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AIMU CORRESPONDENT PROFILE

Name of Correspondent:
     Full Postal or Street Address:
     City:
     State:

Zip Code:

Country:

Telephone Numbers:

Fax Numbers:

E-mail Address:  (enter one only)

Website Address:
   

  1. Please list surveyors that are employees of your firm, the years of experience for each and any special expertise in cargo loss prevention whether a specific commodity or packing they may have.  (You will be given instructions for attaching the Curriculum Vitae for each surveyor in a separate email.)

        Name of Surveyor                               Yrs. Exp.    Special Expertise

         1. 

         2. 

         3. 

                   

   

  1. List any other business function in which your firm may be engaged and the approximate percentage of income derived from each.

                Business Function                                          Percentage Income

                

                

                

  1. If No. 2 above is applicable, is the marine survey or claims function handled by someone on your staff who is independent of those activities?

Yes                                No (Please Explain)

          

          

  1. Show the approximate percentage of income by your firm from:

          Marine Surveying  %

          Claims Settling     %
 

  1. Show the approximate percentage of income derived by your firm performing the foregoing (No. 4) functions for American underwriters %.

  1. Show the number of surveys performed over the last 12 months:
    Cargo:
    Hull:    

  1. For which insurance companies do you act as claims and/or settling agent?

         

         

         

  1. Which underwriters’ associations and classification societies do you represent?

         

         

         

  1. You can explain the bases of your charges below or you can send us a copy of your Scale of Fees.  If you wish to send us a copy of your Scale of Fees you will be sent an email with instructions for attaching a copy of your scale of fees.



     

  1. Revocation of Appointment. AIMU may at any time, with or without cause, revoke Correspondent’s appointment.

(Name)

 

(Title)

 

(Date)

 
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