Bailee’s Liability
Questionnaire
Please
provide information about your company, operations and business procedures:
1. Name of your company:
2. Main business address:
3. Address(es) of other offices:
4. Describe the nature of your business (e.g. non-vessel
operating carrier, forwarder, customers agent, warehouseman, terminal operator,
trucking, distribution service, packers, consolidators/ deconsolidators,
stevedores, wharfingers, or others as specified).
5. Number of years in your business ? (please specify for
each business).
6. Names of your key personnels and their experience /
qualifications.
7. Please provide details of the type of goods normally
handled :-
Nature of Goods handled Percentage
of business.
a. Attractive and high value goods
b. Heavylift critical cargoes
c.
Consumer
electronics
d. General cargo and sundry goods
e.
Household /
Personal Effects
f.
Toxic /
Inflamable / Explosive
g.
Livestock
h. Perishables
i.
Refrigerated /
Chilled
j.
Bulk ore, grain,
chemicals, fertilizers, oil
k. Documents, money or bullion, species, fine art,
electronic data, furs, antiques,
cigarettes & to-
bacco, wines &
liquors, clothing & garments,
auto spares, or others (please specify).
8. Who are your customers (e.g. multi-national
manufacturing companies, traders, suppliers, or others (please specify.)
9. How are the goods packed ?
10. Packing is carried out by your company, or other
professional packers, or owner packed ?
Your Forwarding Operations.
11. Where are the cargoes normally shipped from/to (the
scope and range of your transportation) ?
12. Do you have your own overseas correspondents ?
13. How many TEU’s do you handle in a year ?
14. In case of NVOCC operations,
which shipping lines would you book vessel space on ?
Are your
inhouse bills of lading on the basis of back-to-back indemnity with the
shipowners’ bill of lading ? Is your bill of lading inclusive of overland
transport and warehousing ?
Provide a copy
of your standard contract of affreightment and forwarding receipt.
Your Transport Operations
15. Please provide annual financial statements on trucking
turnover, a copy of your standard form of forwarding contract and c.v. of key
personnel.
16. What are the types of goods carried ? Please provide
percentages and values :
17. What are the areas covered and the routes of your
transportation ?
18. How many trucks do you have ? Please advise model
number, age and tonnage.
19. What types of trucks - canvas top lorries ? closed
vans ? side curtain trucks ?
Box vans ?
containers ? multi-wheeled loaders ? boxed vans / container trucks with
padlocked cargo compartments ?
20.
How many drivers and attendants do you have ? Does each
truck have one driver and one attendant ?
21.
How long have they been in your employ ?
22.
Are all your trucks equipped with trunk-radios, two men
crews, theft alarms, ignition cut-off, padlocks, steering lock ? (Please
Specify).
23.
Any background checks on your drivers and attendants
such as whether they had criminal records, alcohol or drug problem, or accident
record ?
24.
Do you provide Training on operations, road safety and
security control ?
25.
Do your trucks carry out collection and delivery
service i.e. pick-ups from suppliers’ premises and deliver the goods directly
to consignees’ premises ?
26.
Are there any overnight stopovers whilst in the course
of transit ? What are your Security
provisions for overnight stopovers ?
27.
Are the goods properly stowed and lashed to prevent the
goods from falling off the trucks /Are the goods delivered directly to the
consignees, during office hours ?
28.
What are the Average and Maximum Values each trip ?
29.
How many lorry trips in a day, in a week ?
30.
Any transportation during Saturdays and Sundays ?
31.
What is the Annual Value of Goods carried ?
32.
Any previous accident or loss experience ? If so,
please describe nature of loss, date(s) of loss and advise value of loss.
33.
Do you sub-contract your transportation to others ? Who
are the truckers that you normally use ? Are they regulars ? Do they issue
their own trucking receipts ? Or do you issue your own truckers / warehouse
receipts ? If so, are there any back-to-back indemnity from the contract
truckers ? Otherwise , are there any formal contracts with the truckers ?
Please complete a separate copy of
this questionnaire for each of your sub-contractors.
Your Warehousing
Operations.
34. Warehousing concerns the management and control of
warehousing activity such as storage and tracking of incoming and outgoing
stocks, security of premises from fire, flood, insects, walk-in thefts, petty
thefts and break-ins. Please provide details of your warehouses as follows:
Location Contruction Fire and security alarms Flood area.
a.
b.
c.
35. Describe
location (please circle appropriate location) :
Area: Downtown Surburb Rural Area Industrial Area
Type: Industrial lot Commercial Residential Others (Please specify)
36. Property
Insurance Tariff Rates:
a. Fire
rate
b. Full
perils
c.
Malicious damage
d. Sprinkler
leakage
e.
Flood
f.
Landslide
37. Describe
the premises (please attach sketch plan) :
a. Owned
or Rented ?
b. Size
of the building ?
c. Number
of storeys ?
d. Construction
of the walls ?
e. Construction
of roof ?
f.
Year built ?
g. Recently
renovated, when ?
h. Any
basement ?
i.
What is the ground floor area ?
j.
What are the upper floors areas, if any ?
k. What
is the total area available for storage ?
l.
Describe any exposure to flood damage:
m. Adequate
drainage ?
n. Sum
pump available ?
o. Any
manufacturing process in the building ? If yes, please describe.
p. Is
your premises shared with any third party or parties ? If so, please describe
their activity and area.
q. What
is the nature of the separation of your premises from the third party(ies) ?
r.
How many divisions of fire separations ?
s.
Standard of Housekeeping ?
t.
Standard of Maintenance ?
u. Premises
regularly fumigated against termites and moths ?
v. What
is the Protection against humidity / mold / mildew?
w. Exposures
within 30 feet of the building ?
x. Are
forklifts used within the premises ? If so, are they battery-powered or
internal combustion engine ?
y. If
battery-powered forklifts are used, where is the charging area ?
z. If
internal combustion engine forklifts, where is the fuel storage area ?
zi. Is stack storage used in the premises
? If so, how high are the stacks ?
zii. Is your storage premises a
non-smoking area ? If so, is there a smoking area available outside the
premises ?
38.
Is the location sprinklered ?
a.
Wet or dry system ?
b.
Manufacturer’s name and when installed ?
c.
How often serviced ?
d.
Is the system equiped with a Sprinkler Alarm ?
e.
Describe how it works:
f.
Any other private protection, please described ?
39.
Please described security systems:
a. Any
fire alarm, please describe ?
b. Location
and number of fire hydrants ?
c. Hose-reels
available, please advise location and number ?
d. Are
watchmen employed ? If so, how many ?
e. Burglar
alarm, steel window and door grills, security padlocks ? Please provide
details:
f.
Accessibility to premises through door or window or
roof openings or garbage chutes or party walls ?
g.
Any perimeter fencing ?
h.
Exterior and interior flood lighting ? Please advise
number and locations:
i.
Is the premises connected to a Central Monitoring
Station (CMS) ? If so, which one ?
j.
How many clock stations on premises ?
k.
How many pull boxes for CMS signals ?
l.
Crime history in building and neighbourhood ? Please
provide details:
m.
Theft and burglary insurance carried by Applicant ?
Please provide details:
40. How
many employees work at the premises ?
a.
Describe their job functions ?
b.
Have your employees been checked for criminal record,
alcohol and/or substance abuse ?
c.
What are your operating hours ?
d.
Is there a stock intake and stock release monitoring
control station ?
e.
What are the stock control procedures ?
41. Give percentages of goods stored and
estimated values:
Values Percentage of storage
Acids
Attractive
goods such as expensive watches,
furs, jewelry, specie, etc.
Computer
/ electronic data
Drugs
and Pharmaceuticals
Edible
Oils
Electronics
& Electricals
Explosive
/ Toxic / Corrosive substances
Fertilizer
Food
products
Furniture
Petroleum
Products
Rubber
Vehicle
Tyres
Wet
Commodities
Goods
particularly susceptible to damage by moisture
Non-Explosive
and Non-Corrosive chemicals
All
other goods ( Please describe)
40.
Is there any cold storage facility ? Area available for
cold storage ?
Auxiliary or Emergency
Power Source ? If so, please provide details:
Type
of refrigerant:
Size
and Capacity of compressors:
Manufacturers
name:
Year
installed:
Service
intervals:
Is
Deterioration of Stock or Contamination of Stock insurance carried ?
If
so, who is the insurer ? What is the limit of indemnity insured ?
Is
Machinery Breakdown Insurance carried ? If so, who is the insurer ?
What
is the limit of indemnity insured ?
41.
Give details of previous losses, insured or otherwise
that would be recoverable under this type of insurance:
42.
Details of previous insurance ?
43.
Name the trade associations in which membership is
held:
44.
Attach a copy of your warehouse receipt used :
45.
What limit of indemnity is required for Transportation
?________________
Warehousing
? ________________
46.
What policy deductible is required ?
47.
What are the annual gross receipts / revenue from your
operations for the last five years ?
Transportation Warehousing
a. 19____ ____________ ___________
b.
19____ ____________ ___________
c.
19____ ____________ ___________
d.
20____ ____________ ___________
e.
20____ ____________ ___________
Projected for next 12
months ____________ ___________
The
Applicant agrees that the statements and attachments contained in this proposal
are true and that if insurance is effected, material misrepresentation or
concealment of any information voids this insurance.
Underwriters
reserve the right to conduct a risk survey on your premises during normal business
hours.
Signed ___________________
By ___________________
Date ___________________
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