By signing below, I acknowledge that I understand that coverage is subject to the warranties, terms,conditions, limitations and exclusions of the Insurance Policy to be issued in addition to the Underwriter’s approval.
I understand that certain clauses contained in the Policy may limit or exclude coverage and that upon receipt of the Policy I should read it carefully. I declare that the information I have provided is complete and true to the best of my knowledge.
I also understand that this application will form a part of the Insurance Policy and that any quote received is only valid for 30 days.
If I am the Broker signing this application on behalf of the Applicant, I certify that I have read the above paragraph to the Applicant who has verified that they acknowledge and understand its contents.