Machinery Breakdown LOPProposal

Building Details

1. Location Details

L.R No

Street

Area

Postal Office

Town

County

Building Details

Building Name

External Walls

Construction Roof

What works of your business are to be insured against Machinery Breakdown Loss of Profits?

Do you get your firms’ accounting records audited?

Name of Auditor / Chartered Accountant

Address of Auditor / Chartered Accountant

Intervals in which audited

When was the firm established?

Since when has the works to be insured existed?

Since when has the present production method used in the works to be insured been applied?

What interruptions due to a machinery loss have occurred in the works to be insured during the last 5 years?

Description of incidents

Year

Duration

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What type of repair work can be carried out without external help?

Please provide details of external repair facilities for the individual machines in the list of machinery.

Name of Machinery

Name of external repair facility

Address of external repair facility

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What maintenance work and what inspections are carried out regularly to keep the machines to be insured in good working order?

Type of maintenance:

Intervals at which done

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Are there any seasonal production or sales fluctuations of more than 20% in the works to be insured?

Month in which there is fluctuation

Percentage of fluctuation

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Is there a stock of semi-finished or finished products?

What period of interruption can be accomplished thereby?

Are there supplies furnished against letters of credit?

Please indicate the percentage such supplies have in the turnover

In the case of Machinery damage, is the interruption period longer than the repair period for the machinery involved?

Cause

Duration

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Machinery Details

Machine name

Description

Year of Manufacture

Relative Importance

Spare parts availability

Replacement period for machine in case of breakdown

Loss minimization measures put in place

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Insurance details

Profit details

Operating profits for the previous year

Standing charges for 12 successive months of business

Gross Profits

Indemnity period(In months)

Do you require time excess?

Please select the period of time excess required

Machinery Breakdown LOP Proposal

Building Details

1. Location Details

Building Details

Please provide details of external repair facilities for the individual machines in the list of machinery.

What maintenance work and what inspections are carried out regularly to keep the machines to be insured in good working order?

Machinery Details

Insurance details

Profit details

General Policy Details

Has any insurance company ever

Insurance and Loss History

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