AUREOL INSURANCE COMPANY LIMITED
INCORPORATED IN SIERRA LEONE
KISSY HOUSE, 54 SIAKA STEVENS STREET, FREETOWN
Mobile : +23278175175/+23233175175/+23288175175
Email : info@aureolinsurance.com
website : www.aureolinsurance.com
BRANCH OFFICE:
17 Tikonko Road
Bo
Tel: +232(79)175175
EMPLOYER’S PROPOSAL FOR FIDELITY GUARANTEE
NAME OF PROPOSER IN FULL…………………………………………………………………………………………………………………….
(If an unlimited company or partnership include full names of all parties)
PROFESSION OR OCCUPATION…………………………………………………………………………………………………………………....
ADDRESS……………………………………………………………………………………………………………………………………………....
…………………………………………………………………………………………………………………………………………………………..
TEL. NO………………………………………….FAX………………………………………….EMAIL……………………………………………..
NAME IN WHICH THE POLICY IS TO BE ISSUED…………………………………………………………………………….…………………….
…………………………………………………………………………………………………………………………………………………………..
TERM OF INSURANCE: FROM…………………….………………..20……….. . ..TO…….………………….…………...20…………….
1. At what intervals will you require Employees to:
(a) submit a statement of cash received? (a)
(b) pay the money to you? (b)
(c) pay the money to the Bank? (c)
2. (a) From what sources will moneys reach the
Employees hands? (a)
(b) What is the largest amount of any one Employee
is likely to have at any one time (b) Cash…………………………………………..
Securities
Cheques……………………………………..
Stock
Samples………………………………………
3. At what intervals will statements of account be sent direct to all customers, independently of Employees in a position to receive payment
of an account?
………………………………………………………………………………………………………………………………………………………………………………
4. At what intervals will securities, stock or samples be independently examined and checked?
………………………………………………………………………………………………………………………………………………………………………………
5. (a) At that intervals will the cash book entries be examined and checked against the Bank Statement, receipt counterfoils and
vouchers, and any balance in hand tested independently of the Persons making the Cash Book entries or paying into the Bank?
………………………………………………………………………………………………………………………………………………………………………………
(b) Will all the wages lists be prepared or checked in every detail independently of Employees who handle the wages?
……………………………………………………………………………………………………………………………………………………………………..

A COPY OF THE POLICY IS AVAILABLE UPON REQUEST.

(c) At what intervals will cash in hand, including Petty Cash and unpaid wages be independently checked?
………………………………………………………………………………………………………………………………………………………………………………
(d) Will all cheques drawn on your bank require two signatures?
If not, give particulars.
………………………………………………………………………………………………………………………………………………………………………………
(e) At what intervals will Insurance Cards and Stamps be checked independently of the Employees responsible for purchasing or
affixing the stamps?
………………………………………………………………………………………………………………………………………………………………………………
6. Do you write direct to all customers who reported not to have paid their Accounts or only to have paid installments, If not, how would
an Irregularity be detected?
………………………………………………………………………………………………………………………………………………………………………………
7. How frequently are your Books professionally audited? By whom?
………………………………………………………………………………………………………………………………………………………………………………
8. What defaults have occurred during the last 5 years?
………………………………………………………………………………………………………………………………………………………………………………
9. State when and to whom any previous application for Fidelity Guarantee has been made.
………………………………………………………………………………………………………………………………………………………………………………
We warrant that the above statements and those contained herein are correct and complete and agree that they (and any further
information referring to this Proposal given by the Employer) shall form the basis of the Contract between the Employer and the Company
not only in respect to the above-named Employees, but also as regards the statement contained herein and any further information
relating thereto given by the Employers to any persons employed in like capacities who may hereafter be included in the Guarantee.
We have always been satisfied with the honesty and general conduct of all the Employees.
Date……………………………………………………………………. Signature …………………………………………………………...
NOTE: THE COMPANY RESERVES THE RIGHT TO DELINE ANY PROPOSAL.