Quote: Aviation and Space Products liability

Company Identification
Name and Address of the applicant *
E-Mail *
Phone
Fax
Registration Company Number
Contact of the responsible for insurance matters
Name of any subsidiariy with an aviation activity to be named as additional insured
Description of Aviation & Space Products manufactured or delivered and of the services supplied by the company:
Number of employees:
Aerospace activities starting date:
Risks to be covered: Limites de garanties solicitées
Year
1. Products Liability after delivery (Cover C):
Liability limit
2. Risks associated with entrusted assets (Cover B):
Cover per claim for damage caused: • to aircraft assets (including aircraft of which the insured is guardian or custodian)
Cover per claim for damage caused: • to third parties due to the assets mentioned above (including occupants on board entrusted aircraft)
3. Operational Risks (Cover A):
Turnover (in €)
Over the last 12 months
Aviation
Space
Over the next 12 months
Aviation
Space
Production
Description of Aviation and / or Space Products manufactured or delivered and of the Services supplied by the Company:
Location where is performed the activity of the company?
Main clients’ programs in which the company is involved and at what level
Average unit value of production:
Description of the quality control organization (standards, training, etc.)
Names of subcontractors and their subcontracting part in production
Turnover before taxes performed for the previous 12 month period
AVIATION PRODUCTS
Civil sales turnover
Military sales turnover
SPACE PRODUCTS
Civil sales turnover
Military sales turnover
TOTAL TURNOVER (Aviation and Space Products)
Turnover before taxes estimated for the next 12 month period
AVIATION PRODUCTS
Civil sales turnover
Military sales turnover
SPACE PRODUCTS
Civil sales turnover
Military sales turnover
TOTAL TURNOVER (Aviation and Space Products)
Commercial Relationships
Company's main Client(s)
Company's main supplier(s)
Contractual arrangements between the insured and its customers in terms of liability, as well as between the insured and its suppliers (any waivers of recourse)
Additional information on the company's financial stability
Insurance
Name of current insurer:
Contract effective date:
Claim statistics in the past 5 years:
Option entrusted assets insurance
Garantit le souscripteur contre les conséquences pécuniaires de sa responsabilité civile en tant que gardien, en raison des dommages matériels et corporels résultant d’accidents causés aux et du fait des objets de la clientèle qui lui sont confiés, y compris les aéronefs, dans le cadre de son activité aéronautique.
Do you receive assets, parts, tools entrusted by third parties?
Type of aviation equipment under your custody
Number per year
Average total value at any time
Average number of days during which you have responsibility for the equipment
Average value any one equipment
Nature of your work on this equipment
What is the deductible amount that you think you can bear
Option operationnal civil liability insurance
Garantit le souscripteur contre les conséquences pécuniaires de sa responsabilité civile à l’égard des tiers lorsqu’elle serait recherchée à l’occasion de son activité aéronautique
Do you realize some of your activity in the premises of your customers?
What is your turnover?
Is there a particular contract clause ?
Do your employees act under the direction of your customer?
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Quote: Aviation and Space Products liability