Third Party Legal Liability Insurance form

By Ian Wilson from London, England (Gliding at Dunstable) [CC-BY-2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons

Third Party Legal Liability Insurance form

Name: Third Party Legal Liability Insurance form
Availability: InStock

R0.00

COVERAGE SUMMARY

TYPE: Third Party Legal Liability Insurance.

INSURED:

REGISTERED OWNER

ADDRESS:

PERIOD

Both days inclusive

PERIOD From

PERIOD To

INTEREST: THIRD PARTY LEGAL LIABILTY

To cover the Insured’s legal liability to third parties out of the ownership or operation of the aircraft.

AIRCRAFT

REG NO

PAX

LIABILITY LIMIT *

CONDITIONS: GEOGRAPHICAL LIMITS

GEOGRAPHICAL LIMITS
The Republic of South Africa and bordering territories and countries, excluding the Lesotho Mountains (defined as the area to the east and south of an imaginary straight line Joining Quithing, Mohales Hoek, Roma and Libono.

PRIOR TO FLIGHT ACROSS BORDERS- subject to the provision
being made in the valid authority to fly, from the relative authorities to include flights across borders.

PERMITTED USES
Private pleasure, Advanced Instruction PERMITTED PILOTS
Any qualified pilot approved by the Insured.

It is warranted that precedent to accepting any claims or claims advise hereon the Insured shall produce to the company a valid restricted authority to fly thereon in favour of the Insured.

CLAUSES:

Pilot’s Indemnity Clause
Unlicensed Landing Ground Suitability Clause
Contingent Pilot Clause (Piston Engine Fixed Wing Aircraft only)
Debit Order Provisions
Breach of Air Navigation Regulations
Unauthorised Use Clause (in full)
Cross Liability
Extended Coverage Aircraft Liabilities Clause (AVN 52E)
Full annual premium payable in the event of a loss

PREMIUM RATES:

These premiums include a R100 administration fee

Limit *

Select *

Administration fee agreement between DJA Aviation Pty Ltd and Client The Client agrees that DJA Aviation can levy an administration fee of R100.00 per annum, which administration fee will be added to the premium. This administration fee includes the following services, which are additional to the intermediary services for which DJA Aviation receives remuneration in the form of commission from your insurer:
- policy holder risk profiling and insurance needs analysis, including providing risk management advice;
- managing and advising you on level of self-insurance and risk financing options;
- handling premium payments and queries,
- general advice outside of product specific advice;
- assisting you with the formulation of claims;
- negotiating claims with insurers;
- facilitating of non-insurance value-add products;
- managing uninsured losses; and
- managing aggregate deductibles.
You as the Client may cancel this fee at any stage should you feel that you do not require these services. You acknowledge the nature of the services above, for which the administration fee is being charged. DECLARATION I/We declare that the aforementioned Aircraft is/are my/our property, and particulars are true and that no information has been withheld that might influence acceptance of the Insurance and I/we agree that this Proposal, signed by or caused to be signed by me/us shall form the basis of and form part of the contract between me/us and Insurers and to accept a policy subject to the terms, conditions and exceptions described therein.
Signature*
Date*
Phone
This field is for validation purposes and should be left unchanged.

Subtotal
Options
Total

Category: Uncategorised