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Terminal Operators Liability - Mar Risk

MarRS. Port Authority & Terminal Operators Proposal Form 1 GENERAL INFORMATION. Name of Insured Main Address Telephone FAX. E-mail Web site Other addresses/locations Year established Number of Employees: Full Time Part Time Directors/Officers/Partners Are you a member of any YES/NO If YES, which ones? Trade Associations 2 INFORMATION ON YOUR INFRASTRUCTURE. Are you an Landlord Port? YES/NO If YES what % income is derived? %. Operational Port? YES/NO If YES what % income is derived? %. If you are a Landlord Port please state your top three tenants: 1. 2. 3. Please describe your current activities: Please indicate which of the following you operate from your Port / Terminal i). Berths Number Total Length Maximum Draft Accommodated How often surveyed above and below water line ii).

Port Authority & Terminal Operators Proposal Form 1 GENERAL INFORMATION Name of Insured Main Address Telephone FAX E-mail Web site Other addresses/locations

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