Warehouse (goods) insurance | Seabourne Logistics

HARPER Insurance | Benefits and Seabourne logistics offer a special warehouse (goods) insurance cover for Seabourne’s clients. Application is fast and easy by completing the questions below. The quote is under the condition of final acceptance of the insurer.

Premium
€ 0.50 per € 1.000,- insured amount per month, excluding 21% insurance premium tax.

Warehouse Cover Application Form for Clients of Seabourne in The Netherlands

Contact name*

Client name*

Address*

ZIP Code / City*

Country

Phone number

Email address*

Insurance period

Inception date*

DD dash MM dash JJJJ

Expiration date*

DD dash MM dash JJJJ

Calculate your monthly premium

Insured amount*

Monthly premium including 21 % insurance premium tax

Description of goods*

Maximum value single stored item*

Is the building equipped with solar panels?*

Yes

Is a scope 12 certificate in place?*

Yes

Warehouse address*

Seabourne Logistics, Wattstraat 7, 2171 TP Sassenheim

Seabourne Logistics, Park Forum 1119, 5657 HK Eindhoven

Other

Please provide full address and information about theft and fire prevention*

In the last 8 years, have you or any stakeholder been suspected or convicted of:

If yes, please provide explanation.

Theft, deception, fraud, forgery or attempted forgery?*

Yes

Vandalism, damage, assault, extortion or any other criminal offence or attempt thereto?*

Yes

Violation of the Weapons and Ammunition Act, the Opium Act or the Economic Offenses Act?*

Yes

Explanation

Have you or any stakeholder been:

If yes, please provide explanation.

Denied or cancelled by an insurer in the last 8 years, or involved in insurance fraud or deliberate deception of a financial institution?*

Yes

Gone bankrupt, in a debt restructuring involved or has the court agreed to a postponement of payments in the last 5 years?*

Yes

Has a bailiff currently seized income or assets of you or the stakeholder(s)?*

Yes

Explanation

Is there any other information about the risk to be insured, about yourself or the other stakeholders, which may be relevant for the insurer for the acceptance of this insurance.

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GENERAL CONDITIONS

WAREHOUSE (GOODS) INSURANCE CARD

FINAL DECLARATION OF INTEREST

MORE INFORMATIONS HARPER

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