me Insurance Proposal for Home Insurance Home Insurance Proposal for Proposal for COSMOS INSURANCE COMPANY PUBLIC LTD HEAD OFFICE

Transcription

1 Proposal for Proposal for Proposal for Home Insurance Home Insurance me Insurance COSMOS INSURANCE COMPANY PUBLIC LTD HEAD OFFICE 46, Griva Digeni Avenue, 1080 Nicosia, P.O.Box 21770, 1513 Nicosia Tel: , Fax:

2 Here is a brief summary of the cover provided by our Home Insurance Policy. Your usual Insurance representative will be pleased to discuss full details of the cover and on request will supply you with a specimen Policy. The Policy Is straightforward, easy to understand and gives you sensibly wide and flexible cover at a competitive price. The Cover Is available in three (3) separate sections detailed below. You must take either Section 1 or Section 2. Section 3 is optional and can be taken at your discretion. Section 1 Buildings Covers the cost of rebuilding your home including fixtures and fittings, garages and other domestic outbuildings, swimming pools, paved terraces, paths, drives, walls, gates and fences following loss or damage caused by fire, earthquakes, storm, hurricane, riot and many other named perils. Your basic cover also provides protection for: ñ Site clearance and professional fees (up to 10% of your sum insured) ñ Loss of rent (up to 10% of your sum insured) ñ Damage to underground services ñ Accidental breakage of fixed glass or sanitary fittings ñ Your liability to the public as owner of the buildings (up to ) Section 2 Contents Covers the cost of replacing or repairing your furniture, household goods and other belongings whilst in your home following loss or damage by fire, theft, earthquake, storm, hurricane, riot and many other named perils. Your basic cover also provides protection for: ñ Contents temporarily removed from your home (up to 15% of your sum insured) ñ Cost of alternative accommodation (up to 10% of sum insured) ñ Accidental damage of mirrors and fixed glass ñ Your liability as tenant (up to 8.550) ñ Your liability to the public as occupier of your home ñ Personal accident for you and / or any member of your direct family Section 3 Personal Property "All Risks" Covers your "valuables" and other personal belongings against accidental loss or damage from any cause (subject to certain exceptions) whilst inside or outside your home. Sum insured Adequately insuring your home and its contents is critical. If the insured value you select is too low, you may have to meet part of any claim yourself. When completing the Proposal, please answer all the General Questions and also those questions relating to the Sections of cover you have selected. SUM INSURED GUIDE What to insure Your sum insure must reflect the full cost of rebuilding your home, including fixtures and fittings, any domestic outbuildings, garages, swimming pools, paved terraces and paths, walls, gates and fences, plus an allowance for site clearance and professional fees which will be involved in rebuilding. It is important not to confuse the rebuilding cost with the market value of your home the two are not the same. How to calculate the rebuilding cost For an accurate figure you will need professional help from a surveyor or architect. However, for insurance purpose a close estimate is sufficient which can be calculated following these three steps: 1. Ascertain the current rebuilding cost 2. Include an estimate for the current replacement cost of all fixtures and fittings, outbuildings, walls, gates, etc. As a guide, between 5 and 10% of the figure arrived at under 1 above, is normally adequate, unless you have a large separate garage, swimming pool or extensive drives, walls, etc., in which case a higher percentage may be appropriate 3. Include an allowance for site clearance and professional fees, a 10% of the figures arrived at under 1 and 2 above is normally adequate 1, 2 and 3 added together, plus an allowance for inflation, will represent the correct total sum to be insured. CONTENTS GUIDE What to insure Your sum insured must reflect the current replacement cost as new of all household items and personal possessions within your home. How to estimate the total replacement cost There is only one satisfactory method. That is to estimate the value of everything you possess room-by-room. You should not rely just on memory because you will probably forget many of the items around your home. Using the list below, take each room in turn and note down your estimates for each category. Use present day shop prices as a guide and assume all your belongings are new and make no deductions. Valuables The following restrictions apply for "valuables" (see below for definition): ñ On the value of such articles 33,33% of the total Contents sum insured ñ On the value of any one such article 5% of the total Contents sum insured If your valuables exceed these limits our representatives can arrange for higher limits to be included under your Policy. Contents List Furniture, TV, Radio, Hi-Fi, Light Fittings, Pictures, Ornaments, Clocks, Books, Records, Tapes, Curtains and Floor Coverings, Cabinets, Cooker, Refrigerator and Freezer, Washing Machine, other Electrical Appliances, Cooking Equipment, Utensils and Crockery, Personal Effects, Garden Equipment and Furniture, and other items. Valuables Jewellery, Furs, Gold, Silver, Precious Metal and Stones, Pictures, Works of Art, curios, Stamp and coin Collections, Watches and Other Items (note being insured under Section 3 Personal Property "All Risks") Allow for inflation during the next twelve (12) months.

3 PROPOSER Full Name / Company Name Identity Card No./Company Registration No. Occupation Correspondence Address Postal Code Town Home Tel. No. Work Tel. No. Fax No. Mobile No. PERIOD OF INSURANCE From / / To / / GENERAL QUESTIONS 1) Address of property to be insured 2) Year of Construction Postal Code Town Mark accordingly YES NO 3) If the Property is over fifteen (15) years old have the water pipes been replaced? If the water pipes have not been replaced there is an excess of 1000 for each and every loss or damage. 4) Construction of walls 5) Construction of roof 6) Number of floors (including ground floor) Number of bedrooms 7) Is the main dwelling for which insurance is required: a) self contained having its own separate lockable front door? b) occupied solely by you and your family as permanent residence? c) used as private residence only and not as business premises? d) In a good condition of repair and will be maintained? If you have answered NO to any part of question 7 please give full details in Additional Information at the last page of this proposal. 8) a) Is the Property a (please tick ) House Flat b) If a House, is it Detached Semi-detached c) Are you the Owner Tenant d) If you are the Owner Is it occupied solely by you? Do you rent it to Third Party 9) Has the property ever been damaged by flood? 10) Is the property in an area especially liable to flooding, wind or storm damage? 11) Is the property for which insurance is required a) occupied as a holiday home? b) regularly occupied during the day or night? c) Ever left unoccupied for a period in excess of thirty (30) days? If YES, please give details 12) Please answer the following: a) Have you or any member of your family had any insurance cancelled, refused to renew or subjected to special terms? b) Have you or any member of your family suffered any loss or damage (whether is resulted in an insurance claim or not) in the last five (5) years? c) Have you or any member of your family made a claim in the last five (5) years or had a claim made against you? d) Have you or any member of your family ever been convicted of any offence involving dishonesty, fraud, violence, criminal damage, arson, drugs or is any prosecution pending? 13) Are any items to be insured likely to be located away from your home for appreciable periods of time e.g. in a holiday home while not occupied by yourself or in the possession of a member of your family while at University? 14) Do you have any other insurance policy with our Company? If you have answered YES to questions 9, 10, 13 or to any part of question 12, please give full details in Additional Information at the end of this proposal. YES NO

4 SECTION 1 BUILDINGS 1) Using the Sum Insured guide, in the first inner page, calculate the full cost of rebuilding the insured property. 2) Give the name and address of any mortgagee or other interested party: Full Name Address Postal Code Town Nature of Interest 3) Do you wish to assign the Policy to the Mortgager? SECTION 2 CONTENTS 1) Using the Contents checklist, in the first inner page, estimate the current replacement cost of ALL household possessions, including "Valuables" 2) If respect of any "Valuables" (as previously defined) you are not insuring under Section 3: a) does the overall value of such items exceed one third of the total sum insured under this section? If YES, please state the total value of such items YES NO b) Please list any items worth more than 5% of the total sum insured under this section Description of Items Replacement Value If you have more than six (6) items, please continue on a separate sheet and mark X in this box. SECTION 3 PERSONAL PROPERTY "ALL RISKS" Definition of Personal Property Covers your "valuables" and other personal belongings against accidental loss or damage from any cause (subject to certain exceptions) whilst inside or outside your home. 1) State the replacement value of all your personal property Failure to insured for the correct value may result in you bearing a share of loss. 2) List items worth in excess of 850 (proof of value may be required for some items) Description of Items Replacement Value If you have more than twelve (12) items, please continue on a separate sheet and mark X in this box. ADDITIONAL INFORMATION Please give any additional information for any question which requires additional information:

5 STATEMENT I/We declare that the answers given in the Proposal are true to the best of my/our knowledge and belief and I/we have not withheld any information, which may influence the decision of the Insurer regarding the Proposal. I/We agree that the Proposal shall be incorporated in and shall form the basis of the Policy between me/us and the Insurer. I/We have been informed in accordance with the provisions of the Law 138 (1) 2001, as they are referred to hereunder, which I/we have fully understood and following that I/we freely, expressly and specifically declare that I/we consent that my/our personal data, sensitive or not, be collected and be used by COSMOS INSURANCE COMPANY PUBLIC LTD for the purposes stated at my/our briefing by the Company. Also, expressly and specifically declare that I/we consent that my/our personal data sensitive or not, be collected and be used by COSMOS INSURANCE COMPANY PUBLIC LTD for the purposes of promoting, selling or providing its products. YES NO please accordingly Date Proposer s Signature Note: The Company s liability commences when the Proposal has been approved and the first premium has been paid. Agent s Name Agent s Code BRIEFING ACCORDING TO THE PROCESSING OF PERSONAL DATA (PROTECTION OF INDIVIDUALS) LAW 138 (I) OF 2001 On the basis of the above Law COSMOS INSURANCE COMPANY PUBLIC LTD, registration number 16361, being Responsible for the Processing of personal data hereby advises the Proposer that the collection and processing of personal data, sensitive or not, is necessary for effecting and executing the Insurance Policy. The data will be recorded in natural or electronic form in one or more interrelated files which will be kept by the Company and/or other sister company and/or other contracting and/or associated company. Recipients of the data will be the authorized members of the staff of the Company and/or other sister company and/or other contracting and/or associated company who are under the control of the Person in Charge of the Processing of Personal Data and comply with the principle of confidentiality. Apart from the purpose stated above, the data will be processed for the promotion of products and services and/or for research and statistical analysis. The Subject of the Data has the right of updating, access and correction of the file(s). The Subject of the Data has the right to object to the processing of his personal data. For the processing of sensitive personal data it is necessary to have the Subject s written consent. In the event of objection by the Subject of the Data for processing or of his refusal to permit it, the Company shall have the right not to accept the Proposal for Insurance or to terminate the Insurance Policy or to reject a claim for compensation.

6