Questionnaire for directors and officers (D&O) liability insurance - ABES Group AG
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Seat of the company
Name of the contact person
Desired start

General data

Does the company have any subsidiaries?
Has the company been operating for less than 3 years (start-up company)?
If yes, please submit annual financial statements or start-up balance sheet and business plan.
Is the company or a subsidiary a financial institution (e.g. bank, fund management company, fund distributor, insurance company, health insurance company)?
If yes, please submit financial statements including balance sheet, income statement, notes, auditor's opinion.
Are securities (e.g. shares) of the company or a subsidiary traded on a stock exchange or is a subscription offer or share issue planned in the next 12 months?
If yes, please provide details where exchange/off-exchange trading of securities is taking place or a subscription offer or share issue is planned.
Do legal entities directly or indirectly own 20% or more of the client's voting shares?
If yes, please provide details of the company, registered office and the respective share of voting rights.
Does the company delegate insured persons as a body to third-party companies (third-party mandates)?
If yes, please provide details (name, registered office, listing, purpose).
Have claims for damages already been made to a person to be insured in the last 36 months in connection with the activity/function/property to be insured, or does a person to be insured have knowledge of circumstances that could lead to a claim for damages covered by the insurance applied for?
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.
When was the end date of the last fiscal year:
What was the annual turnover in the last business year in CHF
Was there a consolidated loss for the year?
Was the consolidated equity ratio (ratio of equity to total assets) less than 20%?
If subsidiaries exist: Does a subsidiary have negative equity?
Are there any subsidiaries of the Company in the U.S:
Is the company and/or a subsidiary over-indebted (negative equity) at the time of answering the questionnaire?
* 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).
Click or drag files to this area to upload. You can upload up to 10 files.

Benefits to be insured

What sum insured is desired for financial losses in CHF?
Desired deductible for property damage in CHF
Terms of use
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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