Welcome to Holman Insurance Brokers on-line Marine Cargo Insurance quick quote page. Please ensure you complete the form as accurately as possible in order to ensure the best possible estimate. If you would rather speak to one of our sales representatives, please call us at (905) 886-5630 or 1-800-567-1279.

Completion of this form is for informational purposes only, and is just an estimate.
This WILL NOT result in a new policy, or change to an existing policy.

* Required Fields

Contact Information
Company Name*
Contact First Name*
Address*
Contact Last Name*
City*
Phone*
Province*
Phone 2
Postal Code*
Fax
Web Site
E-Mail*
Please specify your preferred method of contact:
Phone Email
Insurance Information
Are you presently insured? If yes, what company?* (enter "none" if answer is no)
Policy Number* (enter "none" if you do not have a policy number)
Expiry Date
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
Coverage Information
Is your request for Open Marine Policy or Single Shipment?
Anticipated total annual volume:
Number of Shipments
Cargo Information
Description of Packaging:
%
% Break
% Bulk
% Other
Does the cargo contain full containers (F.C.L)?
Yes No
Does the cargo contain less than full containers (L.C.L)?
Yes No
Terms of Shipment (ie. FOB, CIF, C&F)
Exports
Imports
Inland
Currency
Limit required for any one shipment:
Transport Information
Area of Origin
Area of Destination
Mode of Transportation (annual values shipped in US dollars):
Ocean
Air Freight
Rail
Common
Basic of Valuation
Cost           Cost + 10%  Selling Price
Special insuring instructions:
Claims Information (State all losses in the past 5 years)



Additional Comments



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Thank you for trusting Holman Insurance Brokers Ltd. for your insurance needs, one of our representatives will contact you soon with your quote!
Marine Cargo Quote