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* 1. Members of the Oxbow Partners InsurTech Impact 25 should meet most (but not necessarily all) of the criteria below. Please select all that apply to your company. Please note that featured companies from previous years’ Impact 25 reports are not eligible.

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* 2. What is the name of your company?

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* 3. In one crisp sentence, please describe what your company does (max 30 words).

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* 4. Which of these best describes the type of service your company provides? Select one.

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* 5. Which unresolved need on the market did your company’s idea emerge from? (max 30 words).

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* 6. In what year did the company start operating?

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* 7. Where is your HQ? Please specify city and country.

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* 8. In which other countries (if any) do you have a physical office presence?

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* 9. How many full time employees do you have? Please provide either a precise number or round to the nearest 10 people.

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* 10. What is the company’s website address?

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* 11. What’s the best contact email for clients to use?

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* 12. Please name up to three key executives:

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* 13. Please define your client type (s): (e.g. personal lines insurance broker, commercial lines MGA, specialty insurance carrier, London market reinsurer, European claims handler). Please take no more than 30 words and keep the list to no more than five client types.

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* 14. Which clients do you work with? Up to a maximum of 10, as few or many as you prefer to name.

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* 15. What are some of the company’s significant quantitative/qualitative achievements in the last few years. Please list up to three (max 20 words for each).

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* 16. Please provide us with a concise case study, keeping marketing speak down to a minimum, to demonstrate how you worked with a client to successfully meet a challenge or solve a problem.

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* 17. Please provide an alternative case study if you have another example you wish to use. You can skip this question if you prefer.

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* 18. Please provide at least one quote as a testimonial from one of your clients or a third-party independent market commentator. If you wish to skip this question for now, there will be a chance to arrange this later. No more than 40 words please.

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* 19. Revenue - all responses in GBP, rounded. We see revenue as the strongest indicator of traction and impact. Please provide as much information as you can. Where your revenue is Euro please convert to Sterling using a £1 : €1.15 exchange rate.

Note: Revenue numbers will NOT be disclosed by Oxbow Partners (in this report or elsewhere). Revenue will be allocated to bands, which WILL be disclosed. Annual growth WILL be disclosed. Some disclosure on revenue is a pre-condition of inclusion.

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* 20. If you cannot provide revenue numbers, what bands apply? Where your revenue is Euro please convert to Sterling using a £1 : €1.15 exchange rate.

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* 21. What is your total external investment (in GBP) to date? Where you operate in Euro please convert to Sterling using a £1 : €1.15 exchange rate.

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* 22. Please tell us about your last funding round. Where you operate in Euro please convert to Sterling using a £1 : €1.15 exchange rate. Amount (GBP) We are not allowed to share this information

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* 23. Do you have other significant investors?

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* 24. What are your company aims or targets for 2021? These can be expressed financially or other objectives or milestones. Please list up to five (max 20 words for each).

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