Helpline: +44 (0)20 7929 4058

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Quotation Request

Yacht and Pleasure Craft - Direct GBP

1
Proposer Details
2
Claims
3
Vessel
4
Machinery
5
Additional Cover
6
Insured Values
7
Declaration

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:
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):

Qualifications

The 'Qualifications' section is to be completed for the main policy holder only. If additional policy holders have qualifications, please email these to insurance@velosgroup.co.uk

Please tick all that apply:

Claims

Have you made any claims in the last 5 years on a Marine Insurance Policy?
How many years of No Claims Discount have you got ?
Please enter numerical values only

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:
Year built:
Vessel length (in feet):
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?
Is there a recent survey?
Is Your Craft Marina Berthed?
Where is the mooring located?
Is Your Craft Laid Up Afloat or kept ashore in a secure area at the above declared marina?
Cruising range:
Is the vessel subject to a Marine Mortgage or other Finance Agreement?

Machinery

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

Hull, Machinery, Gear and Equipment:
£
Tender/Dinghy:
£
Trailer:
£
Personal Effects:
£
Does any single item of your personal effects exceed £1,000 in value?

Declaration

Have you ever been refused Insurance ?
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) ?


• 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