Mro Operations: Proposal For MRO Liability Insurance Coverage
Mro Operations: Proposal For MRO Liability Insurance Coverage
Mro Operations: Proposal For MRO Liability Insurance Coverage
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Client Details
Fax Number
Email [email protected]
Insurance Information
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Operational Information
OPERATIONS:
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OPERATIONS (continued):
Describe your employee vetting All AAT employee will be vetted by ministry of internal affair prior issurance of
procedures (background checks) their airport pass
The type and number of vehicles TD 45 TOW TUG QTY 2/PROTON WAJA QTY2/NAZA KIA QTY1/FORKLIFT
operated airside? QTY 1/SMALL LORRY QTY 1
Do you hold spare parts which
require insurance on an All Risks
basis or are these covered by your
property insurance?
Not Applicable
If cover is required under the
aviation policy, please provide brief
details of the types of parts and the
total value of the parts in any one
location and overall total.
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OPERATIONS (continued):
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OPERATIONS (continued):
The aircraft
US Non US
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Revenue
REVENUE BREAKDOWN:
% Split between
Airframe and Engines / Not Applicable
propellers / rotors
Do you require
Product Liability
Not Applicable
coverage for past
production / sales?
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Contractual
Contractual Information:
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Aircraft Non-Ownership Liability (The chartering of aircraft to
support your business)
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Claims / Losses
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Duty of Disclosure
Duty of Disclosure
Under the laws of England and Wales, Scotland and Northern Ireland, JLT has a duty to remind you of a
policyholder's (and its insurance agent's) duty to make a fair presentation of the risk, and to disclose all
material circumstances, and the consequences of not doing so. It is necessary to disclose all information
which would influence the judgement of a prudent insurer in determining whether or not to accept a risk, and
upon what terms. Failure to comply with this duty may give the insurer the right to void the policy from its
inception, or to impose different terms, or to reduce the amount paid on any claim. If your contract is not
subject to such laws, your duty of disclosure and the consequences of its breach may vary from that stated
above.
For further information, if any further material requires to be disclosed or if you have any question as to what
should be disclosed please refer to your normal Gallagher contact.
The undersigned declares that, to the best of their knowledge, all information provided in this proposal form
is true and correct.
Proposers Name
Nor Siti Aisyah Binti
Signature
aisyah
Anuar
26/3/2024
Proposers Title Intern Finance Date
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Gallagher
Walbrook Office
The Walbrook Building
25 Walbrook
London
EC4N 8AW
www.ajg.com/uk
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