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Salesman Inventory Agreement

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Salesman Inventory Agreement Powered By Docstoc
					Dear Broker:



Thank you for inquiring about our exclusive Aqua Pac Commercial Marine Insurance
Package Program. Enclosed is a copy of our new Marine Supplemental Insurance application
which is to be used in conjunction with the appropriate Acord applications.

Please follow the procedures below upon completion of the appropriate forms to ensure that you
receive the highest quality of service.


       1. Include a “target price” so we can place you within the proper pricing.
       2. Include a “target date” so we can expedite a quote to you at the requested time.
       3. Either email, fax or mail the forms to:
              a. E-mail- info@aquapac.com
              b. Fax- (209) 466-6864
              c. Mail- P.O. Box 208016, Stockton, CA 95208


Our friendly and knowledgeable staff is always committed to providing you with superior
service and assistance to ensure your experience with us is a pleasant one. Please feel free to
contact me at (209) 466-6868 ext. 1351 or Jeana Ramos at ext. 1310.
We will be happy to assist you in any way we can.

Thank you!


Best Regards,


Lelora Petersen
New Business




                        Western Maritime Marine Supplement M0011 (07/03)
                         Phone: (209) 466-6868 Fax: (209) 466-6864
                                              1
                                          INVENTORY
ACV                 DED
                                 Loc 1        Loc 2       Loc 3            Loc 4           Loc 5
BLANKET
Inventory/ Stock
Inside/ Outside Buildings
Or Afloat
In Transit


Other Loc or Exhibit

Peak Season Limit              From:                    To:
Comments:




                                       FLOATING DOCKS
ACV                       RC               Deductible__________ Blanket Limit___________

TIV Limit Loc 1           2                   3                   4                 5

Loc #      Limit          # Open         # Cov.    Construction       Floatations       Year Built




                       Western Maritime Marine Supplement M0011 (07/03)
                        Phone: (209) 466-6868 Fax: (209) 466-6864
                                             2
                                   FLOATING BUILDING
Loc #        Limit Buildings    Limit   Building Description       Construction     Year Built
                               Contents Contents Description




                                  DOCKS LOSS OF INCOME
        Loc                    Limit                  Co-Insurance

         1


         2


         3


         4


         5


Is mooring area exposed to flow of ice or debris?        Yes           No

Is there a breakwater?         Yes         No            Do not include value in the limits

Comments:




                         Western Maritime Marine Supplement M0011 (07/03)
                          Phone: (209) 466-6868 Fax: (209) 466-6864
                                               3
                            PROTECTION & INDEMINITY
Marina Operators___         Water Demonstration____ Owned Watercraft____


Rental Watercraft___        Towers’ Liability_____         Unidentified Workboat___
Limit                        Deductible                     Schedule Attach


Comments:




                                          MOLL
Marina Operators Legal Liability____       Boat Dealer/Brokers Legal Liability____

Boat Repairs Legal Liability___             Limit_______                      Ded________

Comments:




                                    MOLL RECEIPTS
                              Loc 1      Loc 2    Loc 3                   Loc 4       Loc 5
A.Alteration, repair
or Maintenance

B. Fueling and Misc
servicing

C. Hauling & Launching
not connected w/ A,D or F

D. Storage on Land


E. Mooring at areas
Provided by insured

F. Brokerage boats
commissions



                       Western Maritime Marine Supplement M0011 (07/03)
                        Phone: (209) 466-6868 Fax: (209) 466-6864
                                             4
                                           LIEN HOLDERS/ AI

                  Name                                         AI                 LP

Loc               Address__________________________________

                  City                 State            Zip________
                                                                                 Interest


                     REPAIR ALTERATIONS MAINTENANCE
Type of work done_______________________________________________________

Type of work subcontracted________________________________________________

Does subcontractor accept responsibility of customers property____________________

Evidence of Insurance obtained?____________________________________________

Customers permitted to work on their boats on premises?________________________

Any service or repair of commercial watercraft?_______________________________

Comments:


                                              PROTECTION
                                          Loc 1     Loc 2            Loc 3           Loc 4   Loc 5
No. of miles to nearest fire station

Number of hydrants w/in 500 feet

Located within city limits

Deadbolts Padlocks

Heavily Patrolled Area

Completely fenced and floodlighted
at night

Watchman service at all times when
not open for business

Motion detectors and alarmed fence

Comments:


                              Western Maritime Marine Supplement M0011 (07/03)
                               Phone: (209) 466-6868 Fax: (209) 466-6864
                                                    5
                                   PROTECTION CONTINUED
Fire Extinguishers are located:     Loc 1    Loc 2    Loc 3                    Loc 4         Loc 5

                   Store Area

                Fueling Area

                  Repair Area

                Storage Area

               Each Dock
When last serviced:__________________________________________
Comments:

If restaurants or snack bar, is there an ansul system?
          Yes            No                    When last serviced______________

If no, explain protection devices, if any



                                      GENERAL QUESTIONS
                                                                                       Yes     No
1. Does applicant typically deliver new boats to customers?
2. Does applicant typically deliver and pickup boats for repair?
3. Extent of boat exhibit participation (number of shows number of days)?
4. Does applicant maintain a repair shop?
5. Are new employees required to furnish driver’s license numbers?
6. Are new employees investigated?
Explain:


7. Does applicant furnish or loan boats or other property to salesmen, employees,
or customers?
8. Are boats loaned or furnished for personal or family use?
Explain:


9. Any lease or rental of boats?
Explain:

10. Does employee or applicant accompany customer on all demos?
11. Are demonstrations equipped w/full compliment of Coast Guard approved
equipment?

                            Western Maritime Marine Supplement M0011 (07/03)
                             Phone: (209) 466-6868 Fax: (209) 466-6864
                                                  6
                           GENERAL QUESTIONS CONTINUED
                                                                                 Yes      No
12. Have you personally inspected the premises?

13. Do you feel that operations, housekeeping or other physical conditions
present an unusual exposure?
14. Describe waters upon which demonstrations are conducted.
15. Financial Statement?
16. Copy of hold harmless agreement?
Comments:




                              BOAT STORAGE ON LAND
                  In Building                   On Rack                         In the Open
 Loc                       # Units  Value  # Units    Value                  # Units    Value




                                LAUNCHING & HAULING
Method Used

Use by public permitted?            Yes           No       If Yes describe




                       Western Maritime Marine Supplement M0011 (07/03)
                        Phone: (209) 466-6868 Fax: (209) 466-6864
                                             7
                                       CLASSIFICATIONS
PAYROLLS

Clerical Office Employees___________________________________________________
Proprietors, Partners & Officers_______________________________________________
If corporation-indicate # of active:_____________________________________________
If partnership of proprietorship indicate # of:_____________________________________

                                          GL Code     LOC 1      LOC 2    LOC 3   LOC 4

Boat Salesman                                ---
Repair Employees                           37312
Dock Service Employee                        ---
Building & Ground Maintenance                ---
Other not listed above                       ---
AREAS:

Boat Sales building                        55971
Building leased to others                  65198
Retail Sales Store                         59991
Restaurant Building                        58151
Snack Bar                                  58151
Grocery Store                              54131
Motel # of Units                           70112
Other not listed                             ---
SALES AND REPAIRS

Repairs                                    37312
Boat Sales                                 55971
Brokerage Boats Gross Receipts             55971
Commissions                                  ---
Slip Rental/ Dock Rental                     ---
Total Number of Slip and Docks             44696
Accessories Sales                          59991
Grocery Sales                              54131
Retail Store Receipts                      59991
Mobile Home                                70310
Gasoline/Oil Sales - # of Gallons          59812
Restaurant – Food sales/Liquor Sales       58161
Others not listed above                      ---


                       Western Maritime Marine Supplement M0011 (07/03)
                        Phone: (209) 466-6868 Fax: (209) 466-6864
                                             8

				
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Description: Salesman Inventory Agreement document sample