Insurance Coverage Request
REQUEST FOR COVERAGE AND All Risk Inland Transit Insurance Coverage Highlights for Professionally packed goods, including Personal Effects and Autos - $500.00 USD Deductible
INLAND TRANSIT ALL RISKS *
The following is only an outline of the provisions of the Inland Transit All Risks Coverage. You should review additional terms and conditions that will be on any Certificate of Insurance issued, that are located at www.a2globalshipping.com/insurance
Required
RISKS COVERED & DEDUCTIBLE *
This insurance covers All Risks of loss of or damage to the subject matter insured except as provided below and there is a $500.00 USD deductible applied to any settlement.
Required
EXCLUSIONS *
In no case shall this insurance cover:  Loss, damage or expense attributable to the wilful misconduct of the insured  Ordinary wear and tear of the subject matter insured  Loss, damage or expense attributable to inherent vice or nature of the subject matter insured  Loss, damage or expense proximately caused by delay
Required
DURATION *
This insurance attaches from the time the goods leave the residence at the location named for the commencement of transit, continues through the ordinary course of transit and terminates either at the residence at the final destination named in the policy or upon delivery to an intermediate location for storage outside the ordinary course of transit or as otherwise indicated on the certificate of insurance.
Required
CONDITIONS *
This insurance may be subject to some or all of the following conditions or warranties:  $500. deductible  Professional packing  Completed itemized valued inventory, signed and returned prior to departure  Insurance coverage highlights form signed and returned
Required
CLAIMS *
1. It is required that when you receive goods from the carrier in a damaged condition, NOTICE OF CLAIM be filed with the carrier in writing at the time of accepting the goods. If the damage is not apparent on delivery, then within three days. This notice of claim may be (a) in the form of endorsement on the delivery receipt or (b) by letter; 2. Follow claim instructions noted on the certificate. Delay in notification of loss may prejudice your ability to recover under this policy I understand and agree to the terms of this insurance.
Required
Certificate of Insurance Must Be In Place For Coverage to Take Effect *
This Form is not a binding contract evidencing insurance it is rather, our disclosing of important terms and conditions of any coverage that we or our assignees issue. A certificate of insurance must be in place for coverage to take effect. A copy of the insurance certififcate issued under the CargoCover policy is the only contract under which a claim may be made. A copy of the certificate must be provided by A2 Global Shipping as the Forwarder arranging coverage. If you do not receive a copy of the certificate prior to the shipment departure date, please contact A2 Global Shipping at info@a2globalshipping.com.
Required
Decription of the Goods *
full description of the goods or if multiple items of differnet nature such as household goods inventory, please state "will submit longsheet form - please email it to me @ youremailaddress.com"
Your answer
Value of the goods to be insured in USD. *
Your answer
Full name, address & telephone of the shipper *
Your answer
Full name, address, telephone & email of the recipient of the goods. *
Your answer
Party to file for any claim *
In the event of a claim, who is the responsible party to file the claim and be the recipient of any settlement?
Your Email Address *
Your answer
SIGNATURE *
BY ENTERING YOUR NAME BELOW AND DIGITALLY SUBMITTING THIS FORM, YOU ACKNOWLEDGE THAT THIS IS THE INSURANCE COVERAGE YOU HAVE REQUESTED AND A2 Global Shipping LLC WILL ARRANGE ON YOUR BEHALF.
Your answer
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