HOLLARD TRUCKING MINIMUM REQUIRED INFORMATION

Minimum information required for Hollard Trucking to quote

Broker name

Lettie Dicks / Synergy Risk Managers

Name of insured

UMVOLU LOGISTICS T/A MANUELS LOGISTICS

Previous trading name

How long has the insured
been a transporter?

2 Years

Areas of operation

RSA

Haul distance

Cape Town - destination - JHB, KZN, Eastern Cape

Commodities transported

Graders, Trucks, Caterpillars - moving of heavy machinery

How long has the insured

been with previous insurer? His business is going for two years. So he has been with Constantia and then moved to New Wheels
Has insureds policy
previously been cancelled
by another insurer?

YES

NO

If so, please provide reasons

Reason for any break in

cover

No break in covewr

Vehicle security

Tracking

Please attach the following documents:

1.

Loss history for the last 3 (three) years whether insured or not, and

2.

Full fleet list

Broker signature
Broker contact

Lettie Dicks

Date

22-Sep-2015

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