• Welcome to Insurance Management Bahamas Limited

    PUBLIC LIABILITY INSURANCE PROPOSAL FORM

    For Retail Shops, Restaurants and similar Non Manufacturing Businesses

    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.


    THE BUSINESS
    THE PREMISES
    PRODUCTS LIABILITY
    OTHER INFORMATION
    NOTICE IN ACCORDANCE WITH THE DATA PROTECTION ACT

    Please note that 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 agree that an electronically transmitted signature affixed to this document shall have the force and effect of an original signature.
    I/We understand that no insurance cover is provided until such time as a Binder, Cover Note, or Policy has been issued by the Insurer(s) or their General Agents.