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{"sheet":"Risk Info","index":0,"n_rows":68,"n_cols":6,"rows_kept":68,"cut":false,"hidden":false,"merged":[[25,1,25,4],[5,1,5,4],[17,1,17,4],[18,1,18,4],[19,1,19,4],[20,1,20,4],[70,0,71,0],[0,1,1,4],[70,1,71,3],[72,1,73,3],[4,1,4,4],[6,1,6,4],[7,1,7,4],[8,1,8,4],[9,1,9,4],[10,1,10,4],[11,1,11,4],[12,1,12,4],[13,1,13,4],[14,1,14,4],[2,1,2,4],[3,1,3,4],[15,1,16,4],[36,1,36,4],[26,1,26,4],[27,1,27,4],[28,1,28,4],[34,1,34,4],[35,1,35,4],[29,1,29,4],[33,1,33,4],[32,1,32,4],[31,1,31,4],[30,1,30,4],[21,1,21,4],[22,1,22,4],[23,1,23,4],[24,1,24,4]]}
[]
[]
["Insured Name: "," "]
["General Property Detail","Answers"]
["Please state all names of Property / Orchard owners / joint owners"]
["What region is your orchard[s] located"]
["Please attached Land/mapping information [inaddition to the co-ordinates below]"]
["Total Land Area of farm"]
["Total Orchard Area to be Insured  (Please ensure accuracy - if understated, this may allow the insurer to reduce the amount payable in a claim)"]
["Which varieties will be insured"]
["Dates orchards were planted"]
["Year trees last pruned?"]
["Year trees last thinned?"]
["Do you have labour force available for thinning?"]
["Do you have other farms / orchards that are insured elsewhere?"]
["What measures do you have in place, over the insured areas, to reduce the risk of hail strike to your orchard[s].?"]
[]
["Previous Losses/Claims"]
["In the past 10 years, have you suffered any loss to your crop due to hail?"]
["If yes, please provide details: "]
["What date did the loss[es] occur?"]
["Which varieties were damaged?"]
["Which orchards / blocks were damaged?"]
["What was the financial cost of the loss[es]?"]
["Have you done anything to try mitigate this happening again i.e adding hail nets?"]
[]
["Previous Insurance"]
["Have you previously carried insurance?"]
["If yes, please attach a copy of your last insurance schedule"]
["Have you ever been refused insurance? If yes, why?"]
[]
["About You, the owner(s)"]
["How long have your been growing the crop[s] to be insured?"]
["Do you belong to any industry association?"]
[]
["Insurance Sought"]
["Please provide full schedule of orchards to be insured with locations and Sum insured (note max limit per ha is NZD $35,000]."]
[]
["Orchards / Block Name","Lat / Long coordinates","Variety","Total Ha","Sum Insured per ha","Total Sum Insured"]
[{"$nulls":5},{"$f":"SUM(D40*E40)","v":0}]
[{"$nulls":5},{"$f":"SUM(D41*E41)","v":0}]
[{"$nulls":5},{"$f":"SUM(D42*E42)","v":0}]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
[{"$nulls":5},0]
["Total  ",null,null,{"$f":"SUM(D40:D56)","v":0},0,{"$f":"SUM(C40:C56)","v":0}]
["Have you been declined insurance, had a policy cancelled for any reason, or had special terms applied to a contract of insurance in the past 5yrs? Please provide details: "]
["Duty of disclosure: This proposal form, and the risk information/mapping etc provided by you, forms the basis of the insurance contract between you and the insurer. You have a duty to disclose any matter that you know, or ought to\nreasonably know, which is relevant to a reasonable insurer’s decision to accept the risk of insurance, and if so, on what terms to accept the risk i.e. removal of protective netting or similar. This duty of disclosure extends to the renewal of the policy but does not require you to disclose anything that: diminishes the risk; is of common knowledge; the insurer knows, or ought to reasonably know; is waived by the insurer. Non-disclosure may entitle the insurer to reduce their liability to you, or if fraudulent, may enable the insurer to void the policy from the beginning. Cancellation of the policy will not entitle you to a refund of any premium. We acknowledge we have read the above and the information is accurate to the best of our knowledge and information about us will be kept by the insurer and available for correction by us."]
[]
["Owner "]
["Information completed by: "]
["Date:"]
["Email:"]
["Signature:"]
["Broker"]
["Company"]
["Managinng broker"]

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