Buyer Protect · US

Buyer Protect insurance application

Buyer Protect covers financial loss arising from a breach of (or inaccuracy in) the representations and warranties given by the seller, where there is evidence the seller had knowledge of the breach.

The individual completing this application should be involved in the transaction to acquire the target. You must provide all information which may be material to the cover requested.

Materials required

Final form contract for the sale of target / asset (including disclosure schedule)

Transaction details

1.1 Target name*

Is the target's trading name different from the legal name?

Has the target been known by any other name in the past 5 years?

1.2 Address where the target is incorporated*

1.3 Seller name(s)*

1.4 Individuals responsible for day-to-day management of the target*

1.5 Do you currently trade with the target?

1.6 Enterprise value of target (USD)*

Buyer Protect is available up to $20,000,000.

Insurance broker & insured details

2.1a Insurance broker firm

2.1b Insurance broker name

2.1c Insurance broker email

2.2 Insured — name*

2.2 Insured — address*

Insurance

3.1 Policy limit (USD)*

Notifiable circumstances declaration

4.1 Are you aware of any individuals giving representations and warranties having been charged with a felony?

4.1 …or having been bankrupt?

4.2 Are you aware of any fact, matter or circumstance which could result in a breach of representations and warranties as a result of seller fraud, wilful concealment or intentional misrepresentation?

Additional information

5.1 Anything else you'd like us to know

A copy will be sent to hello@bille.co