Aircraft
 Home

Mexican Aircraft Insurance Application

INSURED  
   
First Name:
Last Name:
Address 1:
Address 2:
City:
State/Province:
Zip/Postal Code:
Work Phone:
Home Phone:
Email: 
   
AIRCRAFT  
Make:
Model:
Registration Number:
Serial Number(s) of Aircraft:

Year Aircraft Built:

Number of Seats:
Value (US$):
   
Last Annual Inspection Date:
Motor Type: (i.e.: Jet, Piston, Turbo)
Make of Motor(s):
Horse Power:
   

PILOTS

 
Name: License #: Type of License:
Name: License #: Type of License:
Name: License #: Type of License:
Name: License #: Type of License:
   
Effective date: (Annual Policy- Only)
   

NO ADDITIONAL PILOT CHARGE!

Total cost $467 (premium $340.90, premium tax 15% or $51.14 and policy fee of $75.00).

BUSINESS USE included.

BUSINESS USE shall not include the transporting of passengers for hire and/or the transporting of cargo.

The applicant hereby acknowledges and accepts coverage under the policy for Mexican Aircraft Insurance written by Grupo National Provincial.

RISKS COVERED
Civil Liability: $350,000. (U.S.) Combined Single Limit (CSL).

Medical Payment Limits:$2,000. (U.S.) per person; $10,000. per accident.

Physical Damage coverage available, subject to individual aircraft underwriting.

SPECIAL CONDITIONS
- Coverage does not apply to Mexican-licensed pilots nor to Mexican-registered aircraft.
- Premium is fully earned upon issuance of Certificate of Insurance.

 

Home ]

Send mail to webmaster@mexacan.com with questions or comments about this web site.
Last modified: 02/25/02