Signing this form does not bind the Proposer to effect this insurance, but it is agreed that this form shall be the basis of the contract should a policy be issued.Īccept the declaration to submit your claim. I hereby declare that the above particulars and answers are true and complete in every respect, and that no material fact has been suppressed or withheld, and I undertake to exercise all ordinary and reasonable precautions for the safety of the property, and I further declare that if such statements and particulars are in the writing of any person other than myself, such person shall be deemed to have been my agent for the purpose, and I agree that this declaration and the answers given above shall be the basis of the contract between me and the Company, and I further agree to accept a Policy subject to the usual conditions prescribed by the Company and endorsed on their Policy, and to pay the premium thereunder when called upon to do so. Will the craft be used for your private pleasure purposes only? Is craft and/or motor subject to hire purchase? I am interested in the following add on products:īasic excess Buyback Pothole Sure Iron Guard Elite This is available to all riders and pillion passengers on the bike. Iron Guard Elite is an increased in benefits personal accident cover for R50. Rather than the low bars on the Iron 883, the new Iron 1200 gets mini apes for a fists-in-the-air custom look. Pothole Sure is an additional R50 per month, if selected this cover will pay for damage to tyres and rims in the event of you hitting a pothole, cover is upto R40,000. The 2018 Harley-Davidson Iron 1200 gets mini apes. Add-on productsīasic Excess Buyback is an additional R90 per month, if selected this cover will take away the basic excess in the event of a claim, the maximum excess amount covered is R25,000 per claim. Iron Guard is a personal accident benefit of R33 per rider on the policy which is a compulsory cover. Iron Aid is a roadside assistance benefit of R30 which is a compulsory cover. Has any Insurer cancelled a policy or declined to quote on your portfolio? Total Claims in the last 5 years including any incidents not claimed for during the last 5 year period (motor, motorcycle and non-motor)
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