent Tubes, Cathode Ray Tubes, Mirrors ANYTHING substantially  made of Glass and/or similar matter, etc. Note: Glass & Fragile Goods will usually attract a higher claim deductible (Excess) because of the propensity to breakage and/or damage.

Fine Arts

Such as; Art Sculptures, Paintings, Framed Photos, Antiques, All Art Without Glass, etc. (If with glass the Fine Art Product is to be selected as ‘Glass & Fragile Goods’)

Heavy Machinery (Mobile & Static) Cranes & Earthmoving Equipment
(not cars, trucks, motorcycles, mopeds, motored scooters, ATV vehicles)

Machinery (Not Prone to Breakage) of any type from Lawnmowers to Heavy Material Machinery, Building Site Vehicles, Generators, Road Works Equipment, Drilling Equipment, Wheelchairs, Spare Parts and Accessories, Excavators, Bulldozers through to Mobile Cranes and Coal Reclaimers including Farm Machinery and other similar Machinery which is towed by other Machinery. Note: Machinery with an Engine & Hydraulics will have to be “dry” (without oils and fuels) for shipping. 

Precision Instruments & Fragile Machinery

Precision &/or Fragile Machinery (Prone to Breakage) of any type of Instrument, Scientific Instruments, Precision cutters & Measurers, Weighing Devices, Medical and Dental instruments, Typewriters, Telescopes, Aviation & Marine Instrumentation, similar Fragile Equipment etc’. Note: Precision Instruments & Fragile Machinery will usually attract a higher claim deductible (Excess) because of the propensity to breakage and/or damage.

Computers & Software

Such as; Desktop computers (PC, MAC), CPU's, Laptops/Notebooks, Servers, Monitors, Computer Display Screens, Main Frames, Computer Chips and Computer Components & Software other than, as part of Household goods.

Electronics(excluding mobile/cell phones)

Such as;Radios, Audio/stereo equipment, Cameras, computer printers, other printers, Photocopiers, Sorters, Scanners, Plotters, All Televisions, (Analog, HDTV, Plasma), TV Receiver Sets, Projectors, DVD Players, DVR (DVD Recorders), Digital Interactive Receivers (Tivo etc), VCR’s, Video Data Equipment, Telephones and Telephone Equipment, play station's, X-box, video games, consoles, Lucent Switches and Cables, Medical/Dental and Scientific Equipment containing Electronics, Electronic Vending Machines, Electronic Juke Boxes, Electronic Slot Machines etc’

Mobile/Cell Phones

Cell Phones and PDA's (iphone, treo, blackberry, blackjack etc.) handheld digital computers (palm pilots etc).

Branded Goods

Such as; Brand name Goods, Cosmetics, Sports Goods, Fishing/Hunting Equipment, Perfumes, Garments, Eye ware, Silverware, Leather goods/leather wear.

Bottled Products for Human Consumption (excluding Liquor)

Food and Liquids in Bottles for the purpose of human consumption.

Bottled Beverages containing Liquors

Any type of bottled beverage containing Liquors.

Non-Perishable Food

Such as; Food in Tins, Cans, Paper and Liquid Items in Tins.

Frozen Foods

All frozen foods, other than meat.             

Frozen Meat

All Frozen Meat.

Chemicals & Hazardous Materials

Hazardous Chemicals & Substances of any type.

Steel Sheets, Coils, Bars, Billets and the Like

Such as; Steel sheets, coils, bars etc.

Automobiles & Motorbikes

Such as; Cars, Trucks, Motorcycles, Mopeds, Motored scooters, ATV Vehicles, etc.

Yachts and Boats

Any type of Yacht, Boat, Vessel or Watercraft such as Motor Boats, Sail Boats, Cruisers, Barges, Tugs, Ships etc’.

Aircraft

Any type of Aircraft including Helicopters, Gliders, Ultra-Lights, Micro-Lights, Hot Air Balloons etc’.

Livestock

Of any type.

QUESTIONNAIRE FOR LIVESTOCK IMPORTS/EXPORTS -
Are you importing or exporting the livestock Importing Exporting
Name of consignee
ANIMALS TO BE INSURED -  
Type / Breed
Age at date of shipment
Reason for shipment (e.g. slaughter)
Are animals pregnant Yes No
Total insured value of shipment
TRANSIT DETAILS -  
Single Shipment Yes No
Commencement date of cover
Where is the cover to commence -  
on loading for transit a farm property Yes
on arrival at quarantine location Yes
on loading for transit at quarantine location Yes
at port of loading Yes
on loading onto overseas conveyance Yes
Overseas voyage port of loading
Estimated date of departure
Port of discharge
Estimated date of arrival
Transhipment details if applicable
Name of vessel/aircraft
Vessel/aircraft owner/operator
Where is the cover to terminate -  
on discharge from vessel Yes
on arrival at holding quarantine location Yes
on completion of holding quarantine period Yes
or arrival at property at final destination Yes
Will an Australian stockman be accompanying the livestock for the duration of the transit Yes No
BUSINESS AND CLAIMS EXPERIENCE -  
Previous experience of insured in the shipping, or export of livestock
Please detail losses incurred in the import or export of livestock over the past 5 years
(whether insured or not)
COVER -  
Cover is specified in Associated Marine Insurers Livestock Clauses  
Please specify any other clause requirement/extension of cover required

Household Goods and Personal Effects
(this category for persons moving house)

Are defined as anything in a household/residential move such as furniture and any other household item (appliances, electronics, art work, china etc’) as well as Personal Effects. All residential moves are considered household goods by most Cargo & Transit insurance companies.

HOUSEHOLD GOODS & PERSONEL EFFECTS SCHEDULE

We need to make sure you get the appropriate insurance cover your household goods & personal effects. In order to ensure that we do, please complete the following Goods & Effects Schedule which aims to specify each item and, the item’s value, that you wish to insure.

How to Value your Household Goods & Personal Effects:

It is in your interest to insure your Goods & Effects for Full Value

  • (for Items less than 5 years of age) - this means the replacement cost of the Item with a brand new Item of the same type and quality

  •  (for Items more than 5 years of age) - this means the value of the Item taking into consideration a depreciation allowance for Item’s condition, age, wear and tear.

ITEM TYPE

NO. OF ITEMS

FULL VALUE IN

Clothing/Linen -

Coats/Jackets

Suits

Dresses

Slacks/Trousers

Sweaters

Skirts

Shirts/Blouses

Sleepwear

Footwear

Socks/Hosiery

Ties/Scarves

Underwear/Lingerie

Sportswear

Sheets

Pillow Cases

Bedspreads/Quilts

Blankets

Miscellaneous Items -

Typewriters

Clocks

Bric-a-brac

Toys/Games

Food/Liquor etc

Computer Equip.

Sewing Machines

Sewing Supplies

Sports Equipment

Musical Instruments

Photo Equipment

Film/Video Tapes

Books

Records/Tapes

Paintings/Pictures

Bicycles

CHINA / GLASSWARE / SILVERWARE -

Chinaware

Glassware

Silverware

Dining Room Items -

Tables/Chairs

China Cabinets

Buffet

Lamps/Shades

Curtains/Rugs

Table Linen

Accessories

Living Room Items -

Lounge Suites

Chairs/Ottomans

Lamps/Shades

Tables

Radios

T.V./Video Recorder

Curtains/Rugs

Stereo Equipment

Bookcases

Family Room / Study Items -

Chairs

Curtains/Rugs

Sofas

Tables

Lamps/Shades

Desks

Bookcases

Bedroom Items -

Beds

Chairs

Dressing Tables

Chests/Drawers

Mirrors

Lamps/Shades

Curtains/Rugs

Bookcases

Desks

Wardrobes

Kitchen Items -

Tables/Chairs

Electric Applicances

Cabinets

Dishwasher

Microwave

Crockery

Cutlery/Utensils

Pots/Pans

Bowls/Trays etc.

Refrigerator/Freezer

Laundry Items -

Washing Machine

Dryer

Iron/Ironing Board

Bathroom Items -

Toilet Articles

Medical Supplies

Towels etc.

Cabinets/Mirrors

Hairdryers/Razors

Garage/Shed Items -

Tools

Garden Tools

Lawn Mower

Outdoor Furniture

Total Value of Household Goods



Please describe the type of Livestock & the number of Livestock you wish to insure?

Generally, how will the goods be packed (e.g. cartons, enclosed containers, etc.)


From time to time will the goods to be insured :
a. Over height or over width and will not fit into fully enclosed containers Yes No
b. Required to be kept within a specific temperature range Yes No
c. Susceptible to rust, oxidization or discoloration Yes No
d. Are there any special packing instructions given to packers,
    forwarding agents and carriers for the safe carriage of these goods		 Yes No
     
SHIPPING DETAILS -
Section 3

How will the goods usually be shipped Sea Air Rail Road All of these

Do you require World Wide cover   Yes No
Please provide general details about where
your firm ships cargo to and from  		  
     

Will the goods usually be unloaded & reloaded between the original port/place of shipping and the final destination Yes No

When do you require the cover to start  
COVER OPTION DETAILS -
Section 4


OPTION A
(Full Cover)
For PROFESSIONALLY
PACKED GOODS
only
  • All Risks of loss of or damage to the insured goods from any external cause including Accidental Damage during packing by the carrier.

  • In respect to MOTOR VEHICLES – All Risks of loss of or damage to the Motor Vehicle(s) excluding loss or damage while being driven under own power except while being driven by an authorized employee of the freight forwarder or their agent for the purposes of loading or unloading.

OPTION B
(Restricted Cover) For
OWNER PACKED GOODS
and / or
PROFESSIONALLY PACKED GOODS

Loss of or damage to the insured goods resulting from the following events -
Note: This option B cover does not include accidental damage

  • Fire and/or explosion
  • Collision of vessel, aircraft, or conveyance
  • Overturning and/or derailment of conveyance
  • Crashing and/or forced landing of aircraft
  • Stranding, sinking, or contact of vessel with any external object (ice included) other than water
  • Entry of water into any vessel, hold, container, lift van or place of storage
  • Theft, pilferage or non-delivery

'Exclusions'
RISKS NOT COVERED BY
OPTION A or B

 If the goods are damaged or by any of the following circumstances, it is likley that any claim will be excluded:
  • Delay.
  • Confiscation or detention by Customs or other officials or authorities.
  • Wear and tear, moths, vermin, normal atmospheric or climatic conditions.
  • Inherent vice.
  • Mechanical, electrical or electronic breakdown or derangement unless there is external evidence of the breakdown or derangement having been caused by an insured risk.
  • Non-delivery of owner packed items unless an itemized, valued list of contents is supplied prior to the commencement of transit.
  • Nuclear matter in terms of the Institute Radioactive Contamination Exclusion Clause current at the date of the policy.
Additional exclusions may be imposed depending on the cargo

TYPE OF COVER -
Section 5
Do you require All Risk cover option A
Yes
In certain circumstances ALL RISK cover may not be available. Our quote will detail the cover we are able to provide
Do you require Restricted Cover option B   Yes

SUM INSURED, VALUATION AND PREMIUM -
Section 6

What is the Estimated Value of goods to be insured in the immediate 12 months from commencement of the cover
 :

Do you wish to insure the value of goods, the cost of insurance and freight plus 10%
Yes No

The value for which you insure the goods for, must be an accurate value otherwise any claim may be reduced by the effect of co-insurance. An example of co-insurance can be found in section 7 below.
EXAMPLE OF CO-INSURANCE -
Section 7

If an Item is valued at $1000 but insured for $500.  Cost of repairs is $600.
The Insurers will pay $500 divided by $1000 x $600 = $300

Subject to full value being declared, if loss or damage occurs as a result of an insured risk, the Company will pay:

  • The reasonable cost of repairs or restoration in the event of damage.
  • FULL REPLACEMENT COST for any items totally lost or destroyed, PROVIDED that such items are no more than 5 years old. 
  • INDEMNITY VALUE for any items totally lost or destroyed, if items are more than 5 years old.  For the purpose of this insurance indemnity value shall mean the replacement cost less an assessed allowance for condition, age, wear and tear.

MOTOR VEHICLES are to be valued at the current market value at destination.

INSURANCE HISTORY -
Section 8
Has the Proposer or the Person requesting the quote ever: -        
         
  a. been refused insurance: Yes No  
  b. had an insurance claim of any type refused or reduced: Yes No    
  c. been charged with a crime of any type: Yes No    
 
If Yes to any of the questions above, please give details:

CONTACT DETAILS -
Section 9
Preferred Method of Contact Phone     Email
 
Best Time to Call:  
Message:

Thank you we will do our best to respond in the next few hours - but we may need to contact you for further information
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