• Welcome to Insurance Management Bahamas Limited

    MOTOR CYCLE & GOLF CART INSURANCE PROPOSAL FORM


    Unless all material facts are disclosed, this insurance could be invalidated. Material Facts are those facts an Insurer would regard as likely to influence the acceptance and/or assessment of the Proposal. If you are in any doubt about whether facts are material, you should disclose them. A copy of the completed Proposal Form will be supplied on request but you should keep a record (including copies of letters) of all information supplied to us for the purposes of entering into this contract. A specimen Policy is available on request.

    YOUR VEHICLE(S)
    DRIVERS
    Driving will be restricted to persons named in your Policy.

    Please note that copies of both sides of the driver's license for ALL drivers are required.

    Add Driver

    Delete Driver

    * A medical certificate is required for any driver who is seventy years of age or older.

    YOUR INSURANCE REQUIREMENTS

    *If used for Business purposes, completion of a supplementary form will be required.

    Racing, competitions, trials, or rallies, or the carriage of passengers for hire or reward are excluded in all cases.

    NOTICE IN ACCORDANCE WITH THE DATA PROTECTION ACT 2003

    The information supplied when arranging this insurance policy may be shared for insurance purposes and services with other companies and organisations. For full details please refer to the Data Protection Act Statement available from Insurance Management (Bahamas) Ltd.

    DECLARATION
    I/We declare that the above statements made by me/us or written in answer to the questions on this form on my/our behalf by someone else are to the best of my/our knowledge and belief true and complete, and no material fact has been misrepresented, misstated or withheld. I/We agree that this proposal shall form the basis of the contract between me/us and the Insurers and will be deemed as incorporated in the Policy to be issued.
    I/We understand that in respect of comprehensive cover, in the event of the total loss of the motor vehicle, the Insurers liability shall be limited to the reasonable market value of the motor vehicle at the time of the loss but not exceeding the Insured's Estimate of Value as stated overleaf.
    I/We agree that an electronically transmitted signature affixed to this document shall have the force and effect of an original signature.