THB & GUR GROUP
DIRECTORS' & OFFICERS' LIABILITY

QUICK BIND

Please note that all questions relate to all persons/entities to be insured under the proposed policy.

DETAILS OF PROPOSER

The following details refer to the company of which all its directors and officers will be covered by the policy.




Contact Details




STATEMENT OF FACT


By signing this proposal the Assured confirms that the company:

  • is an Israel registered limited company whose shares are not listed on any stock exchange
  • has no subsidiaries that have shares listed on any stock exchange
  • is not offering legal advice or advice on blockchain or similar technology*
  • is not authorised or regulated by the Israel Securities Authority *
  • is not a municipality, local authority, government related entity, Kibbutz, investment company or venture capitalist.*
  • can meet all short term liabilities for the next 6 months if purchasing a 12 month policy period or 12 months if purchasing an 18 month policy period.
  • has less than 50% of its total assets in the United States of America.
  • has positive equity i.e. total assets greater than total liabilities. This is only to be confirmed if the company is not a Portfolio Company. A Portfolio Company is a company or entity in which a venture capital firm, buyout firm, Private Equity firm or other investment fund invests.
  • in the last 12 months has generated a turnover that is equal to or under USD 25,000,000
  • has not had a coin offering, as defined in the policy wording *
  • are not using or anyway involved in crypto-currencies or crypto-tokens or any virtual or digital currency, asset or security which are disseminated using distributed ledger or blockchain or similar technology.*
  • is not in any way involved with cannabis and/or cannabinoid*
  • does not have Chinese shareholders holding more than 49% of the Company’s shares

* (including its subsidiaries)

NO CLAIMS DECLARATION


By signing this proposal the Assured confirms that the company and all of its subsidiaries:

  • Has never had any official inquiry undertaken by any regulatory, governmental, professional or other authorised body into activities of any director or officer in any capacity.
  • Have no pending claims against anyone for whom this insurance is intended which may fall within the scope of coverage afforded by any similar insurance presently or previously in effect.
  • For whom this insurance is intended have not given notice under the provisions of any other previous or current similar insurance policy, of any facts or circumstances, which may give rise to a claim being made against the company and/or any director and/or officer.
  • For whom this insurance is intended does not have any knowledge or information of any act, error, omission, fact or circumstance, which may give rise to a claim which may fall within the scope of this proposed insurance.

LIMIT OF LIABILITY

Limit of up to $5 million will be placed by a single Lloyds syndicate
Limit above $5 million will be placed by another Lloyds syndicate as an excess layer

Gur's unique benefits:

  • 10% side limit in addintion to the primary limit of your selection.
  • For 18 month cover the premium is 140% instead of 150%.
PRIMARY Liability limit per incident and in the aggregate per period Annual premium Mark here 18 month premium Mark here
USD 1,000,000 USD 1,850 USD 2,590
USD 2,000,000 USD 2,775 USD 3,885
USD 3,000,000 USD 3,625 USD 5,075
USD 4,000,000 USD 4,300 USD 6,020
USD 5,000,000 USD 4,800 USD 6,720
USD 6,000,000 USD 5,600 USD 7,920
USD 7,000,000 USD 6,400 USD 9,120
USD 8,000,000 USD 7,000 USD 10,200
USD 9,000,000 USD 7,750 USD 11,145
USD 10,000,000 USD 8,550 USD 12,345

REINSTATEMENT OPTIONS

Reinstatement is an add on option that gives you additional limit for a different claim in case a claim exhausted the limits during the policy period.

For example:

If you selected $1M limits and the insurer will pay all the $1M due to specific claim the reinstatment will fill up the limits to $1M for another and totally different claim that will be filed in the same period.

Reinstatement options Additional premium Mark here
None None
1 reinstatement 15% of annual premium
2 reinstatements 30% of annual premium

SUMMARY OF COVER

Liability Limit Premium Fee Total Cost Period Reinstatements

DECLARATION & SIGNATURE

INSURANCE DETAILS

I would like the policy to start on:

You can choose cover to commence on any date within 30 days from when you sign this proposal form. Your commencement date cannot be more than 30 days prior to the date at which this form is signed and dated.

EEA EXPOSURE

Does the Company have any offices or subsidiaries located in the European Economic Area (EEA), or have any Insured Persons domiciled in the EEA?


Please refer to

https://worldpopulationreview.com/countries/eea-countries/

for a list of countries.

Covid 19

Has the Covid 19 outbreak had, or could it have, a negative impact on your business? If yes, please give details and any mitigating measures put in place to address this.

DECLARATION

I am authorised to complete this Proposal Form on behalf of all parties entitled to coverage under this insurance.



Gur's financial deparatment will be in touch with you for payment procces.
The payment must be made in one payment by a bank transfer to a UK bank account within 60 days.