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YACHT-POOL Agency Slovakia / Czech Republic<br />

Mierová 179<br />

SK - 82 1 05 Bratislava<br />

www.yacht-pool.sk<br />

Flatrate for charter insurances<br />

12 months bonus!<br />

Pay just for one charter and<br />

you´ll be insured for 12 months!<br />

You can charter, as often as you like, where you like<br />

and every ship you like!<br />

POLICY HOLDER:<br />

(must be the skipper)<br />

If you are compensated for your work as a skipper,<br />

please consult with us.<br />

Last name: __________________________________<br />

First name: __________________________________<br />

Street: _____________________________________<br />

Postal Code: ________ Location_________________<br />

Job: ____________________ year of birth: ________<br />

Please fill out the application and simply mail it to us<br />

in an envelope, or fax it to: +421 2 4333 0808<br />

further informtation tel.: +421 2 4363 6692-3<br />

or:<br />

info@yacht-pool.sk<br />

Tel. Office: _________________________________<br />

Tel. Home: _________________________________<br />

Mobile Nr.: _________________________________<br />

Fax: _________________________________<br />

Email: _________________________________<br />

SKIPPER'S LIABILITY INSURANCE<br />

In accordance with AHB (General Liability Insurance Conditions) 1989 and the specific terms<br />

of YACHT-POOL.<br />

Premium:<br />

Coverage amounts: Sailingyacht Motoryacht<br />

€ 5,00 Mio. lump-sum personal injury/property damage € 97,- € 160<br />

€ 7,00 Mio. lump-sum personal injury/property damage € 116,- € 179,-<br />

€ 10,00 Mio. lump-sum personal injury/property damage € 147,- € 211,-<br />

Choosing the coverage, bear in mind<br />

that the cost of personal damages can<br />

get very high and that your personal<br />

responsibility is unlimited!<br />

Coverage extends not only to<br />

the skipper´s liability risk, but<br />

also to the liability risk of any<br />

and all crew members.<br />

Coverage for motorised yachts also includes coverage for sailing yachts.Motor boats with a top speed of up to 10 km/h may be insured<br />

for the same premiums as sailing yachts. Property damages of the ship from gross negligence are insured by maximum<br />

€ 1,0 Mio per year. The insured amount is maximised once a year.<br />

SKIPPER'S ACCIDENT INSURANCE<br />

In accordance with AUB (General Accident Insurance Conditions) 1988 and the specific<br />

terms of YACHT-POOL.<br />

For skipper and crew<br />

Disability Recovery/rescue Death Premium:<br />

€ 155 000,- € 60 000,- € 77000,- € 42,-<br />

€ 230 000,- € 60 000,- € 77000,- € 97,-<br />

€ 380 000,- € 60 000,- € 77000,- € 150,-<br />

€ 510 000,- € 60 000,- € 77000,- € 213,-<br />

€ 770 000,- € 60 000,- € 77000,- € 318,-<br />

Upon request, skipper´s accident<br />

insurance may be limited to the skipper<br />

him/herself.<br />

Consider that over your<br />

personal accident insurence<br />

many cases are not covered,<br />

that normaly automatically<br />

the complete crew is insured<br />

and that high rescue-costs<br />

may arise!<br />

CHARTER DEPOSIT INSURANCE<br />

In accordance with YACHT POOL'S deposit insurance terms for charters.<br />

The insurance coverage is valid for skipper and crew and for the amount of the hull-loss incurred up to the maximum selected<br />

below. The co-payment is 5% of the fidelity bond or of the loss, whichever is less, but no less than € 50 per loss-event. The fidelity-bond<br />

amount selected must not be less than the one agreed in the charter contract.<br />

Bond amount up to €: 511,- 1025,- 1550,- 2050,- 2600,- 3050,- 4050,- 5050,-<br />

Premium €: 64,- 126,- 162,- 205,- 260,- 305,- 405,- 505,- __________<br />

If you would like fidelity-bond coverage in excess of € 3,050, please enter the desired sum on the blank line at the right and fax<br />

us the form. You will receive our premium quote promptly. Regatta-risk is normally excluded from charter deposit insurance, but<br />

may be added upon request. The CHARTER DEPOSIT INSURANCE does not release the deposition of the bond at the base.


CHARTER CONSEQUENTIAL-DAMAGE INSURANCE<br />

In accordance with YACHT POOL'S consequential-damage insurance terms for charters.<br />

The coverage applies to the skipper and the crew for yachts with the parameters selected below:<br />

Length up to 33' up to 36' up to 43' up to 52' up to 63'<br />

Sailing yacht premium € 85,- € 96,- € 115,- € 151,- € 188,-<br />

Motor yacht premium € 110,- € 120,- € 149,- € 237,- € 292,-<br />

Coverage for motor yachts includes coverage for sailing yachts. Regatta-risk is normally excluded from charter consequentialdamage<br />

insurance, but may be added upon request.<br />

CHARTER-CANCELLATION INSURANCE<br />

In accordance with YACHT POOL'S specific terms for charter-cancellation insurance.<br />

The skipper and all crew members are covered by the insurance. Charter-cancellation insurance takes effect upon our receipt of<br />

the application. (This differs from the other types of insurance, whose time of inception is given below.) The coverage amount to<br />

be entered is the total cost of the trip (charter fee + air travel etc.). No payment with previous illness.<br />

Number of people incl. skipper:<br />

___________<br />

Boat trip starts on:___________________________<br />

Boat trip ends on: _________________________<br />

Covered amount: € ______________________ Premium 4,9% = € _________________________<br />

Regardless of the covered amount, the minimum premium is € 40. Premium quotes for coverage amounts over € 10,000 are<br />

available upon request.<br />

SMS WEATHER-FORECAST SERVICE<br />

In accordance with YACHT POOL'S specific terms for SMS weather-forecast service and only in connection with one of the insurances possible)<br />

You will receive a weather forecast twice daily. Please enter the desired region of travel and time period. You will find regions of<br />

travel on our Internet page, www.yacht-pool.com. Please enter your email address and mobile telephone number on the front<br />

page of the application, or you will not receive your data.<br />

code<br />

Region of travel.: designation: bout: from to<br />

Premium: € 1,29 x ________ days = € _____________ Example: € 1,29 x 10 Tage = € 12,90<br />

(every region of travel and )<br />

PAYMENT<br />

To effect our insurance you have to pay in advance. After we have received this application form you will get a bill. We<br />

ask you to remit the sum indicated as fast as possible, for getting insurance cover.<br />

The insurance year lasts 12 months after insurance inception. Exceptions: charter-cancellation insurance and<br />

weather-forecasting service, which terminate with the end of the boat trip or at some other agreed date. Insurance<br />

contracts don´t renew automatically. If you want to have insurance cover you have to send us a new application<br />

form. For our terms and conditions, please consult our internet site www.yacht-pool.sk<br />

Insurance inception:______________________, 12 Noon<br />

The insurance begins with the boat trip, except for charter-cancellation insurance<br />

__________________________<br />

Name in BLOCK LETTERS<br />

_________________________,________________________<br />

Place<br />

Date<br />

___________________________________<br />

Signature (with Email not necessary)<br />

FLIGHT-SERVICE<br />

We are specialized in flights to all important charter basis. We have access to more than<br />

4 million flights worldwide! Ask for an offer to your destination under:<br />

www.yachtpoolflights.de

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