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Online Quote
Looking for a quick quote? Please fill in the compulsory fields
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and we will provide you with an indication. Please note the remainder of the form may be required to provide formal terms or cover.
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Quote by:
Cover from:
Cover is subject to Underwriter acceptance however may commence from the date requested and submitted.
The Insured
Insured Name
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Owner Name
D.O.B.
Are there more owners to be noted?
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Interested Party
Previous / Current Insurer
Expiry Date
The Vessel
Year
*
Length
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Construction
*
Make & Model
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Type
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Catamaran POWER
Catamaran SAILING
Flybridge / Sports Cruiser
Half Cabin Cruiser
Houseboat
Jet Boat
P.W.C. (Jet Ski)
Mono Hull MOTOR Yacht
Mono Hull SAILING Yacht
Pontoon / BBQ Boat
Rigid Inflatable
Runabout
Sailing Dinghy / Skiff
Ski Boat
Trimaran
Other
Vessel Name
Reg. / Sail No.
H.I.N.
(Hull Id Number)
No. Of Hulls
Description of Build
***select***
Stock Production
Professional Custom Build
Owner Built
Kit Built
Please provide details of modifications to the Vessel
The Motor
No. Of
Year
*
HP
*
Make & Model
Type
*
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Inboard
Outboard
Sterndrive
Jet
Sail drive
Other
Fuel
*
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Petrol
Diesel
Electric
Other
Serial Number (1)
Serial Number (2)
Maximum Capable Speed
*
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Up to 40knots / 75km/hour
40-60knots / 75-110km/hour
Over 60knots / 110km/hour
Comment
Has the motor(s) been modified in any way?
***select***
Yes
No
Comment
Does the motor(s) meet the ski manufacturer's recommendations?
***select***
Yes
No
Comment
The Trailer
Year
Reg.
Make & Model
Sailing Vessel Only (Yachts / Catamarans)
Material/Type
Mast
***select***
Aluminium
Carbon
Wood
Fibreglass
Aluminium & Carbon
Other
Rigging
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Rod Rigged
Wire, stainless steel
Other
Sails
Vessel Storage
Method of Storage
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TRAILER - Garage / Shed
TRAILER - Roadside / Carport / Other
HARDSTAND / RACK
MARINA BERTH
PRIVATE JETTY
FORE & AFT MOORING
SWING MOORING
OTHER
Post Code
*
Location: (Marina / Address)
*
Area of operation / Cruising Itinerary
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Additional Comments
Vessel Use
What will the vessel be used for?
Private Use
***select***
Yes
No
Maybe
Timeshare Arrangement
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Yes
No
Maybe
Charter / Hire
***select***
Yes
No
Maybe
Demonstration
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Yes
No
Maybe
Corporate Functions
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Yes
No
Maybe
Commercial Workboat
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Yes
No
Maybe
Other
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Yes
No
Maybe
Other. Please provide details:
Additional Comments
Owner's & Skipper's experience
Date this vessel was purchased
Please provide details of previously owned vessels. Leave blank if none.
Skipper Name
Make & Model
Hull Length
Type (Power or Sail)
Length of Ownership
Area of Navigation
Please provide details of relevant licences and qualifications.
Skipper Name
Marine Licences / Qualifications
Date Obtained
Claims & Convictions
Have you, the Proposer(s), or Drivers(s) in the past 5 years:
Had any insurances cancelled, refused or had special conditions imposed?
***select***
Yes
No
I don't know
If yes, please provide details
Made any boat insurance claims?
***select***
Yes
No
I don't know
Date of Loss
Description of Loss
Settlement Amount
Been charged or convicted with any offence?
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Yes
No
I don't know
If yes, please provide details
Is there any other information you wish to tell us or think we should know?
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Yes
No
I don't know
If yes, please provide details
General
Has your boat been surveyed?
***select***
Yes
No
If yes, please provide a copy
Is the vessel, or will it be under construction or undergoing a major refit?
***select***
Yes
No
If yes, please provide details
Options
THIRD PARTY LEGAL LIABILITY: The quote we will provide is for Third Party Liability of $10,000,000. Do you require a different level of liability cover?
Yes
No
Additional Comments / Information:
Comments
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