Insurance Policy to your Gothaer Motor Sport Insurance

Customer Service
Special Insurances
Service Area Motor Sport/Travel
Gothaer Allgemeine Versicherung AG . 50598 Köln
Speer Racing GmbH
Wannweiler Str. 65
7277 Reutlingen
Telephone
Telefax
E-Mail
Internet
+49 551 701-54278
+49 551 701-964278
motorsport@gothaer.de
www.gothaer.de
Insurance Policy
to your Gothaer Motor Sport Insurance
22/03/2011
Insurance Number
38.918.836495
Begin and Expiry
of the Insurance
Begin of Insurance
Expiry of Insurance
07.03.2011 / 00.00 hrs
31.12.2011 / 24.00 hrs
Scope of the Insurance
Title of Event
Driver Training accordant to the special informations and conditions agreements
Motor Sport
Liability Insurance
Insurance Number
per Loss Event
Flat rate for Personal Injury, Property and Economic Losses
3.000.000
Your Insurance Coverage shall extend to the legal liability
of the Organizer (Insurance Holder)
of the Sports Officials, of the Sporting Goods or of other Persons to be commissioned by the Organizer in the organization and implementation of the event, namely
for the liability of responsibility in this capacity (the Insured)
of the Driving Assistant of the Participants (the Insured: as Applicant, Driver, Passenger, Vehicle Keeper and
Proprietor)
Federal Government, states, communities and municipal associations shall be exempt from
all claims of compensation, which could be raised on the occasion of this event in accordance with the statutory liability provisions by participants or by a third party.
Dokument2
Liability claims of the participants among each other and towards the organizer are co-insured, if all participants signed an effective waiver of liability (e.g. in accordance with the
recommendation of the DMSB).
Company
Seat
Supervisory Board
Board
Gothaer Allgemeine Versicherung AG
Gothaer Allee 1, 50969 Köln (Address)
Dr. Roland Schulz (Chairman)
Thomas Leicht (Chairman),
Dr. Werner Görg, Dr. Helmut Hofmeier, Michael Kurtenbach
Jürgen Meisch, Dr. Hartmut Nickel-Waninger, Oliver Schoeller
Postal Address
50598 Köln
Legal Form
Register Court
ISt-ID
Corporation
District Court Köln, HRB 21433
DE 122786654
Motor Sport
Accident Insurance
Type of Insurance / Type of Service
Amount Insured per Person
Participant Accident Insurance
Disability Benefit or
Disability Benefit
(Accordant Special Information and Agreements)
75.000
150.000
Driving Assistant Accident Insurance
Death Benefit
Disability Benefit with 200% Progression
Total Disability Benefit
15.500
31.000
62.000
Sports Director Accident Insurance
Death Benefit
Disability Benefit with 200% Progression
Total Disability Benefit
15.500
31.000
62.000
Spectator Accident Insurance
Death Benefit
Disability Benefit
Those with
Premium Details
15.500
31.000
specified risks are insured.
Insurance
Your Premium to be paid
Including the
Legal Insurance Tax
Liability
18.000
Total Amount
The premium statement will be sent to you separately.
Currency Details
All premiums are in Euro.
Contractual Basis
The mutual rights and obligations shall be regulated in accordance with your application and
possibly the related written declarations submitted, this insurance policy, the statutory provisions of the Federal Republic of Germany, as well as the following listed policy conditions
and agreed clauses and/or agreements such as those of the sport authority approved / registered invitations to bid. Ancillary verbal agreements shall be invalid.
Insurance Conditions
Insurance Conditions
Status
General provisions for all contained contracts:
- General insurance conditions for the Liability Insurance
- Special Conditions and Clauses
for the Motor Sport Liability Insurance
- Gothaer Motor Sport Accident Insurance Conditions
01/2008
03/2010
03/2010
- Special conditions for the disablement benefit with 25 % integralfranchise
Special Information
and Agreements
Insurance Number 38.918.836.495
Participant Accident Insurance accordant index of submitted index of names.
The Insurance Coverage shall extend to following Events:
See last page
Page 2 of 22/03/2011
Right of Revocation
as per §§ 8 and 9 VVG
You may withdraw your declaration of intention within two weeks, without
any reason and in writing (e.g. letter, fax, email). The deadline begins when you receive the
insurance policy, the contract provisions, including our general insurance conditions, as well
as the contract information (product information sheet and insurance information), and these
instructions. The punctual dispatch of the revocation is sufficient for the adherence to the
right of revocation deadline. The revocation is to be sent to Gothaer Allgemeine Versicherung AG, 50598 Köln (postal address) or Gothaer Allee 1, 50969 Cologne.
In the case of an effective revocation, your insurance coverage will end and we will reimburse the part of your premium, which is not applicable for the period after receipt of the revocation.
We may retain the part of your premium, which is not applicable for the period until receipt
of the revocation, if you agreed that the insurance coverage would begin before expiry of
the period of revocation. If you have not issued such an agreement or the insurance coverage begins after expiry of the revocation period, we will reimburse you the entire amount.
We immediately reimburse premiums to you, at the latest 30 days after receipt of the revocation. Your right of revocation is excluded, if the contract was completely fulfilled, at your express request, by both sides, before you exercised your right of revocation. Should you revoke a replacement contract, the original insurance contract shall continue. The right of revocation shall not apply to contracts with a duration period of less than one month.
Right of Objection
as per § 5 VVG
At the places marked red and/or specified with #, the insurance policy/supplement differs
from the application. For the variations with related legal consequences, please refer to the
explanatory numbers specified below.
#1 The insurance coverage begins at a different time than applied for.
#2 The insurance coverage ends a different time than applied for.
#3 Consequently, another premium is to be paid.
#4 Consequently, the insurance coverage is limited.
The variations shall be deemed approved, if you do not revoke the insurance policy/supplement in writing within one month after receipt (e.g. per email).
Gothaer Allgemeine Versicherung AG
Dr. Werner Görg
Insurance Number 38.918.836.495
Thomas Leicht
Page 3 of 22/03/2011
Art
Tes tevent (Racer only)
Renntraining
Renntraining
Montagstraining
Montagstraining
Renntraining
Sportfahrer- und Instruktorentraining
Renntraining
Sportfahrer- und Instruktorentraining
Sportfahrer- und Instruktorentraining
Montagstraining
Sportfahrer- und Instruktorentraining
Sportfahrertraining
Sportfahrer- und Instruktorentraining
Fahrs icherheits training
Autotraining
Sportfahrer- und Instruktorentraining
Montagstraining
Montagstraining
Sportfahrer- und Instruktorentraining
Sportfahrertraining
Renntraining
Montagstraining
Sportfahrer- und Instruktorentraining
CupEvent
Sportfahrer- und Instruktorentraining
Montagstraining
Renntraining (300 Meilen-Rennen)
Renntraining
Fahrs icherheits training
Montagstraining
Sportfahrer- und Instruktorentraining
Sportfahrer- und Instruktorentraining
Sportfahrer- und Instruktorentraining
CupEvent
Sportfahrer- und Instruktorentraining
Sportfahrer- und Instruktorentraining
Sportfahrer- und Instruktorentraining
Sportfahrertraining
Sportfahrer- und Instruktorentraining
Sportfahrer- und Instruktorentraining
Montagstraining
Sportfahrer- und Instruktorentraining
Montagstraining
Renntraining
Sportfahrer- und Instruktorentraining
Renntraining
Renntraining
Insurance Number 38.918.836.495
Ort
Valencia
Hockenheim
Aragon
Hockenheim
Hockenheim
Barcelona
Anneau du Rhin
Mugello
Mos t (Toni-Mang-Training)
Anneau du Rhin
Hockenheim
Hockenheim
Spa-Francorcham ps
Hockenheim
Neuhausen ob Eck
Hockenheim
Hockenheim
Hockenheim
Hockenheim
Salzburgring
Nürburgring
Os chers leben
Hockenheim
Salzburgring
Magny Cours
Hockenheim
Hockenheim
Hockenheim
Brünn
Hockenheim
Hockenheim
Anneau du Rhin
Hockenheim
Pannoniaring (Toni-Mang-Training)
Mugello
Salzburgring
Hockenheim
Hockenheim (Toni-Mang-Training)
Sachs enring
Hockenheim
Brünn (Toni-Mang-Training)
Hockenheim
Anneau du Rhin
Hockenheim
Mugello
Anneau du Rhin
Mugello
Barcelona
von
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ges Tage Rennen
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