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| December 2007, Volume 12 |
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Questionnaire Selection Coverage List AIRCRAFT OWNERSHIP Aircraft hull insurance is the physical damage or property coverage on the aircraft itself, including the equipment and machinery contained within. This coverage can be purchased by either the owner or a charterer who is legally responsible for the aircraft. Aircraft liability protects the owner or charterer of the aircraft against damages they will be required to pay due injury to persons, cargo, or other property. There is an option to either include or exclude injury to passengers. The expense is high as is the exposure, so careful consideration must be given and the exposure evaluated. What is the name on the FAA registration of the aircraft? _________________________________________________________________________ Describe the aircraft: Type of aircraft __________________________________________________ Make ______________________________ Model ______________________________ Year Built ______ Seats in Aircraft ______ ____ Propeller ____ Turbine/Propeller ____ Jet ____ Pressurized Cabin Type of FAA certification _______________________________ (Attach copy) Describe any special equipment or features: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ What is the radius of operation for the aircraft? ___________________________ Where does the aircraft normally fly from? ________________________________ Is the aircraft ____ hangared or ____ tied-down? Where does the aircraft fly to? ___ Continental U.S. ___ Canada ___ Mexico ____ Alaska ___ Hawaii ___ Bahamas ___ Others - list all possible destinations ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ NOTE: There are territory restrictions in all policies - the company must be aware and grant permission for flights outside the territory in the policy. List each pilot and provide their FAA license information:
Does any pilot currently have or ever had any of the following:
Provide hours flown information for each pilot:
Is all pilot information in writing and copies of license and certifications kept in file? ___ Yes ___ No Are all pilots required to attend classes to keep licenses and certifications current? ___ Yes ___ No Are flight plans prepared, filed and followed for all flights? ___ Yes ___ No If no, explain: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ What percentage of hours flown are in each of the following categories: ____% Recreational ___% Business ___% Commercial ___% Volunteer NOTE: Any time a charge is made to another party, the use is considered commercial. If there is business use, what is the business and how is it used? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ If there is any commercial use, which of the following describes the activities: ___ Flight School/instruction ___ Rented, chartered or leased to others ___ Racing ___ Skydiving or parachuting ___ Crop Dusting ___ Aerial Chemical applications ___ Other __________________ Describe, in detail, the operations: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ If there is volunteer work, what organizations are aided and who or what is transported? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Does the applicant do any of the following: ___ Own glider, blimp, dirigible, ultralight, homemade or experimental aircraft or balloon ___ Test aircraft or aircraft parts ___ Repair non-owned aircraft ___ Own a private runway, airstrip, or helicopter pad Describe: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Are there mechanics on the applicant's payroll? ___ Yes ___ No If yes, answer the following questions: Do all mechanics attend schools provided by the aircraft manufacturer? ___ Yes ___ NoDo the employed mechanics maintain and repair the engines? ___ Yes ___ No Do the employed mechanics maintain and repair the frame? ___ Yes ___ No Are outside firms used for any repairs? ___ Yes ___ No If yes, describe when an outside firm would be used: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Do mechanics work on aircraft not owned by the applicant? ___ Yes ___ No If yes, a separate policy should be considered for hangarkeeper's legal liability and the repair liability. |
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