Scribd
Upload
7 views2 pages

Bonds Proposal Form

The document is a proposal form for various types of bonds (Customs, Performance, Advance Payment, Bid Bond) from Phoenix of Botswana Assurance Company. It requires detailed information from the proposer, including personal, business, and financial details, as well as a checklist of required enclosures and expenses. The proposer must confirm the accuracy of the information and agree to bear associated charges.

Uploaded by

omerob
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
7 views2 pages

Bonds Proposal Form

The document is a proposal form for various types of bonds (Customs, Performance, Advance Payment, Bid Bond) from Phoenix of Botswana Assurance Company. It requires detailed information from the proposer, including personal, business, and financial details, as well as a checklist of required enclosures and expenses. The proposer must confirm the accuracy of the information and agree to bear associated charges.

Uploaded by

omerob
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

PHOENIX OF BOTSWANA ASSURANCE COMPANY (PROPRIETARY) LTD

Proposal Form for Customs / Performance / Advance Payment Bonds / Bid Bond

1. Name of the Proposer ____________________________________________

2. Postal Address ____________________________________________

3. Physical Address ____________________________________________

4. Phone Numbers ____________________________________________

5. (a) Fax Number ____________________________________________

(b) E-mail address ____________________________________________

6. Names of the Directors ____________________________________________

____________________________________________

____________________________________________

7. Names of Major Shareholders ____________________________________________

____________________________________________

____________________________________________

____________________________________________

8. Nature of business ____________________________________________

9. Years in business ____________________________________________

10. Names / contacts of two major 1. ___________________________________________


Service providers 2. ___________________________________________

11. Would you have objections if we


approach them for reference Yes / No

12. Name / Address of your bankers ____________________________________________

13. Would you have objections if we


approach them for reference Yes / No
14. Nature of Bond required Customs/Performance/Advance Payment/Bid Bond

15. Value of the Bond _____________________________________

16. Period of Bond From______________ To ____________________

17. Who are the Principals _________________________________________

18. Are you insured with us for


for other classes Yes / No

19. If yes, what is the overall value


of your premium portfolio with us. ______________________________________

20. Collateral Security Vehicle No. _____________________________


Others _____________________________
_____________________________
_____________________________
_____________________________

21. Check List of enclosures 1. Counter Indemnity Guarantee as per format


2. Log books for vehicles offered as collateral.
3. Blank/ Signed Transfer Forms.
4. Balance Sheets for last three years.

22. List of expenses to be borne by


the proposer 1. Charges for assessment of vehicles.
2. Charges for Chatel Mortgage.
3. Registration Charges for Counter Indemnity.
4. Lawyer’s Fee for related work.

We confirm that all details as above are correct and we also undertake to bear all charges as laid out in
the point # 22 above.

Signature of the Proposer ______________________________________

Name ______________________________________

Date ______________________________________

Place ______________________________________

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy