Product Liability | Quotation

Description of Risk

Business Entails

Please Specify Any Other Business Entails.

If you incorporate parts manufactured elsewhere for any of the above listed products, wholly or partly, including raw materials, state the part or component and from where they are sourced

Do you provide directions for use of the product?

Do you keep records of the sources of supply of goods and materials which you handle or use?

Are any of your products or components thereof manufactured abroad ?

Are any of your Products Exported ?

Country Details

Country

Estimated turnover

Add

Are any of the products supplied for use in connection with:

Aircraft, aerospace equipment or aerial devices of any kind?

Pharmaceuticals?

Offshore Platform and Rigs?

Since when have you been engaged in manufacturing/supplying these products?

Do you enter into any agreement or undertaking to indemnify or compensate suppliers of materials or components or subcontractors or processors in respect of any injury or damage?

Do you have a research and development department ?

Research and Development Department

Name

Qualification

Position

Add

Give details of all products dealt with you and state whether you require cover for the product under this policy.

PRODUCT-1

Product Name

Description Of Product

Estimated Annual Turnover

Is Manufactured By Other ?

Manufactured By

Is Cover Required or not ?

Add

Specify any products manufactured, sold or used as a raw material for manufacture of finished goods which are inflammable, explosive, poisonous, and radioactive or in any way dangerous.

PRODUCT-1

Product Name

Description Of Product

Estimated Annual Turnover

Is Manufactured By Other ?

Manufactured By

Is Cover Required or not ?

Add

What type of packaging do you use?

Do you manufacture the packaging materials?

Do you give any written guarantee or conditions of sale with or in respect of any of your products

Are there any quality control measures in place with regard to the product?

Are there any Statutes, Laws or Bylaws that govern your operations with regard to the product proposed for insurance?

Statutes, Laws or Bylaws Details

Law

Name, Title or Heading of Law

Do you operate in compliance with this Laws?

Please Specify

Add

Product Liability Quotation

Personal Details

Product Details 1 Remove

Location of Premises which the Risk/product produced

Give details of all products dealt with you and state whether you require cover for the product under this policy. 0

File Upload

Note:- Brochures or leaflets describing the products can be enclosed if available.

Country Details

Are any of the products supplied for use in connection with:

Research and Development Department

PRODUCT-1

PRODUCT-1

Statutes, Laws or Bylaws Details

Limits of liability required: