REQUEST INDICATION OF TERMS
TO OBTAIN AN INDICATION OF TERMS FOR YOUR CONSIDERATION PLEASE GIVE ANSWERS TO ALL OF THE FOLLOWING QUESTIONS
Contact Details
Full name of Company / Farm to be insured:
Website address if applicable:
Contact Email:
Contact Name:
Contact Number:
 


Cover Options
Our 'All Risks' insurance wording already includes the following perils. Please tick the perils you require to be insured against:
Hurricanes/Storms   Typhoons   Cyclones   Tidal wave/Tsunami   Lightning   Pollution

Freezing/Frost Damage/Superchill/Frazil Ice   Predation   Theft/Malicious Acts   Flood   Collision

Disease   Algal Blooms/Toxic Blooms   Jellyfish Infestation   Parasitic Infestation

Deoxygenation due to competing biological activity or to changes in the physical or chemical condition (including pH) of the water, including upwelling and high water temperature
 


Farm Details
Please tick/complete the boxes below as applicable, if required more than one box can be ticked:
Offshore:   Depth of water at site:   Depth of nets at site:

Onshore:   select type:-   Hatchery:   Nursery:   Pump Ashore:   Recirculation:


Number of years Company has been in business:
Date site(s) first used:
Date site(s) first used by company:
Species in site(s) to be insured:
Location(s) of sites to be insured:
How many sites to be insured:
Number of cages to be insured:
Number of cages/cage groups at each site:
Stocking Density:
Approx. maximum value of insurance:
Approx. average value of insurance:
 


Current Insurance Status?
Are you insured at present: Yes:   No:   If yes date of expiry:

If NO have you previosuly been insured:
 


Details of all losses with values including any claims which have been paid
For all claims/losses you must include the nature, value, cause and date of each loss/claim. Please clearly indicate for each entry whether it is a claim or a loss
Upon receipt of this satisfactory completed form we will endeavour to issue an indication of terms for your consideration however please note these terms are non binding. Should these indicative terms prove to be of interest to you we will then require additional information to enable us to fully assess the risk and provide definite terms. Please tick to confirm you have read and understood the above statement.


Cargo and Rejection

If you require further information on our Cargo and Rejection cover please tick the option/s which are of interest to you below.
Rejection Insurance
Cargo including 12 hour breakdown of refrigeration equipment
Cargo including 24 hour breakdown of refrigeration equipment







London Office: 11th Floor, St. Clare House, 30/33 Minories, London, EC3N 1DD || Tel: +44 (0)20 7480 0590 || Fax: +44 (0)20 7481 9841
Newcastle Office: The Smithyside, Ponteland, Newcastle-upon-Tyne, NE20 9BD || Tel: +44 (0)1661 821 070 || Fax: +44 (0)1661 821 631

Disclaimer || Terms & Conditions

Aquarius Insurance Services Limited is an Appointed Representative of Swinglehurst Limited, a Lloyd's Broker, authorised and regulated by the Financial Services Authority
Registered Office: St. Clare House, 30 - 33 Minories, London EC3N 1DD || Registered in England No: 4679206 || VAT Registered 806 0889 20 || © Aquarius Insurance Services Ltd