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: