James J. Boyle & Co. - Cargo Insurance

Cargo Insurance Rate Request

Company Information
Name of Company:
Contact Name:
Phone Number:
Fax:
E-Mail:



Commodity:
Number of Shipments Per Year:
Annual Value of Shipments:		(Invoice Value + Freight + 10%)
Conveyance:
Packing of Merchandise:
Ocean Shipments:



Origin Countries:




Destinations:




Currently Insured By:
Current Rate:
Any Losses in Last 3 years:		Yes No

Please include any additional information that will assist us in evaluating the specific services your cargo requires.