Helpline: +44 (0)20 7929 4058

Quotation Request

Yacht and Pleasure Craft - Direct GBP

Proposer Details
Claims
Vessel
Machinery
Additional Cover
Insured Values
Declaration
Calculations & Hidden Questions
Reporting Questions

Proposer Details

The below form is for vessels registered in the UK, Channel Islands, Isle of Man and Gibraltar only. For vessels registered elsewhere please re-visit our Home Page and select “Get a Quote” and follow the prompts.
Date insurance to start:
Is the vessel owned by an individual(s) or a company?
The proposer's name or the name of the beneficial owner if the vessel is to be in the name of a company:
Date of birth of the proposer's or the beneficial owner if the vessel is to be in the name of a company:
Proposer's address:
 
Proposer's nationality:
Proposer's occupation:
Nationality of the beneficial owner:
Company Name:
Company address:
 
Country of incorporation:
Contact telephone number:
Contact mobile number:
Contact email address:


Proposer's (or beneficial owner's if the vessel is in the name of a company) experience in this type of craft (years):
Proposer's experience (or beneficial owner's if the vessel is in the name of a company) in craft generally (years):
Do you wish to add an additional policy holder to the policy?
Full name of the additional insured:
Date of birth of the additional insured:
Nationality of the additional insured:
Occupation of the additional insured:
Are the additional insured's contact details the same as above?
Address of the additional insured:
 
Telephone of the additional insured:
Mobile number of the additional insured:
Email of the additional insured:
The additional insured's experience in this type of craft (years):
The additional insured's experience in craft generally (years):

Claims

Have you made any claims in the last 5 years on a Marine Insurance Policy?
Please provide details:
Claimant nameClaim dateClaim valueClaim typeDetails
Add row
How many years of No Claims Discount have you got ?

Vessel

Cover is for an All Risks, Agreed Value policy, should you require different cover please return to our Home Page or call one of the Team on 020 7929 4058.
Vessel name:
Is the Vessel a liveaboard craft?
If other, please select an option:
If not listed, please provide details:
Year built:
Vessel length (in feet):
WARNING your vessel type description does not match your vessel length
Maximum designed speed of vessel (knots):
If the vessel has a maximum designed speed in excess of 17 knots and has inboard machinery it is important to comply with the conditions of Insurance that automatic or a remote control fire extinguishing system in the ENGINE ROOM, TANK SPACE, AND GALLEY are fitted and operational.
Is the Vessel of standard production and professionally built?
Vessel make:
Vessel model:
If not, please provide details:
Please provide more details:
Is there a recent survey?
Please provide more details:
Do you use the vessel for Club racing?
Does the vessel take part in:
Please give details of type and frequency of racing:
Is Your Craft Marina Berthed?
Please provide more details:
Please provide details:
Where is the mooring located?
Please provide details:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Select the name of the mooring location:
Please provide details of the mooring location:
In Commission From
In Commission Until
Is Your Craft Laid Up Afloat or kept ashore in a secure area at the above declared marina?
Is your vessel kept ashore in a secure and professionally run facility?
Is your vessel kept ashore on a trailer/cradle in a secured location? Such location can be on a drive way at your home address?
Please provide details:
Please provide details:
Cruising range:
Inland and Coastal waters of Europe up to 12 nautical miles offshore.
Inland and Coastal waters of Europe, including the United Kingdom and Ireland, up to 12 nautical miles offshore. Excluding crossing of the English Channel, Irish and North Seas
Waters of the United Kingdom including Channel Islands, Isle of Man, Northern Ireland and Eire, the Continent of Europe from Bordeaux to Stavanger, including Continental inland waterways
Greek waters up to 12 nautical miles offshore.
Mediterranean Waters but excluding war zones and North African Coastal Waters other than Morocco & Spanish territories.
Inland and Coastal waters of the Canary Islands upto 12 nautical miles offshore.
Non-Tidal waters of the United Kingdom
Inland and Coastal waters of Europe up to 12 nautical miles offshore. Excluding crossings to the Balearic Islands or North Africa.
Inland and Coastal waters of Europe up to 12 nautical miles offshore. Excluding crossings to the Spanish Mainland.
Inland Non-Tidal waters of the UK including inter-connecting tidal stretches for direct access to Inland Navigation Systems
Is the vessel subject to a Marine Mortgage or other Finance Agreement?
Please give details of loan company:

Machinery

Engine 1 details:

Is this the vessel’s main engine?
HP:
Fuel:
Please provide details:
Year of manufacture:
Engine Serial Number:
This will need to be provided for Outboard in the event of a claim.
Type of drive:
Please provide details:
Make:
Make:
Please provide details:

Engine 2 details:

Is this the vessel’s main engine?
HP:
Fuel:
Please provide details:
Year of manufacture:
Engine Serial Number:
This will need to be provided for Outboard in the event of a claim.
Type of drive:
Please provide details:
Make:
Make:
Please provide details:

Engine 3 details:

Is this the vessel’s main engine?
HP:
Fuel:
Please provide details:
Year of manufacture:
Engine Serial Number:
This will need to be provided for Outboard in the event of a claim.
Type of drive:
Please provide details:
Make:
Make:
Please provide details:

Engine 4 details:

Is this the vessel’s main engine?
HP:
Fuel:
Please provide details:
Year of manufacture:
Engine Serial Number:
This will need to be provided for Outboard in the event of a claim.
Type of drive:
Please provide details:
Make:
Make:
Please provide details:

Additional Cover

Insured Values

The Insured Values will be based on the “price paid” and should reflect the current market value. In the event the sum insured is substantially different to that of the “price paid” a justification in value may be requested.
Vessel purchase price:
£
Year purchased:

Please provide a breakdown of the Total Sum Insured below

What is the value of masts, spars, sails and rigging?
£
Hull, Machinery, Gear and Equipment:
£
Please include the value of outboard motor(s) declared in the Machinery tab in the figure above
Tender/Dinghy:
£
Outboard Motor for the Tender/Dinghy
£
Trailer:
£
Contents:
£
Personal Effects:
£
Does any single item of your personal effects exceed £1,000 in value?
Please list personal effects exceeding £1,000 in value:
Personal effects that have been acquired and are regularly used directly in connection with the vessel.
DescriptionValue
Add row

Declaration

Have you ever been refused Insurance ?
Please give full details:
Have you or any person you may allow to use the vessel been convicted of a crime involving dishonesty of any kind (i.e Fraud, Arson, Robbery, Smuggling, Theft, Handling etc) ?
Please give full details:


• I declare that the above particulars are correct and complete in every respect of my knowledge and belief.

• I agree that this proposal and declaration shall form the basis of the contract of insurance between me and the Insurers if a policy is issued.

• If payment is taken by debit or credit card, it is hereby confirmed that I authorise Velos Insurance Services Limited to debit my credit/debit card account with the premium quoted.

• I further declare and agree that if the statement and particulars have been completed in the handwriting of any person other than the undersigned, such person is deemed to be the agent of the proposer for the purpose of completing this proposal.
In order to provide quotations and cover, we may need personal information from you; the terms and conditions and your rights regarding that are on our Privacy Notice which may be found on our web-site at www.velosinsurance.co.uk or by following this link Privacy Notice

Calculations & Hidden Questions

Is there a survey on file?
Survey Year
Will the vessel be laid up for the full policy period?
Total Sum Insured
£
Narrow Boat Total SI
£
Cruising Range Rate Category
Vessel Size
Cruise Range
Excess
Excess Difference
Rounded Excess
£
Increased Excess
£
Vessel Age
Producer
Producer Commission
NCD Last Incremented
War Cover Load
£
Water-skiers/Towing Toys liability premium
£
Vessel Age Load
£
Skipper Charter Load
£
Residental Use Load
£
Non Residential Use Discount
£
Age Discount
£
Sealine Forum Discount
£
Increased excess discount
£
Laid up discount
£
Inland Cruiser Speed Load
£
Tender/Dinghy Excess
£
Outboard Motor Excess
£
Personal Effects Excess
£
Trailer Excess
£
Other Excess
£
LE Premium
£
Risk Postcode
Postcode2Characters
Ashore By Date
Ashore Until Date

Reporting Questions

Referred to Underwriters?
Reason for cancellation: