Insurance Proposal Form

Application for Annual Marine Hull & Liability incl. Charter Extension

Subject to 100,000 Minimum Hull Values U.S. / 25,000 All Other Territories

Comprehensive Charter Insurance

Please take the time to complete and send the proposal form. We will confirm receipt and come back to you within 24 hours with a formal quote and simple instructions to effect cover.

Currency
EuroDollarBritish Pound

Type *
MotorSail




Total Sum Insured

Liability Limit - 3m Max

Waterski Liability *
YesNo

Crew Liability *
YesNo




Usage Details *
Skippered CharterBareboat Charter






Have you made a claim in the last 60 months? *
YesNo




Has the proposer ever had an insurer decline a proposal? *
YesNo

Has the proposer ever had an insurer not invite renewal or cancel a policy? *
YesNo

Has the proposer ever had an insurer impose premium increases (other than normal rate increases) or special policy conditions? *
YesNo

Has the proposer ever been convicted or charged with a criminal offence? *
YesNo

Has the proposer ever been declared bankrupt or insolvent? *
YesNo




For members of: