CUMULATIVE FORM – APPLICATION and INVENTORY For International Moves Only

For insurance coverage For Household Goods & Personal Effects only

Kindly Mail to: Revivim Ltd. (or give to your Shipper): 93-02 70th Ave., Forest Hills, N.Y. 11375

Toll Free: 1-800-411-0913  Tel: 718-544-5678  Fax: 718-793-4021  Email: info@revivim.com

Name of Assured: _______________________________________________________________________________

Current Address: ________________________________________________________________________________

Residing at the Address Above Until:_______________  Name of Mover:_______________________________

Final Destination of Shipment: Street______________________________________________Number_______

City_____________________State/Country________________________Zip_________Tel#_______________

Email Address:_____________________________________________________________________________

Mode of Shipment:        ¨ Sea                                                   ¨ Air

Name of Ship/Airline (if known): ____________________________________________________________________

Estimated Date of Shipment: ____________________________  Pick-up Date: _____________________________

Shipment Packed in:      ¨ Individual Container                            ¨ Lifts/Combined Container

Cover Type:                   ¨ “All Risks” subject to “Section-1”         ¨ “Limited Cover” subject to Section-2”

of the “Scope of Cover” of  the “Conditions and Warranties” attached.

Deductible:        Policy will be subject to a deductible as shall be mentioned in the “Confirmation of Insurance”

to be issued.

Note: Coverage requires full reporting of the entire shipment. Actual cash value is defined as replacement cost less depreciation. Shipment insured for less than actual cash value will be subject to the 100% Co-Insured Clause as noted on the “Confirmation of Insurance”. Items grouped together in value will be assumed to be of equal value. Please attach additional pages if necessary.

Calculation of Inventory:

                                 Total Page 2 (line 115a)     $____________

 

                                 Total Page 3 (line 228a)     $____________

 

                                 Total Page 4 (line 336a)     $____________

 

Grand Total Marine Insurance at destination $_____________   X _________% = $_____________ premium to be paid

 

Air Insurance Value at destination                  $_____________   X _________% = $_____________ premium to be paid

 

Car Insurance Value at destination                 $_____________   X _________% = $_____________ premium to be paid

Fill out Automobile Details on separate form

Shipping Charges                                             $_____________   X _________% = $_____________ premium to be paid

 

Handling Fees: $30.00                                                              $________30.00

 

TOTAL PREMIUM TO BE PAID                                                                                    $_____________

 

MINIMUM PREMIUM $50.00                               Enclosed is a cheque for  $_____________ payable to Revivim Ltd

Goods must be insured for their full value in Israel. The multiplication factors appearing in this list are for reference only.

 

Please indicate below the date when the policy should become effective (The date on which the first item to be insured is in the custody of the movers)  Date: _____________________________

 

Cover is valid only if and after a “Confirmation of Insurance” has been issued and will be subject to the terms and conditions therein.  Said “Confirmation of Insurance” should be obtained by you from our office or your forwarder prior to shipment.

 

I desire to effect insurance on my household goods and personal effects as arranged by Revivim Ltd in the amounts noted above. I agree that this application shall be taken as the basis for the proposed contract between myself, Revivim Ltd as brokers for Atlas Insurances Ltd - Lloyd’s Coverholders and their underwriters. I understand the Mover/Forwarder/Packer is acting as “Agent for the Insured” in securing this coverage. The Mover/Forwarder/Packer is not a Revivim Ltd and/or Atlas Insurances Ltd agent and has no authority to change or modify any condition of coverage. I hereby declare that all the information in this cumulative form is correct.

Signature: ________________________________________                Date:________________________________

 

INVENTORY: Mr./Mrs. __________________________________________________________________________

No.

Qty

Large Electrical

Appliances

Price per Unit $

Total $

 

No.

Qty

Small Electrical Appliances

Price per Unit $

Total $

1

 

Refrigerator

 

 

 

58

 

Egg cooker

 

 

2

 

Deep freezer

 

 

 

59

 

Electric blanket

 

 

3

 

Dishwasher

 

 

 

60

 

Electric kettle

 

 

4

 

Washing machine

 

 

 

61

 

Electric knife

 

 

5

 

Clothes dryer

 

 

 

62

 

Fan/Ventilator

 

 

6

 

Air conditioner

 

 

 

63

 

 

 

 

7

 

Stove range

 

 

 

64

 

Fondue

 

 

8

 

Microwave oven

 

 

 

65

 

 

 

 

9

 

TV (color)

 

 

 

66

 

Food processor

 

 

10

 

TV (B & W)

 

 

 

67

 

 

 

 

11

 

Plasma screen

 

 

 

68

 

Garbage disposal

 

 

12

 

 

 

 

 

69

 

 

 

 

13

 

 

 

 

 

70

 

Hand mixer

 

 

14

 

 

 

 

 

71

 

Hair dryer

 

 

15

 

Paint sprayer

 

 

 

72

 

Heater

 

 

16

 

 

 

 

 

73

 

Hot dogger

 

 

17

 

Saw (Electric)

 

 

 

74

 

 

 

 

18

 

Sewing machine

 

 

 

75

 

Humidifier

 

 

19

 

Shaver

 

 

 

76

 

 

 

 

20

 

Slide projector

 

 

 

77

 

Ice-cream maker

 

 

21

 

 

 

 

 

78

 

Iron

 

 

22

 

Telephone

 

 

 

79

 

 

 

 

23

 

Toaster

 

 

 

80

 

Juice extractor

 

 

24

 

Toaster oven

 

 

 

81

 

Meat grinder

 

 

25

 

 

 

 

 

82

 

Mixer

 

 

26

 

Typewriter

 

 

 

83

 

Monitor

 

 

27

 

 

 

 

 

84

 

Movie projector

 

 

28

 

TV game

 

 

 

85

 

 

 

 

29

 

Vacuum cleaner

 

 

 

86

 

 

 

 

30

 

Yogurt maker

 

 

 

Stereo System

31

 

 

 

 

 

87

 

 

 

 

32

 

 

 

 

 

88

 

Receiver

 

 

33

 

Answering machine

 

 

 

89

 

 

 

 

34

 

Fax machine

 

 

 

90

 

Turntable

 

 

35

 

 

 

 

 

91

 

 

 

 

36

 

 

 

 

 

92

 

Speakers

 

 

37

 

 

 

 

 

93

 

 

 

 

38

 

 

 

 

 

94

 

Cassette recorder

 

 

39

 

 

 

 

 

95

 

 

 

 

40

 

 

 

 

 

96

 

Tape recorder

 

 

41

 

 

 

 

 

97

 

 

 

 

Small Electrical Appliances

 

98

 

Stereo amplifier

 

 

42

 

Alarm clock

 

 

 

99

 

 

 

 

43

 

Clock radio

 

 

 

100

 

Tuner

 

 

44

 

Digital clock

 

 

 

101

 

 

 

 

45

 

Wall clock

 

 

 

102

 

Headphones

 

 

46

 

Barbeque grill

 

 

 

103

 

 

 

 

47

 

Broiler

 

 

 

104

 

Radio

 

 

48

 

Blender

 

 

 

105

 

 

 

 

49

 

 

 

 

 

106

 

 

 

 

50

 

Calculator

 

 

 

107

 

Compact disc

 

 

51

 

Can opener

 

 

 

108

 

 

 

 

52

 

Coffee maker

 

 

 

109

 

VCR

 

 

53

 

Coffee grinder

 

 

 

110

 

DVD

 

 

54

 

Corn popper

 

 

 

111

 

 

 

 

55

 

 

 

 

 

112

 

 

 

 

56

 

Drill

 

 

 

113

 

 

 

 

57

 Total this column (1-56)                    $

 

 

114

Total this column (58-113) $

 

 

 

 

Goods must be insured for their full value at Destination.

 

115

Total this page (57 + 114)                   $

 

 

 

115a

Multiply Row 115 X2                       $

 

 

INVENTORY: Mr./Mrs. _____________________________________________________________________

No.

Qty

Furniture

Price per Unit $

Total $

 

No.

Qty

Children’s Items

Price per Unit $

Total $

116

 

Armchair

 

 

 

173

 

 

 

 

117

 

Bar

 

 

 

174

 

 

 

 

118

 

Bedroom

 

 

 

Musical Instruments

119

 

Beds & mattresses

 

 

 

175

 

Accordion

 

 

120

 

Bookcase

 

 

 

176

 

Drums

 

 

121

 

Chairs

 

 

 

177

 

Flute

 

 

122

 

Coffee table

 

 

 

178

 

Guitar

 

 

123

 

Corner table

 

 

 

179

 

Organ(**)

 

 

124

 

Couch (sofa)

 

 

 

180

 

Piano(**)

 

 

125

 

Desks

 

 

 

181

 

Saxophone

 

 

126

 

Dinette/Kitchen set

 

 

 

182

 

Violin

 

 

127

 

Dining table

 

 

 

183

 

Xylophone

 

 

128

 

Dining room set

 

 

 

184

 

 

 

 

129

 

Dresser

 

 

 

185

 

 

 

 

130

 

Dressing table

 

 

 

Sports & Camping Equipment

131

 

Fixture

 

 

 

186

 

Air gun

 

 

132

 

Garden furniture

 

 

 

187

 

Bicycles

 

 

133

 

Lamps

 

 

 

188

 

Boat

 

 

134

 

Love seat

 

 

 

189

 

Boat engine

 

 

135

 

Make-up mirror

 

 

 

190

 

Cooler

 

 

136

 

Mirrors

 

 

 

191

 

Diving equipment

 

 

137

 

Night table

 

 

 

192

 

Fishing equipment

 

 

138

 

Recliner

 

 

 

193

 

 

 

 

139

 

Rocking chair

 

 

 

194

 

Gas lamp

 

 

140

 

Rugs & carpets(*)

 

 

 

195

 

Gas stove

 

 

141

 

Shelves

 

 

 

196

 

Sleeping bags

 

 

142

 

Tables

 

 

 

197

 

Ski equipment

 

 

143

 

Tea wagon

 

 

 

198

 

 

 

 

144

 

Toilet table

 

 

 

199

 

Tent

 

 

145

 

TV table

 

 

 

200

 

Tennis equipment

 

 

Children’s Items

 

201

 

Telescope

 

 

146

 

Bathtub

 

 

 

202

 

Thermos

 

 

147

 

 

 

 

 

203

 

Water ski equipment

 

 

148

 

Car safety seat

 

 

 

Various Household Items

149

 

Carriage

 

 

 

204

 

 

 

 

150

 

Crib

 

 

 

205

 

Bath acc.

 

 

151

 

 

 

 

 

206

 

 

 

 

152

 

Dressing table

 

 

 

207

 

Bath mats

 

 

153

 

 

 

 

 

208

 

 

 

 

154

 

 

 

 

 

209

 

Blankets

 

 

155

 

Games

 

 

 

210

 

 

 

 

156

 

 

 

 

 

211

 

Blanket cover

 

 

157

 

 

 

 

 

212

 

 

 

 

158

 

 

 

 

 

213

 

Bedspreads

 

 

159

 

High chair

 

 

 

214

 

 

 

 

160

 

 

 

 

 

215

 

Curtains

 

 

161

 

 

 

 

 

216

 

 

 

 

162

 

Mattress

 

 

 

217

 

Comforters

 

 

163

 

Nursery Scale

 

 

 

218

 

 

 

 

164

 

 

 

 

 

219

 

Sheets

 

 

165

 

Stroller

 

 

 

220

 

 

 

 

166

 

 

 

 

 

221

 

 

 

 

167

 

 

 

 

 

222

 

 

 

 

168

 

 

 

 

 

223

 

Pillows

 

 

169

 

Walker

 

 

 

224

 

 

 

 

170

 

 

 

 

 

225

 

Towels

 

 

171

 

 

 

 

 

226

 

 

 

 

172

Total this column (116-171)               $

 

 

227

Total this column (173-226)               $

 

 

 

 

 

 

 

 

Goods must be insured for their full value at Destination.

 

228

Total this page (172 + 227)                 $

 

 

 

228a

Multiply Row 228 X2                           $

 

(*)

(**)

Include a detailed assessor’s valuation for Persian, Chinese etc. carpets, insured value of which is over $1,000.

Subject to a detailed assessor’s value. pianos & organs must be crated separately.


INVENTORY: Mr./Mrs. _____________________________________________________________________

No.

Qty

Various Household Items

Price per Unit $

Total $

 

No.

Qty

Clothing

Price per Unit $

Total $

229

 

 

 

 

 

283

 

Men’s clothing

 

 

230

 

 

 

 

 

284

 

 

 

 

231

 

Tablecloth

 

 

 

285

 

 

 

 

232

 

 

 

 

 

286

 

Suits

 

 

233

 

 

 

 

 

287

 

 

 

 

234

 

 

 

 

 

288

 

 

 

 

235

 

 

 

 

 

289

 

Shoes

 

 

Dining & Kitchenware

 

290

 

 

 

 

236

 

Chinaware

 

 

 

291

 

 

 

 

237

 

 

 

 

 

292

 

Handbags

 

 

238

 

 

 

 

 

293

 

 

 

 

239

 

Corning ware

 

 

 

294

 

 

 

 

240

 

 

 

 

 

Arts & Crafts(*)

Books & Records(**)

241

 

 

 

 

 

242

 

Crystal ware

 

 

 

295

 

Books(**)

 

 

243

 

 

 

 

 

296

 

 

 

 

244

 

 

 

 

 

297

 

 

 

 

245

 

Dinner sets

 

 

 

298

 

 

 

 

246

 

 

 

 

 

299

 

Ornaments-crafts(*)

 

 

247

 

 

 

 

 

300

 

 

 

 

248

 

Flatware (silver)

 

 

 

301

 

 

 

 

249

 

 

 

 

 

302

 

 

 

 

250

 

Flatware (steel)

 

 

 

303

 

Paintings(*)

 

 

251

 

 

 

 

 

304

 

 

 

 

252

 

Glassware

 

 

 

305

 

 

 

 

253

 

 

 

 

 

306

 

 

 

 

254

 

 

 

 

 

307

 

Posters

 

 

255

 

Pots & pans

 

 

 

308

 

 

 

 

256

 

 

 

 

 

309

 

 

 

 

257

 

 

 

 

 

310

 

Records(**)

 

 

258

 

Pyrex ware

 

 

 

311

 

Cassettes(**)

 

 

259

 

 

 

 

 

312

 

Video tapes(**)

 

 

260

 

Stainless tableware

 

 

 

313

 

 

 

 

261

 

 

 

 

 

314

 

Sculptures(*)

 

 

262

 

Utensils

 

 

 

315

 

 

 

 

263

 

 

 

 

 

316

 

 

 

 

264

 

 

 

 

 

317

 

 

 

 

265

 

 

 

 

 

318

 

 

 

 

Clothing

 

Misc.

266

 

Children’s clothing

 

 

 

319

 

Personal computer

 

 

267

 

 

 

 

 

320

 

Computer screen

 

 

268

 

 

 

 

 

321

 

Scanner

 

 

269

 

 

 

 

 

322

 

Printer

 

 

270

 

 

 

 

 

323

 

 

 

 

271

 

Coats

 

 

 

324

 

 

 

 

272

 

 

 

 

 

325

 

 

 

 

273

 

 

 

 

 

326

 

 

 

 

274

 

Fur coat(*)

 

 

 

327

 

 

 

 

275

 

 

 

 

 

328

 

 

 

 

276

 

 

 

 

 

329

 

 

 

 

277

 

 

 

 

 

330

 

 

 

 

278

 

 

 

 

 

331

 

 

 

 

279

 

Leather coats

 

 

 

332

 

 

 

 

280

 

 

 

 

 

333

 

 

 

 

281

 

 

 

 

 

334

 

 

 

 

282

Total this column (229-281)               $

 

 

335

Total this column (283-334)               $

 

 

 

 

 

 

 

 

Goods must be insured for their full value at Destination.

 

336

Total this page (282 + 335)                 $

 

 

 

336a

Multiply Row 336 X2                           $

 

(*)Include a detailed assessor’s valuation for objects of value such as fur coats, arts and craft, insured value of which is over $1,000.

(**)Should be itemized according to categories or boxes.

 

Atlas Insurances        Sample Conditions and Warranties (Personal Effects)

                                                   ***The Certificate of Insurance is the binding document at all times.***

INTEREST INSURED
Household goods and personal effects, private cars and motorcycles in containers, as per inventory declaration submitted by the Assured, and forming the basis of insurance under this certificate.
WARRANTED :
1. The premium due hereon including any additional premium, has been paid in full and funds have been collected by ATLAS INSURANCES LTD (The Company).
2. Supplementary documents (cumulative form and inventory list) have been submitted with the application and approved by the Company.
3. Fine art objects, paintings, prints, antiques, sculptures, furs, rugs, carpets, runners and all other similar valuables valued at more than $1,000 each (replacement value) will be accepted for insurance only if accompanied by a qualified expert's appraisal with the corresponding sum insured at conditions and premium to be agreed.
4. Method of Transit: per approved vessel and /or carrier. Date of dispatch to be declared as soon as practicable to the company or its representative with the following details: name of vessel, voyage number, date of sailing and/or date of arrival.
 
SCOPE OF COVER
Always subject to the due premium having been paid and funds collected by the company and subject to the terms and conditions of the policy.
Household goods and personal effects are covered against the risks of physical loss or damage to the property insured from external cause, as applicable per one of the following sections, which is agreed upon and stated in the Confirmation of Insurance.
 
SECTION 1: All Risks of physical loss or damage to the subject matter insured as per London Institute Cargo Clauses (A) Cl.252 dated 1.1.82 . PROVIDED that the Assured gave clear instructions in writing to the company to provide such cover, and the insurers, agreed thereto, otherwise the coverage is limited to SECTION 2 only below.
 
SECTION 2: As per London Institute Cargo Clauses (C) Cl. 254 dated 1.1.82 covering the following perils only:
Loss of or damage to the subject-matter insured reasonably attributable to fire or explosion; vessel or craft being stranded, grounded, sunk or capsized; overturning or derailment of land conveyance; collision or contact of vessel craft or conveyance with any external object other than water; discharge of cargo at a port of distress. Loss of or damage to the subject matter insured caused by General Average sacrifice; jettison.
 
FOR BOTH SECTIONS (1 AND 2 ABOVE)
Including War, Strikes, Riots and Civil Commotions as per London Institute War and Strikes Clauses and to Termination of transit clause (Terrorism) J.C.2001/056. Subject to London Classification Clause & Institute Radioactive Contamination Chemical, Biological, Bio-Chemical and Electromagnetic Weapon Exclusion Clause Cl.370 of 10.11.03 , Institute Cyber Attack Exclusion Clause Cl .380 of 10.11.03, Cargo ISM Endorsement JC98/019 of 1.5.98
Used motor-cars/motor-cycles are insured as per Institute Cargo Clauses (C) 1.1.82 only and not as elsewhere stated. Including the risk of theft and non - delivery of the entire car/motor-cycle but only after being delivered to port of shipment.
NO COVERAGE while vehicles, whether new or used, are driven by their own power. Excluding third party liability/risk of whatsoever nature in all cases.
 
CONDITIONS
1. Co-Insurance Clause: The Assured shall at all times maintain insurance on 100% value of his personal effects/household goods to the extent of the actual cash value i.e. replacement cost at destination at the time of loss or damage and failure to do so, the Assured, shall to the extent of such deficit, bear his or their proportionate share of any loss or damage including labor charges.
2. All consignments must be professionally packed and subject to customary and adequate packing for the respective item and entered on the mover's packing list.
3. It is a condition of this Insurance that in the event of total loss or damage, the maximum liability of the insurer shall be the replacement value of the item or of a comparable item in the condition at the time of loss or damage, not exceeding the insured value of said item. The Insurer shall be entitled at his sole option to replace with like kind and quality, or repair any article damaged (whether wholly or in part ) or to pay cash, in any event not exceeding the insured value thereof. Always provided that in the event of replacement or cash payment for actual or constructive total loss or damage, the item is surrendered to and becomes the property of the Insurer if he so desires at his sole discretion.
4. Any electrical items, appliances or other valuable items not declared on the Customs Entry cannot be claimed, nor alleged to have been lost or damaged.
5. Pianos, organs and musical instruments must be professionally packed and individually crated.
6. Pairs and Sets Clause: Where any insured item consists of articles in a pair or set including all crockery, dishes, glassware or furniture sets, this Certificate shall not pay more than the proportionate value of any particular part or parts which may be lost or damaged without reference to any special value which such article or articles may have as part of such pair or set.
7. In case of missing item/s the Assured has to provide the insurer satisfactory documentary evidence for each such missing item.
8. Notwithstanding anything to the contrary herein it is hereby declared and agreed between the insurer and the Assured, that the insurer being precluded from examining the cumulative form and inventory list (hereinafter Cumulative Form) at the inception of the insurance, the inclusion of any item or items in the said Cumulative Form and of the value stated in respect of such item or items shall not bind the insurer, notwithstanding that a Confirmation of Insurance has been issued in respect of the total amount of such Cumulative Form. In the event of any item/s being outside the scope of this insurance, this Certificate shall not be deemed to cover such item/s and the insurer shall return to the Assured the proportionate part of the
premium.
9. The actual value and the limit of the amount recoverable in respect of any item lost or damaged must be proved by the Assured to the insurer -the maximum amount recoverable being the sum insured or the replacement value at destination, whichever is the lower.
10. In case of claim for damage or shortage, the Assured has to prove that the loss occurred during the transit. Such losses are covered only if there will be signs on the external packing.
 
DURATION OF TRANSIT CLAUSE
Subject to the Issuance Date mentioned in the policy, coverage attaches from the time the household goods and personal effects are being professionally packed and picked up at the residence or business location of the insured for the commencement of the transit and continues during the ordinary course of transit, including customary transshipment, if any, until the insured property is delivered to the first destination after discharge but not later than 60 days after discharge from the carrying Vessel/Airplane at final port of discharge.
The policy includes storage coverage for up to 60 days prior to the goods being loaded onto ship or plane but only if and while stored in the export forwarder's warehouse, Port or any bonded warehouse and against the following risks ONLY: Fire, Water Damage and Burglary.
Notwithstanding anything to the contrary herein, all new purchases are covered only after warehoused by packer/shipper, and not in transit from the retailer.
 

EXCLUSIONS
Notwithstanding anything contained elsewhere here in to the contrary, this insurance does not cover:
1. Missing items, breakage, scratching, denting, chipping, staining and tearing of owner-packed articles /cartons / boxes.
2. Loss or damage caused by gradual deterioration, wear and tear, atmospheric or climatic conditions, inherent vice, electrical, electronic and mechanical derangement.
3. Depreciation arising from inadequate or substandard repairs or restoration of a damaged item.
4. Marring, scratching, chipping and denting of used electrical appliances and used furniture.
5. Loss of cash, coins, bills, banknotes, jewelry, gold and silver articles, commercial papers, cheques, money orders, travelers cheques, traveling tickets, stamps, valuable documents, film, eye-glasses and items which derive their value from their artistic and collectable nature.
6. Loss or damage caused by or due to termites, rodents, moths, vermin, rust, mold, seizure or confiscation by authorities, consequential loss or damage.
7. Commercial shipments and all goods or interest other than Personal & Household Effects.
8. Alcoholic and other beverages and food of any kind and/or damage caused thereby.
9. Loss or damage directly or indirectly caused by earthquake, volcanic eruptions and other cataclysms when on land.
10. Loss or damage due to mysterious disappearance and/or unexplained shortage.
 
AUTOMOBILE AND MOTORCYCLE
Notwithstanding anything to the contrary, coverage commences from the time the Automobile or Motorcycle is warehoused in the custody of the Freight Forwarder or Steamship Company and terminates upon discharge at port of destination, provided it is loaded on the vessel in strict compliance with all safety measures of carriage.
Notwithstanding anything to the contrary, the risk of theft and Non-Delivery attaches only upon delivery of the motorcar or motorcycle to the port of shipment.
In no case the vehicle is insured against third party risks/liability nor whilst driven under its own power.
It is further agreed and understood that this certificate does not cover any damage, injury or liability to third party under any law/regulation requiring vehicles to be insured against third party risks or liability or otherwise.
 
IMPORTANT NOTICE TO ASSURED
The attention of the Assured and/or Cargo Receiver is drawn hereby to the condition of the insurance whereby they are required to act at all times with reasonable dispatch in all matters concerning the handling of the goods insured. They are specifically required:
1. To clear the goods from Customs without delay and even before arrival of the vessel, make all necessary arrangements for taking delivery of the goods immediately as soon as they are discharged.
2. To take all possible precautions with a view to avoiding any damage or loss and preventing the aggravation of damage or loss already sustained.
3. To keep damaged or broken items in their original packing and to present them to the surveyor on demand. No damages may be repaired without Insurer's authorization and any unauthorized repairs are entirely at the Assured's risk and expense.
 4. To cooperate with the surveyor of the insurance company for immediate dealing with the damage and/or loss. Any delay in taking delivery of the goods for reasons which could be foreseen and within the control of the Insured or their representatives shall not be deemed a justified delay and may prejudice the claim for a sustained damage and/or loss.
 
LIABILITY OF CARRIERS, BAILEES OR OTHER THIRD PARTIES
The Assured or his agents must:
1. Claim immediately on the carriers and on the port authorities for any missing packages.
2. Apply immediately for survey in the docks by carriers' representative if any loss or damage be apparent and claim on the carriers for any actual loss or damage found at such survey.
3. In no circumstances, except under written protest, give clean receipts where goods are in doubtful condition.
4. Give notice in writing to the carrier's representative within three days of delivery if the loss or damage was not apparent at the time of taking delivery.
Note: The Assured or his agents are recommended to make themselves familiar with the regulations of the port authorities at the port of discharge.
Any claim under this insurance should be submitted without delay accompanied by all correspondence with carriers and other parties regarding their liability.
 
PROCEDURE OF CLAIM
In case of a claim, the Assured must give immediate written notice to Atlas with all supporting documents, including where applicable:
1. Atlas' 'Claim Form' filled (
http://www.atlas-insurances.com/ClaimFormP.pdf )
2. Copy of Confirmation of Insurance.
3. Copy of 'Cumulative Form-Application and Inventory' as you filled in before shipment.
4. Bill of Lading and/or other contract of carriage.
5. Any documentary evidence to show the extent of the loss or damage ( incl. photos, written professional estimates for repair of damage ).
6. Copy of delivering carrier's receipt with exceptions noted.
7. Port Authority's loss or damage certificate.
THE CONSIGNMENT INSURED HEREUNDER MUST BE ATTENDED BY THE ASSURED OR HIS REPRESENTATIVE DURING THE INSPECTION AT PORT OF DISCHARGE AND THENCE UNTIL FINALLY RE-PACKED FOR TRANSPORTATION. THE ASSURED SHOULD ALWAYS ACT AS IF HE WERE UNINSURED.