General Business Questionnaire

Friars Street, Ipswich, Suffolk IP1 1TA Telephone: +44 (0)1473 223000 Fax:+44 (0)1473 223931 Website: www.willis.com

GENERAL AVIATION BUSINESS QUESTIONNAIRE

1. EXACT NAME OF MAIN ASSURED AND ANY SUBSIDIARY/ AFFILIATED COMPANIES WHO MAY OPERATE THE AIRCRAFT

2. COMPLETE SCHEDULE OF AIRCRAFT

Make/Model Registration Agreed Value Passenger/Crew Seating

3. LIMITS REQUIRED FOR THIRD PARTIES/PASSENGERS/CREW.

COMBINED SINGLE LIMIT (THIRD PARTIES/PASSENGERS)

ANY ONE ACCIDENT

THIRD PARTY LEGAL LIABILITY

ANY ONE ACCIDENT

PLUS PASSENGER LEGAL LIABILITY

ANY ONE PERSON Friars Street, Ipswich, Suffolk IP1 1TA Telephone: +44 (0)1473 223000 Fax:+44 (0)1473 223931 Website: www.willis.com

4. PILOT EXPERIENCE

Name Age Licence Ratings Hours

Fixed Rotor Twin Make/ Wing Wing Engin Model e

5. EXACT USES OF AIRCRAFT AND ESTIMATED UTILISATION FOR EACH DIFFERENT USE.

6. NUMBER OF HOURS UTILISATION LAST 12 MONTHS AND ALSO ESTIMATED NUMBER OF HOURS TO BE FLOWN DURING COMING POLICY PERIOD.

LAST 12 MONTHS HOURS PER AIRCRAFT

NEXT 12 MONTHS HOURS PER AIRCRAFT

7. DETAILS OF ALL LOSSES LAST FIVE YEARS AND ANY EVENTS WHICH MAY BE POTENTIAL LOSSES FOR BOTH AIRCRAFT AND PILOTS.

8. GEOGRAPHICAL AREAS OF OPERATION/FLIGHT ROUTES (WITH FREQUENCIES).

9. GEOGRAPHICAL LOCATION WHERE THE OPERATION IS BASED.

10.DETAILS OF WHO WILL BE MAINTAINING THE AIRCRAFT Friars Street, Ipswich, Suffolk IP1 1TA Telephone: +44 (0)1473 223000 Fax:+44 (0)1473 223931 Website: www.willis.com

11.WILL HULL WAR RISKS COVERAGE BE REQUIRED

12.IF SPARES COVERAGE IS REQUIRED, PLEASE ADVISE THE MAXIMUM VALUE OF ANY SPARES AT RISK AT ANY ONE TIME/LOCATION, WITH BRIEF DETAILS OF WHAT SPARES CONSIST .

13.HOW WILL AIRCRAFT USUALLY BE KEPT? (I.E. HANGERED/ TIED DOWN/ OPEN).

14.PLEASE PROVIDE COPIES OF INSURANCE AND INDEMNITY CLAUSES OF ANY CONTRACTS

15.ANY OTHER ADDITIONAL INFORMATION WHICH MAY BE OF INTEREST TO POTENTIAL UNDERWRITERS.

16.IF NOT A NEW OPERATION, PLEASE ADVISE LOCATION OF CURRENT INSURANCE AND DETAILS OF PRESENT RATES.

17.WHEN WILL COVERAGE BE REQUIRED TO INCEPT?

If you have any question, please do not hesitate to contact JONATHAN PIPE at the following address or telephone numbers:

Willis Limited Friars Street Ipswich IP1 1TA Email [email protected] Telephone: 01473 223355 Facsimile: 01472 223931