HTML Preview Event Cancellation Proposal Form in PDF format page number 3.
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General Information:
Will all contractual arrangements necessary for the successful fulfilment of each
Event be made and confirmed in writing in a prudent timely manner prior to the
start of the Event?
Yes
No
Has any Event to be insured had any incidents that could have resulted or did
result in a loss which would have been covered under this Insurance during the
past three years?
Yes
No
Is the Insured aware of any matter, fact, circumstance or incident existing or
threatened that could possibly affect any Event and might result in a claim
under the proposed Insurance?
Yes
No
Specific Non Standard Coverage:
Does the Insured have any specific non-standard coverage requirements
Yes
No
Declaration:
Following all due enquiries with and by the Insured I can confirm that to the best of the Insured(s)
knowledge and belief the information provided in connection with this proposal is true and the Insured
has disclosed any and all material facts. The Insured understands.
a material fact is one likely to influence a reasonable underwriter in
determining (a) whether or not to accept the risk; and/or (b) the level of the
premium; and /or (c) the terms, conditions and limitations of the certificate.
If you are in any doubt as to what constitutes a material fact then please tick
no.
Yes
No
Any Additional Information