Questionnaire for directors and officers (D&O) liability insurance - ABES Zürich AG

Questionnaire for directors' and officers' liability insurance (D&O)

Questionnaire for directors' and officers' liability insurance (D&O)

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General data

If yes, please submit annual financial statements or start-up balance sheet and business plan.
If yes, please submit financial statements including balance sheet, income statement, notes, auditor's opinion.
If yes, please provide details where exchange/off-exchange trading of securities is taking place or a subscription offer or share issue is planned.
If yes, please provide details of the company, registered office and the respective share of voting rights.
If yes, please provide details (name, registered office, listing, purpose).
If yes, please provide more detailed information.

Questions about the financial situation of the company

The following questions refer to the consolidated financial statements of the Company in the last financial year. If no consolidated financial statements are available, they refer to the addition of the individual financial statements of the Company and all subsidiaries. As an alternative to answering the questions below, the annual financial statements including the balance sheet, income statement, notes and, if available, the auditor's opinion for the past financial year may also be submitted.
* If the consolidated annual sales exceed CHF 100 million or if one of the above questions regarding the financial situation of the company is answered with "yes", please attach to this questionnaire the consolidated financial statements (balance sheet, income statement, notes and auditors' report) for the past financial year, or - if no consolidated financial statements are available - please attach to this application/questionnaire all individual financial statements of the company and all subsidiaries (including balance sheet, income statement, notes and auditors' report, if available).

** Please explain which company(ies) are over-indebted and send us the most recent interim financial statements of these company(ies).
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Benefits to be insured

The use of this form serves to obtain D&O offers from the applying company. The offers will be put out to tender with various insurers in a submission procedure. All information provided will be made available to the insurance companies by ABES Zurich Ltd© if required. ABES Zürich AG© stores the data required for this submission procedure until the end of the submission. In the event of a negative decision, the data will be deleted. ABES Zürich AG© undertakes to treat the information received confidentially in the event of a possible conclusion of a contract.
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