EIB 07-01A, Sectio Electronic Claim Filing System, Short-Term Insurance

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Claim Control No.:CAP0001091 (Draft)

Short-term Multi-buyer Policy Claim
Section F - Claim Calculator

( * An asterisk denotes that a field is a required entry)

Documents bear interest?*

Yes

No

If Interest is covered, what is the contract rate?
*Note: Interest should be calculated at the insured rate specified in your policy's "Interest Coverage Endorsement"

(+)
(+)
(+)

*

(-)
(-)

*

f) Subtract funds received from any other source(s).

(-)

*

g) Savings because of nonpayment of agent's

(-)

*

a) Total contract amount of all Shipments.
b) Add interest at insured rate to maturity.
c) Add interest at insured rate from maturity

*
*

date to date of claim filing.
d) Subtract total buyer payments.
e) Subtract other credits, discounts, and allowances..

commission.
h) Net Loss
i) % of Insurance Coverage (e.g. 95%, type in 95)

j) Subtract Deductible, if applicable.

k) Eligible Loss

*

*

(%)

*

(-)

*
*

**Note: Any additional interest to date of claim payment will be calculated by Ex-Im Bank.

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/B4DF37527B8325D6852572A4004D4... 3/20/2007