<p>Friars Street, Ipswich, Suffolk IP1 1TA Telephone: +44 (0)1473 223000 Fax:+44 (0)1473 223931 Website: www.willis.com</p><p>GENERAL AVIATION BUSINESS QUESTIONNAIRE</p><p>1. EXACT NAME OF MAIN ASSURED AND ANY SUBSIDIARY/ AFFILIATED COMPANIES WHO MAY OPERATE THE AIRCRAFT</p><p>2. COMPLETE SCHEDULE OF AIRCRAFT</p><p>Make/Model Registration Agreed Value Passenger/Crew Seating</p><p>3. LIMITS REQUIRED FOR THIRD PARTIES/PASSENGERS/CREW.</p><p>COMBINED SINGLE LIMIT (THIRD PARTIES/PASSENGERS)</p><p>ANY ONE ACCIDENT </p><p>OR</p><p>THIRD PARTY LEGAL LIABILITY</p><p>ANY ONE ACCIDENT</p><p>PLUS PASSENGER LEGAL LIABILITY</p><p>ANY ONE PERSON Friars Street, Ipswich, Suffolk IP1 1TA Telephone: +44 (0)1473 223000 Fax:+44 (0)1473 223931 Website: www.willis.com</p><p>4. PILOT EXPERIENCE</p><p>Name Age Licence Ratings Hours</p><p>Fixed Rotor Twin Make/ Wing Wing Engin Model e</p><p>5. EXACT USES OF AIRCRAFT AND ESTIMATED UTILISATION FOR EACH DIFFERENT USE.</p><p>6. NUMBER OF HOURS UTILISATION LAST 12 MONTHS AND ALSO ESTIMATED NUMBER OF HOURS TO BE FLOWN DURING COMING POLICY PERIOD.</p><p>LAST 12 MONTHS HOURS PER AIRCRAFT</p><p>NEXT 12 MONTHS HOURS PER AIRCRAFT</p><p>7. DETAILS OF ALL LOSSES LAST FIVE YEARS AND ANY EVENTS WHICH MAY BE POTENTIAL LOSSES FOR BOTH AIRCRAFT AND PILOTS.</p><p>8. GEOGRAPHICAL AREAS OF OPERATION/FLIGHT ROUTES (WITH FREQUENCIES).</p><p>9. GEOGRAPHICAL LOCATION WHERE THE OPERATION IS BASED.</p><p>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</p><p>11.WILL HULL WAR RISKS COVERAGE BE REQUIRED</p><p>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 .</p><p>13.HOW WILL AIRCRAFT USUALLY BE KEPT? (I.E. HANGERED/ TIED DOWN/ OPEN).</p><p>14.PLEASE PROVIDE COPIES OF INSURANCE AND INDEMNITY CLAUSES OF ANY CONTRACTS</p><p>15.ANY OTHER ADDITIONAL INFORMATION WHICH MAY BE OF INTEREST TO POTENTIAL UNDERWRITERS. </p><p>16.IF NOT A NEW OPERATION, PLEASE ADVISE LOCATION OF CURRENT INSURANCE AND DETAILS OF PRESENT RATES.</p><p>17.WHEN WILL COVERAGE BE REQUIRED TO INCEPT? </p><p>If you have any question, please do not hesitate to contact JONATHAN PIPE at the following address or telephone numbers:</p><p>Willis Limited Friars Street Ipswich IP1 1TA Email [email protected] Telephone: 01473 223355 Facsimile: 01472 223931</p>