Aquaculture Proposal Form

Aquaculture Proposal Form
Please read the FAQs below, as it will help with completing the form.
How is the First Loss Limit calculated?
This is at the discretion of the proposer and represents the limit that is claimable under this policy. If a claim is made then the limit is reduced by the value lost. If desired, a reinstatement premium can be paid to restore the First Loss Limit to the pre-boss level.

How is the rate calculated?
The rate is calculated by looking at all the features of the operations as well as the relationship between the first loss limit and the total amount of stock on site. For this reason it is important that an up-to-date stock inventory is supplied.

What does this policy cover against?
This policy covers stock mortality caused by one of the perils in the policy document. Please note that this is a 'named perils' policy therefore, in the case of a loss, it will be up to the policyholder to prove that the loss was caused by an insured peril.
Losses are considered on the production of mortalities.

What is actually covered?
The stock is insured as per the indemnity scale in the policy document. This is produced using various pricing models around the UK. Only the species of fish listed are covered under this policy however this, and the indemnity values, can be reviewed on request.

What isn't covered?
The two major exclusions under this policy are for losses caused by Intentional Slaughter and for any single fish.
It is worth emphasising that if a restriction order is imposed on the site the policy will only pay out in the vent of mortality.

Can I only insured one lake/pond?
Unfortunately not, the policy will be effective across the site as a whole. This is because it would be difficult to ascertain if a loss had occurred in an insured or uninsured pond.

Can I only insure my carp?
Although the indemnity scale lists a number of species that can be insured under the policy, a single species can be insured if desired.
In these instances we will still require an inventory of the lakes for risk management purposes, however only the value of the carp will be used in the calculation of the sum insured.
If you have any technical questions then please feel free to call Robert Ferguson at Sunderland Marine direct on 0191 232 5221
Please confirm you have read the FAQs *

I have read the FAQs above

Company Information
The checklist and completed proposal form are necessary to correctly evaluate each operation. Failure to submit the information requested may result in delays, the indication of more restrictive terms or a disinclination to cover. Please note that this checklist is not definitive; our risk managers and underwriters may request additional information to help analyse the risk. Likewise you should include any additional information that you feel may be relevant to this submission.
Company Information
Company Name
Contact Name
Position

Company Mailing Address

Street Address
Street Address Line 2
City	County
Postcode	Country

Tel No
Email Address

Site Information
Site to be Insured
Date Site First Established and by Whom

- Day - Month Year
Date Site Commenced Operation Under Current Ownership

- Day - Month Year

Site Address

Street Address
Street Address Line 2
City	County
Postcode	Country

Location (Lat & Long)
Site Licence No.
Tel No
Email Address
Fax
Proximity of other fisheries within 5 miles (8 kilometres) of this site and/or in the same catchment

Staff
Fishery Manager’s Contact Information
Full Name

First Name Last Name
Position
Qualifications
Number of Years’ Experience
Number of Years’ Experience at this Site
Mobile No
Number of staff at this Site

Stock Management
Provide Details of Stock Assessments (frequency)
Provide Details of Stock Management Measures
Health
Frequency of Health Checks:
Conducted by:
Please Detail Any Routine or Prophylactic Treatments:
Retained Vet Details

Monitoring and Mitigation
Oxygen Levels:
Min
Max
Temperature:
Min
Max
Details of Oxygen Monitoring
Aeration Systems
Any water re-use or secondary water supply and under what circumstances are they used:
Security
Security Alarms

Yes No
24 Hour Attendance

Yes No

Loss History
If there have been no losses in the past 5 years, please delete as appropriate.

Yes No
If yes, please indicate any losses, irrespective of whether or not it resulted in a claim, noting the site, causation, number and size of fish lost and the settlement, in the last 5 years.
Date

- Day - Month Year
Date
Cause of Loss
Species
Number
Average Weight
Gross Loss (£)
Net Settlement (£)

2nd Loss History Details (if applicable)
Date

- Day - Month Year
Date
Cause of Loss
Species
Number
Average Weight
Gross Loss (£)
Net Settlement (£)

Close 2nd Loss History Details (if applicable)

3rd Loss History Details (if applicable)
Date

- Day - Month Year
Date
Cause of Loss
Species
Number
Average Weight
Gross Loss (£)
Net Settlement (£)

Close 3rd Loss History Details (if applicable)

4th Loss History Details (if applicable)
Date

- Day - Month Year
Date
Cause of Loss
Species
Number
Average Weight
Gross Loss (£)
Net Settlement (£)

Close 4th Loss History Details (if applicable)

5th Loss History Details (if applicable)
Date

- Day - Month Year
Date
Cause of Loss
Species
Number
Average Weight
Gross Loss (£)
Net Settlement (£)

Close 5th Loss History Details (if applicable)

Insurance History
Name of Present Insurer:
Renewal Date

- Day - Month Year
Date
In respect of the property, the subject of this proposal has any insurer:
Declined?

Yes No
Cancelled Cover?

Yes No
Imposed Restricted Terms or Additional Premiums?

Yes No
If so, please provide details:
Please provide any other information which you feel may be relevant to the application for insurance:

Summary
I HEREBY DECLARE THAT THE PARTICULARS AND ANSWERS GIVEN IN THIS PROPOSAL ARE IN EVERY RESPECT TRUE AND CORRECT AND THAT I HAVE NOT WITHHELD OR MISREPRESENTED ANY INFORMATION CALCULATED TO INFLUENCE THE DECISION OF THE COMPANY IN REGARD TO THE UNDERWRITING OF THE RISKS TO WHICH THIS PROPOSAL RELATES. FAILURE TO DISCLOSE ALL RELEVANT FACTS MAY INVALIDATE YOUR POLICY.
Please tick below if you agree with the above statement: *

I agree
INSURERS SHOULD IMMEDIATELY BE ADVISED OF ALL MATERIAL CHANGES OR ALTERATIONS OF THE INFORMATION PROVIDED IN THIS PROPOSAL. A MATERIAL CHANGE IS ONE WHICH WOULD INFLUENCE THE JUDGEMENT OF A PRUDENT INSURER IN SETTING THE TERMS OR PREMIUMS OR DETERMINING WHETHER TO CONTINUE ACCEPTANCE OF THE RISK. FAILURE TO DO SO MAY INVALIDATE YOUR INSURANCE SHOULD WE AGREE TO ENTER INTO AN INSURANCE CONTRACT WITH YOU.
Please tick below if you agree with the above statement: *

I agree
Name *
Date *

- Day - Month Year
Date
Position *
Company *

Company Address *

Street Address
Street Address Line 2
City	County
Postcode	Country

Contact Permission

We would love to send you occasional information that you might find to be useful relating to our products and services and help you save money with our offers.
*

Yes please, I'd like to hear about your offers and services No thanks, I don't want to hear about your offers and services
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Aquaculture Proposal Form

Company Information

Site Information

Staff

Lake Details

Stock Management

Health

Monitoring and Mitigation

Security

Risk

Loss History

Insurance History

Summary