Marine Storage Questionnaire

Temperature Controlled
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Marine Storage Questionnaire

Temperature Controlled
Your details:

CNA Hardy Office Location:

Account Name:

Account Policy Number:

Name of Storage Facility:

Address of Storage Facility:

Storage Questionnaire Introduction:

The intended purpose of this document is to enable CNA Hardy to assess the details
regarding the storage that is intended to be insured. This information includes details
regarding the location and buildings including protections in place, nature of the stock and
the storage methods associated.
Page 9 of this document must be signed and dated by an authorised signatory of the
Assured / Third Party.

Disclaimer:
The information contained in this document does not represent a complete analysis of the topics
presented and is provided for information purposes only. It is not intended as legal advice and no
responsibility can be accepted by CNA Hardy for any reliance placed upon it. Legal advice should
always be obtained before applying any information to the particular circumstances.
Please remember that only the relevant insurance policy can provide the actual terms, coverages,
amounts, conditions and exclusions for an insured. All products may not be available in all
countries.
CNA Hardy is a trading name of CNA Insurance Company Limited, Hardy (Underwriting Agencies)
Limited, CNA Insurance Company (Europe) S.A, CNA Services (UK) Limited, CNA Hardy
International Services Limited and Hardy Underwriting Asia PTE Limited. Details on registered
office locations, and regulatory permissions can be found at:
http://www.cnahardy.com/site-services/LegalEntityDetails
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Marine Storage Questionnaire – Temperature Controlled

1. Construction
Give a brief description in subsections below the type of materials used in construction of the building(s)

Approximate Age: 5 year (2017) Owned / Leased: TAFFO SRL

Area coverage No. of Storeys

184mp 1
(m2 / ft2): (Office / Warehouse):
Amount of buildings on site occupied by the assured / storage
1
facility company?
If stated above that there is more than 1 building, are these attached or
YES
separated? (if applicable)
Is/are the building(s) detached or separated from any adjoining premises
Yes No
either by brick or concrete walls with no openings?
External & Internal wall construction (I.e. Concrete structure and PUR Panels,
Brickwork / Blockworks, Cladding – PIR, PUR,
Polystyrene core, Timber frame): For Cladding
please provide further details within section 2:
Roof construction (i.e. Slate, Tiles, Metal sheet Concrete structure and panels PUR
cladding etc) (include type of daylight panels if
applicable):
Floor construction (i.e. Concrete / Screed /
Concrete
Timber Deck) including mezzanine:
Other details (If Applicable):

2. Cladding Information (If Applicable)

Give a brief description of the cladding information including the insulation core type i.e. PIR, PUR,
Polystyrene – This can often be found on the building specification held by the Landlord
NO For other /
External Cladding
combination, please
Insulation Type:
state:
Internal Cladding No
For combination,
Insulation Type
please state
including Temperature
approximate
controlled chambers
percentages/m2
and blast freezers (I.e.
coverage of each for
PIR/PUR White Wall,
the total floor area:
Polystyrene core):

Are the cladding panels LPCB/LPS Certified and/or FM Approved? Yes No

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Marine Storage Questionnaire – Temperature Controlled

3. Occupation
Maximum Assured Average Assured
Stock Value at this Stock Value at this
location location
Is the value of stock subject to large fluctuations?
Yes No
(If YES, please provide additional information below)

Is any of facility occupied by a third party / leased tenant?

Yes No
If YES to the above , please state the third party and their operations:

There we have 1 company with fire extinguisher, fill and sell, one furniture company.

Are the premises occupied solely for the storage of the assured goods
Yes No
and materials?
Full description of the goods stored that are
owned by the assured:
Full description of the 3rd party goods stored
(if applicable):
Packaging materials (i.e. Cardboard / Plastic)
and Storage methods (i.e. Pallet racking / Free
standing / bulk bags etc)

Approximate maximum storage height at the facility: Maximum 6.75 m minium 5 m

Are routine racking inspections undertaken by competent persons? Yes No

List of any hazardous goods stored (i.e. Aerosols,

Chemicals, Flammable Liquids or Gases):

List of warehousing activities carried out at the premises:

Pick and Pack Distribution

List of processes carried out at the premises

(i.e. Production, assembly, use of flammable
materials / liquids):
Is/are any machinery/automated processes
operational when premises are unattended?

Please state the business operational days / hours:

Is the business unattended on bank holidays, Christmas and New Year? Yes No

‘Other’, please state operational detail:

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Marine Storage Questionnaire – Temperature Controlled

4. Fire Protections
Is there a commissioned/usable/maintained sprinkler system installed that
provides coverage to all areas of the building?
Yes No
(If YES, provide further details/documentation e.g. system specification,
maintenance company details):

Is the sprinkler system (upon activation) subject to remote monitoring?

Yes No
(If YES, please provide additional information below)

Is automatic fire detection installed within the premises (e.g. smoke/heat

Yes No
detectors)? (If YES, please select the area of coverage from the list below)

Please Select your Area of Coverage:

Is the fire alarm commissioned/usable/maintained? Yes No

Is the fire alarm subject to remote monitoring?

Yes No
(If YES, please provide additional information below)

Are portable hand held fire extinguishers available and regularly maintained? Yes No

Are there trained Fire Marshals at the premises? Yes No

Emergency Response - Fire Brigade Details:

Have the Emergency Services (Fire and/or Police) carried out any
Yes No
Pre-incident Planning at these premises?

5. Security Protections
Is there an intruder alarm system installed?
Yes No
(If YES, please select the area of coverage from the list below)

Please Select your Area of Coverage:

Is the Intruder alarm commissioned/usable/maintained? Yes No

Is the Intruder alarm subject to remote monitoring? Yes No

Additional Detail (inc. First Responder/s to Alarm):

Is there operational CCTV installed?

Yes No
(If YES, please select the area of coverage from the list below)

Full Coverage of All Areas

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Marine Storage Questionnaire – Temperature Controlled

5. Security Protections continued

Is the CCTV system commissioned/usable/maintained? Yes No

Is the CCTV system subject to remote monitoring?

Yes No
(If YES, please provide additional information below)

Is there manned security in place?

Yes No
(If YES, please select the area of coverage from the list below)

Out of Business Hours Only

Additional Security measures: (i.e. perimeter fencing / electronic security protections)

6. Perils / Exposures
Is the area, to the best of your knowledge, susceptible to flooding?
Yes No
(If YES, please provide additional information below)

Has the building/s ever been affected by previous flooding?

Yes No
(If YES, please provide additional information below)

Is there a known exposure to or any historical issues regarding the following:

Aircraft, Arson or Damage, Contamination, Collapse (e.g. Snow),
Earthquake, Escape of Water, Hail, Landslide, Lightning, Rainstorm, Yes No
Subsidence, Wind, Wildfire, Other Natural Disaster (I.e. Tornado/Volcano.
(If YES, please provide additional information below)

7. Neighbouring Exposures (Details of the surrounding area)

Are there any buildings within 25m of the premises?
Yes No
(If YES, please provide additional information below)
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Marine Storage Questionnaire – Temperature Controlled

8. Management Controls
Has fixed wiring testing
Yes No Date completed:
been completed?
Has portable
appliance testing (PAT) Yes No Date completed:
been completed?
Has the building got an Emergency Generator installed that been
Yes No
frequently maintained and tested under full load annually at minimum?
Can the emergency generator / other power supply support all critical
Yes No
systems in the event of a mains power outage?
Is any of the lighting in the premises high intensity?
Yes No
(I.e. Metal halide, Mercury vapour or Sodium)
Is there a dedicated forklift battery charging area that is maintained and
located in a well ventilated area and segregated from any combustible Yes No
storage by a minimum of one metre?
Are Works Permits used and managed in the event of any required
Yes No
contractor works? (I.e. Hot works including 60 minute fire watch)
Are waste skips and pallets that are stored externally, located a minimum
Yes No
of 10 metres away from the exterior skin of the building?
Have the IT systems got Malware Protections / Boundary Firewalls in
Yes No
place to protect against cybercrime?
Are IT systems backed Frequency of IT
Yes No
up to an offsite server?: backups:

Additional Information:

9. Temperature Controlled Storage:

Approximate age of the storage chambers:

Please state the normal operating temperatures

of the chambers:
Please state what the maximum / minimum
temperatures are for the storage of
temperature sensitive goods (if applicable):
Please state the refrigerant used for the cooling
/ chilling (i.e. Nitrogen, Ammonia etc.):
Is gas leak detection installed within the areas housing the gas storage /
Yes No
pipework?
Are monitoring temperature probes installed in the temperature
Yes No
controlled chambers?
Are the temperature probes all operational and subject to scheduled
Yes No
calibration?
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Marine Storage Questionnaire – Temperature Controlled

9. Temperature Controlled Storage continued:

Is the temperature monitoring subject to remote monitoring? Yes No

Are Uninterruptible Power Supplies installed on the storage chambers? Yes No

In the event of a loss of the chilled / freezer storage area, is there a

contingency plan in place to temporarily store the required goods Yes No
elsewhere?

Additional Information:

10. Claims experience in the past 5 years:

Enter the date of the Click here to enter
loss: amounts paid:

Enter details of the occurrence:

Enter the date of the Click here to enter

loss: amounts paid:

Enter details of the occurrence:

Enter the date of the Click here to enter

loss: amounts paid:

Enter details of the occurrence:

Enter the date of the Click here to enter

loss: amounts paid:

Enter details of the occurrence:

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Marine Storage Questionnaire – Temperature Controlled

11. Any other information

Declaration:
This document must be signed and dated by an authorised signatory of the Assured / Third Party.
I / we declare that, after full enquiry, the contents of this proposal are true and that I/we have not
misstated, omitted or suppressed any material fact or information. I/we agree that this proposal
together with any other information supplied by me/us shall form the basis of any contract of
insurance which may be affected.
If there is any material alteration to the facts and information which I/we have provided or any
new material matter arises before the completion of the contract of Insurance, I/we undertake to
inform Underwriters.

Proposer’s Signature: Position / Title:

For and Behalf of: Date:

20 Fenchurch Street London EC3M 3BY United Kingdom

cnahardy.com
Tel +44 (0)20 7743 6800

The information contained in this document does not represent a complete analysis of the topics presented and is provided for information purposes only. The findings and statistics
referred to are sourced from the methodology stated above. It is not intended as legal advice and no responsibility can be accepted by CNA Hardy for any reliance placed upon it.
Legal advice should always be obtained before applying any information to the particular circumstances.
Please remember that only the relevant insurance policy can provide the actual terms, coverages, amounts, conditions and exclusions for an insured.
All products may not be available in all countries.
CNA Hardy is a trading name of CNA Insurance Company Limited (“CICL”, company registration number 950) and/or Hardy (Underwriting Agencies) Limited (“HUAL”, company
32230/0819

registration number 1264271) and/or CNA Services (UK) Limited (“CNASL”, company registration number 8836589) and/or CNA Hardy International Services Limited (“CHISL”,
company registration number 9849484) and/or CNA Insurance Company (Europe) S.A., UK Branch (“CICE UK”, company registration number FC035780). CICL, HUAL and CICE UK are
authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (firm reference numbers 202777, 204843
and 822283 respectively). The above entities are all registered in England with their registered office at 20 Fenchurch Street, London, EC3M 3BY. VAT number 667557779.