Cargo Insurance Quote Request

Step 1 of 7

14%

What is the full legal name of your company?(Required)

What type of legal entity is your operation?(Required)

Corporation

Partnership

Sole Proprietor

LLC

Other

if other, please explain.(Required)

How many LLC Members are there?(Required)

Does your company have any DBA's or Trade Names it uses?(Required)

Yes

If your company has a DBA or trade name what is/are it/they?

What is your Name?(Required)

First Last

Email address?(Required)

Contact phone number?(Required)

What is your Company's Web Address?

Please provide a detailed description of your business operations.(Required)

What did your company start?(Required)

MM slash DD slash YYYY

What date do you need coverage to start?(Required)

MM slash DD slash YYYY

What is your company's mailing address?(Required)

Street Address Address Line 2 City State ZIP Code

Our physical address different from our mailing address.(Required)

What is the physical street address of your PRIMARY operations?(Required)

Street Address Address Line 2 City State ZIP Code

Our operations are:

Importer/Exporter

Freight Forwarder

Commodity Trader

How are goods being shipped:(Required)

Containerized and /or Air Freight

Breakbulk

Bulk

On Deck

Other

If importer/exporter, how are goods packed?(Required)

Product Classification

Select Your Primary Commodity Classification:(Required)

Apparel, Leather and Textiles(Required)

Appliances(Required)

Bathroom(Required)

Beauty and Health Products(Required)

Beverages(Required)

Building Materials(Required)

Chemicals(Required)

Cleaning Products(Required)

Consumer Goods(Required)

Electronics, Electrical Equipment/Components(Required)

Flowers(Required)

Foodstuff(Required)

Furniture and Fixtures(Required)

Kitchen Items(Required)

Knives, Blades and Razors(Required)

Machinery(Required)

Metal Articles and Items(Required)

Paper, Paperboard, or Printed Materials(Required)

Pet Related Items(Required)

Plastics and Rubber(Required)

Playground Equipment(Required)

School Supplies(Required)

Scientific and Precision Instruments(Required)

Sporting Goods(Required)

Tools and Hardware(Required)

Transportation Equipment(Required)

Wood Products, Logs, and Other woods in the rough(Required)

Coverage Elections

Which of the following coverages are you seeking, SELECT ALL THAT APPLY

INTERNATIONAL TRANSIT - Ocean Marine Insurance - International Transit. OVERLAND TRANSIT - Inland Marine - Domestic Transit. OUR WAREHOUSE or PROCESSOR LOCATION - Inventory at a warehouse, production facility, or processor's location.

INTERNATIONAL TRANSIT

DOVERLAND TRANSIT

OUR WAREHOUSE or PROCESSOR LOCATION

What are your primary points of origin and primary points of destination?

Please add a new row for each combination of origin & destination.

From

Vessel

Air

Barge

Mail

Total $ Value Shipped

What are Your Total Annual Values Shipped are based on:

Gross Sales

Actual Insured Values

What is the estimated percentage of shipments that are in door-to-door containers?

Please enter a number from 01 to 100.

Indicate What Valuation You Would Like on Your Goods?(Required)

CIF stands for: C = Cost/invoice value (purchase cost if your client is the buyer, or selling price if they are the seller) I = Insurance premium F = Freight and associated charges (e.g. customs clearance charges)

CIF+10%

CIF+15%

CIF+20%

What deductible would you prefer?

$0 if possible

$500

$1,000

$2,500

$5,000

$10,000

INTERNATIONAL TRANSIT INFORMATION

Indicate annual volume and per shipment limits breakdown below

Average value per shipment(Required)

Maximum value per vessel

Maximum value per aircraft

Maximum value per barge

Number of shipments, Annually(Required)

Total Annual volume shipped(Required)

OVERLAND TRANSIT INFORMATION

Indicate commodities shipped within borders of a country under separate bill of lading below

Average value per shipment(Required)

Approx Number of shipments per year(Required)

Total value shipped per year(Required)

Maximum value per shipment(Required)

Maximum value per occurrence(Required)

This is the maximum coverage you would want for any single shipment

% By Rail(Required)

Please enter a number from 0 to 100.

% By Truck(Required)

Please enter a number from 0 to 100.

% By Air(Required)

Please enter a number from 0 to 100.

TOTAL

Must equal 100%

List ALL countries where shipments are entirely made by truck or begin and end within the same country

What deductible would you prefer?(Required)

$0 if possible

$500

$1,000

$2,500

$5,000

$10,000

OUR WAREHOUSE/PROCESSOR LOCATION

How many locations are you seeking coverage for your inventory at?(Required)

More than 5

Location 1

Location 1 is a(Required)

Public Warehouse

Our Warehouse

Processing/Manufacturing Location

3rd Party Logistic Facility

What is the name of the facility(Required)

Address(Required)

Street Address City State ZIP Code

Maximum inventory/stock at this location(Required)

Coverage Limit Requested(Required)

How many stories is the building(Required)

What year was the building built(Required)

What is the building's construction(Required)

Frame - Exterior walls are wood or other combustible materials.

Joisted Masonry - Exterior walls are constructed of masonry materials and floors and roofs are combustible.

Non-Combustible - Exterior walls and floors and roof are constructed of, and supported by metal or other noncombustible materials.

Masonry Non-Combustible - Exterior walls are constructed of masonry materials with floors and roof of metal or other non-combustible materials.

Indicate type of protection (check all that apply):(Required)

None

Burglar Alarm - Local

Burglar Alarm - Central Station

Fire Alarm - Local

Fire Alarm - Central Station

24-Hour Watchman

Sprinkler System

Location 2

Location 2 is a(Required)

Public Warehouse

Our Warehouse

Processing/Manufacturing Location

3rd Party Logistic Facility

What is the name of the facility(Required)

Address(Required)

Street Address City State ZIP Code

Maximum inventory/stock at this location(Required)

Coverage Limit Requested(Required)

How many stories is the building(Required)

What year was the building built(Required)

What is the building's construction(Required)

Frame - Exterior walls are wood or other combustible materials.

Joisted Masonry - Exterior walls are constructed of masonry materials and floors and roofs are combustible.

Non-Combustible - Exterior walls and floors and roof are constructed of, and supported by metal or other noncombustible materials.

Masonry Non-Combustible - Exterior walls are constructed of masonry materials with floors and roof of metal or other non-combustible materials.

Indicate type of protection (check all that apply):(Required)

None

Burglar Alarm - Local

Burglar Alarm - Central Station

Fire Alarm - Local

Fire Alarm - Central Station

24-Hour Watchman

Sprinkler System

Location 3

Location 3 is a(Required)

Public Warehouse

Our Warehouse

Processing/Manufacturing Location

3rd Party Logistic Facility

What is the name of the facility(Required)

Address(Required)

Street Address City State ZIP Code

Maximum inventory/stock at this location(Required)

Coverage Limit Requested(Required)

How many stories is the building(Required)

What year was the building built(Required)

What is the building's construction(Required)

Frame - Exterior walls are wood or other combustible materials.

Joisted Masonry - Exterior walls are constructed of masonry materials and floors and roofs are combustible.

Non-Combustible - Exterior walls and floors and roof are constructed of, and supported by metal or other noncombustible materials.

Masonry Non-Combustible - Exterior walls are constructed of masonry materials with floors and roof of metal or other non-combustible materials.

Indicate type of protection (check all that apply):(Required)

None

Burglar Alarm - Local

Burglar Alarm - Central Station

Fire Alarm - Local

Fire Alarm - Central Station

24-Hour Watchman

Sprinkler System

Location 4

Location 4 is a(Required)

Public Warehouse

Our Warehouse

Processing/Manufacturing Location

3rd Party Logistic Facility

What is the name of the facility(Required)

Address(Required)

Street Address City State ZIP Code

Maximum inventory/stock at this location(Required)

Coverage Limit Requested(Required)

How many stories is the building(Required)

What year was the building built(Required)

What is the building's construction(Required)

Frame - Exterior walls are wood or other combustible materials.

Joisted Masonry - Exterior walls are constructed of masonry materials and floors and roofs are combustible.

Non-Combustible - Exterior walls and floors and roof are constructed of, and supported by metal or other noncombustible materials.

Masonry Non-Combustible - Exterior walls are constructed of masonry materials with floors and roof of metal or other non-combustible materials.

Indicate type of protection (check all that apply):(Required)

None

Burglar Alarm - Local

Burglar Alarm - Central Station

Fire Alarm - Local

Fire Alarm - Central Station

24-Hour Watchman

Sprinkler System

Location 5

Location 5 is a(Required)

Public Warehouse

Our Warehouse

Processing/Manufacturing Location

3rd Party Logistic Facility

What is the name of the facility(Required)

Address(Required)

Street Address City State ZIP Code

Maximum inventory/stock at this location(Required)

Coverage Limit Requested(Required)

How many stories is the building(Required)

What year was the building built(Required)

What is the building's construction(Required)

Frame - Exterior walls are wood or other combustible materials.

Joisted Masonry - Exterior walls are constructed of masonry materials and floors and roofs are combustible.

Non-Combustible - Exterior walls and floors and roof are constructed of, and supported by metal or other noncombustible materials.

Masonry Non-Combustible - Exterior walls are constructed of masonry materials with floors and roof of metal or other non-combustible materials.

Indicate type of protection (check all that apply):(Required)

None

Burglar Alarm - Local

Burglar Alarm - Central Station

Fire Alarm - Local

Date of Loss(Required)

MM slash DD slash YYYY

Loss Amount in dollars(Required)

Nature of the claim (What caused the claim)?(Required)

Prior Insurance Coverage

Does this company currently have or has had Cargo insurance in the past?(Required)

What is the name of your prior or current insurer (not your broker)?(Required)

What is/was the expiration date of your prior policy, if it passed, what date did coverage end?(Required)

MM slash DD slash YYYY

What is/was the annual premium of the current/prior policy?(Required)

Has any insurer declined, canceled, or nonrenewed any Product Liability Insurance for your company?(Required)

Comments

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