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Freight Forwarders Liability - Mar Risk

Freight Forwarder1 GENERAL INFORMATIONName of InsuredMain AddressTelephoneFAXE-mailWebsiteOther addresses/locationsYear establishedNumber of Employees:Full TimePart TimeDirectors/Officers/Partners2 INFORMATION ABOUT YOUR OPERATIONSWhat are your total Gross Freight Receipts for:Next Year (estimate)USDC urrent YearUSDLast YearUSDTwo Years AgoUSDP lease complete the following table to indicate classes of goods handledAs AgentAs Principal%Volume% GFRC ontainerisedY / NY / NContainerised(temp controlled)Y / NY / NGeneral CargoY / NY / NBulk CargoY / NY / NLivestockY / NY / NDangerous CargoY / NY / NChemicals/OilsY / NY / NTobacco(inc cigars/cigarrettes)Y / NY / NPersonal EffectsY / NY / NAlcholic spiritsY / NY / NCD/PC/Computer Games/DVD/Laptops, etcY / NY / NMobile, cell phones, etcY / NY / NJewellery, works of art, precious goodsY / NY / NOther hight value goods-please specifyY / NY / NMarRSDo you anticipate involving yourself in any project cargo movements?

Freight Forwarder 1 GENERAL INFORMATION Name of Insured Main Address Telephone FAX E-mail Website Other addresses/locations Year established Number of …

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