Marine Kidnap, Extortion & Detention Insurance
Extra War Risks Insurance (EWRI) - Proposal Form
Risk Area: Red Sea / Gulf of Aden / Indian Ocean and Gulf of Oman and
adjacent waters
Please fill in the blanks in the below form with Block capitals;
Name of Ship Owners :
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Name of Ship Managers:
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Business Website Address:
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Name of person in charge
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Phone No. of person in charge
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E-mail address of company and person in charge
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Name of Charterer : (if applicable)
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VESSEL’S DETAILS
|Vessel’s name | |
|IMO-No. | |
|Built | |
|Vessel’s type | |
|GT | |
|DWT | |
|Flag | |
|Class | |
|Freeboard during Transit | |
|Laden / Ballast ? | |
|Type of Cargo (if laden) | |
|Max. speed | |
|Average speed | |
|Service speed | |
Number and Nationality of crew
|Officers: | |Crew- | |Others (please state) | |
Voyage details
|Port of Departure | |
|1st Port of Call | |
|2nd Port of Call (if applicable) | |
Return Voyage Details (if available)
|Next Port of Call | |
|2nd Port of Call (if applicable) | |
Will the vessel be registered with MSCHOA ? (mschoa.eu)
|Yes | | |No | | |
UKMTO Dubai will be notified ?
|Yes | | |No | | |
Internationally Recommended Transit Corridor and the Group Transit system used (Will the vessel be a part of organized convoy) ?
|Yes | | |No | | |
Will the “Best Management Practices” (BMP) applied ?
|Yes | | |No | | |
Estimated dates
ETA (Estimated date of arrival) at excluded areas ( Lat. 15° N / Long. 58° E / Long. 78° E / Lat. 12° S , whichever applicable)
|Applicable Lat. or Long. |Date |Hour (UTC) |
| | | |
ETD (Estimated date of departure) from excluded areas (Lat. 15° N / Long. 58° E / Long. 78° E / Lat. 12° S , whichever applicable)
|Applicable Lat. or Long. |Date |Hour (UTC) |
| | | |
K&R (Kidnap & Ransom) INSURANCE
Is Kidnap & Ransom Insurance available or required for the subject transit ?
|Yes | | |No | | |
If yes;
Limit of K&R insurance obtained / required;
a) US$ 3,000,000
b) US$ 5,000,000
(Please tick as applicable)
Is K&R Loss of Hire Cover required ?
|Yes | | |No | | |
If yes;
Daily Hire Amount required :
Number of days to be covered (60,90,120,180) :
SECURITY PRECAUTIONS
|1) Are the vessel’s fitted with Ship Security Alert Systems (SSAS), in | |
|compliance with SOLAS XI – 2 Regulation 6? | |
|2) If yes please provide name and type of equipment. | |
|3) Is this equipment capable of real time tracking of your vessel | |
|through a graphical user interface (GUI) and web interface application? | |
|4) How many position reports does your SSAS transmit on a standard basis| |
|per 24 hours? | |
|5) What is the reporting frequency (number of minutes between each | |
|position report) of your SSAS units in alert mode? | |
|6) Who responds to your ship board alerts? CSO, Flag, or other RO. | |
|7) Does your vessel(s) have a valid International Ship Security | |
|Certificate (ISSC)? | |
|8) Does your vessel routinely carry large amounts of cash onboard? If | |
|yes how much? | |
|9) Where did your CSO, SSO and ship’s crew receive their security | |
|training? | |
|10) Do your crew receive any formal training in counter – piracy | |
|measures or kidnap awareness? | |
|11) Do your shore managers receive any formal training in contingency | |
|planning for security incidents, including piratical attacks, or kidnap | |
|? | |
|12) Do you have a corporate contingency plan for security incidents, | |
|including piratical attacks, or incidents? | |
|13) Have your vessels been the victims or target of any piratical attack| |
|in the last 3 years, where the crew or vessel have been held hostage for| |
|more than 3 hours? | |
|14) In high-risk areas (such as the Malacca Strait, East and West Coast | |
|Africa, East Coast of South America and the Caribbean) what are your | |
|standard counter-piracy measures? | |
|15) Do you routinely employ security guards on board the vessel while in| |
|port, at anchor or at sea? | |
|16) If yes, how many are employed? Are they armed? Which company | |
|provides the security guards? | |
|17) Will the vessel be accopanied by a naval escort ? (no more than 3 | |
|vessels per warship for the whole length of the transit through the | |
|dangerous zone) ? | |
|18) Is the vessel registered with SSRS ? | |
|. | |
|19) Will the vessel be carrying military personnel from a recognised | |
|navy force on board during the whole length of the transit through the | |
|dangerous zone ? | |
| | |
|20) Is the vessel fitted with razor wire around guard rails on low | |
|lying deck areas ? | |
| | |
|21) Do the master and crew have a plan to retreat to a secure citadel | |
|onboard their vessel if boarded by pirates ? | |
| | |
Details of Anti Piracy Measures / Security Precautions taken on board (supported by pictures etc. if available)
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THE UNDERSIGNED, IN HIS CAPACITY AS AN AUTHORIZED OFFICER OF THE APPLICAN, HEREBY DECLARES TO THE BEST OF HIS / HER KNOWLEDGE THAT THE INFORMATION SET FORTH HEREIN ARE TRUE AND NO INFORMATION HAS BEEN WITHHELD.
| Signature | |Date |
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