Agency (Block letters)       1^ST MOVE INTERNATIONAL LIMITED.
Agency Ref

 Policy Number

DECLARATION

           I declare that the details herein are correct according to the best of my knowledge and belief, 
and agree that the particulars and statements given shall form the basis of the contract
between us.  I agree that every item requiring insurance is listed overleaf with the correct
quantities and values listed.  I further agree that if correct values are not listed and my effects
have been underinsured, I acknowledge that any claim will have an average applied. 
I declare that I have read and understood all conditions contained within this proposal. 
I understand that any owner packed items will be covered for loss and theft only and the policy
does not include breakage, etc as per the Owner Packed clause contained within this proposal.

Item Description

Qty

Value each

Total Value

Please see Example below to ensure form is completed correctly:

Sofas

2

£500

£1,000

Dining Chairs

4

£25

£100

CD's

50

N/A

£500

DVD's

10

N/A

£100

Clothing

Various

£500

Please Complete, following example above, listing every item requiring insurance:

 Carried forward to continuation sheet

Total Value Insured

 £

Item Description

Qty

Value each

Total Value

Please see the example on form above to ensure this form is completed correctly:

Brought Forward from previous sheet

Total Value Insured

 £

Household Goods
PROFESSIONALLY PACKED                                                            Please tick as appropriate ¨
Institute Cargo Clauses (A) as per Policy.  An excess of £ 200.00 each and every claim will be applied.
NOT PROFESSIONALLY PACKED                                                    Please tick as appropriate ¨
Institute Cargo Clauses (B) including theft or non-delivery of an entire shipping package and Institute Malicious Damage Clause as per Policy. An excess of £ 200.00 will be applied as above.

 

Additional Conditions:
Notwithstanding anything contained herein to the contrary this policy covers the transit from domicile including up to 30 days whilst at packers' premises, other incidental storage during the ordinary course of transit, and a period of not exceeding 60 days after arrival of the carrying vessel or conveyance at the overseas port during the ordinary course of transit or until delivery to final domicile whichever first occurs. However, when the goods have been placed directly into standard shipping containers without other packing then cover will cease upon discharge from the container.
Excluding moth, vermin, wear, tear and gradual deterioration.
Excluding mechanical and/or electrical and/or electronic and/or electro magnetic derangement unless caused by a risk insured against.
Excluding loss or damage due to delay or any other consequential loss or expense of whatsoever description.
Notwithstanding anything to the contrary contained herein this insurance covers war and strikes risks in accordance with the relevant Institute War Clauses (Cargo) and Institute Strikes Clauses (Cargo) which are deemed to be attached to and form part of this policy.

Excluded Goods:
Excluding loss of or damage to cash, notes, stamps, deeds, tickets, travellers cheques, jewellery, shares, bonds, negotiable instruments and unaccompanied baggage unless specially declared and agreed by Underwriters; furs, watches or similar articles with values over £100.
Antiques Clause:
In the event of the goods insured being damaged by risks insured against, this policy covers only the reasonable cost of repairs and in no circumstances shall cover depreciation or loss in value in addition thereto.
Owner Packed Effects Clause
Excluding breakage, scratching, denting, chipping, staining and tearing of owner packed effects, including trunks suitcases and the like.
Climatic Conditions Clause:
No claim to attach hereto for loss or damage caused by climatic and/or atmospheric conditions.
Valuation Clause:
In the case of the sum insured hereunder in respect of any article or articles being less than the full replacement value at destination then, in the event of loss or damage the amount recoverable by the Assured inclusive of reconditioning charges and replacement costs shall be in every case only such proportion as the sum insured bears to the full replacement value at destination.
Replacement Clause - Furniture, Effects and the Like:
In the event of claims for loss of or damage to any part(s) of an article insured hereby consequent upon a risk covered by the policy, the amount recoverable hereunder shall not exceed the proportion of the cost of replacement or repair (of the part(s) lost or damaged) that the insured value of the complete article bears to the current market value thereof plus additional charges for re-fitting the new parts if incurred.
Pairs and Sets Clause:
If any claim arises herein for loss or damage (consequent upon a risk covered by the policy) of or to an article constituting one of an insured pair or set, no regard shall be had to the value of the pair or set and the amount recoverable under this policy shall be calculated as though the article had been separately insured at pro rata of the insured value of the pair or set. Underwriters shall not be liable for any diminution in the value of the pair or set as a result of loss or damage.
Any items not declared and valued are not insured
Please make use of blank spaces provided.  Please continue on a separate sheet of paper if necessary
Claims Time Limit
For goods delivered by 1^st Move International, claims must be notified within 14 days of delivery. If another company collects goods form an overseas depot then they must inspect the goods and any claims must be notified when the goods are handed out by the overseas depot. You will be asked to sign that you have received the goods in “good condition”. Please ensure that the company collecting your goods check them before signing . Insurers can refuse to pay claims if you do not adhere to these time limits
Important Note on Insurance Values – It is in your interests to provide as much detail as possible
Please ensure that when completing your insurance values, the correct value for each item insured is listed.  Failure to give the correct value in this proposal will result in the Underwriters applying an average percentage to the value, if your goods are underinsured. 
For Example: If you have listed five items of furniture to the total value of £2,000, and subsequently claim for one of the four items at £900, the insurer will only pay £400 of the claim (£2,000 divided by five items average price £400)