טופס ביטוח יהלומים – טופס הצעה להורדה, הדפסה ומילוי מקוון

Form Name: Jewellers' Block Policy - Israel

Purpose of the Form: This form is a proposal form for a Jewellers' Block Policy in Israel. The form is designed for businesses in the jewelry industry to provide information to the insurer for the purpose of obtaining insurance coverage.

Sections and Questions in the Form:

1. Details of the Proposer: This section requests information about the proposer and their business, including the name, address, names of principals, and the duration of the business at the current premises.

2. Nature of Your Business: Asks about the nature of the business, whether it's manufacturing, merchant, wholesale, retail, or other.

3. Employees: Inquires about the number of employees in the business.

4. Valuation Basis: Asks how the proposer wants claims to be settled based on the valuation of goods.

5. Insurance Background: Seeks information about any loss sustained in the last 5 years and any history of insurance cancellations or refusals.

6. Protections: Inquires about the security measures in place, including alarm systems, safes, closed-circuit TV, and other means of protection.

7. Sum Insured: Asks for the maximum amounts to be insured in various categories, including stock in premises, goods outside of safes during non-business hours, entrustments to others, carryings outside premises, home risks, safe deposit vaults, and other categories.

8. Deductible: Asks for the deductible amount to be borne by the assured in case of a loss.

9. General Information: Asks about the frequency of stocktaking, requests references from the trade, and inquires about any undisclosed circumstances affecting the proposed insurance.

10. Extension – Sendings: This section is for proposers who want to purchase additional coverage for import/export sendings. It asks for details about the maximum amounts to be insured and the basis of valuation.

11. Extension – On Tours: This section is for proposers who want to purchase additional coverage for outdoor carrying overseas. It asks for details about the persons carrying goods, countries involved, sum insured, and the number of days per year.

At the end of the form, there is a statement indicating that signing the form does not bind insurers to accept the insurance, and it must be signed by the proposer.

Form Provider: Clal Diamond Insurance Agency (1988) Ltd, located on Bazel Street in Israel.

Please note that this summary is a concise overview of the form's content and purpose. The actual form may contain additional legal and technical details that are not included in this summary.