Online Quote/Form

Contact Details

Full Name:

Email:

Phone:

Fax:

Details of Vessel

Vessel Name:

Type of Boat:

Design/Make/Model:

Builder:

Professionally Built:

Date Built:

Length:

Beam:

Draft:

Measurement Units:

Material of:

Hull:

Mast:

Type of Rigging

Type of Hull

Port of Registry

Flag:

Date of Purchase:

Price Paid:

Currency:

NZD

AUD

USD

EUR

GBP

Survey:

Date of Most Recent Survey:

Date of Last Rig Check:

Values to be Insured

1. Vessel

2. Dinghy/Tender

3. Onboard Motors

4. Trailer

5. Personal Effects

Total Sum Insured

Currency:

NZD

AUD

USD

EUR

GBP

Previous Claims

Have you had any accidents/claims/losses in connection with any vessel you have Sailed/owned/under your control in the last 5 years.

If YES please provide details

Use of Vessel & Coverage

Use:

If other please specify use:

Will the vessel be used for racing:

Yes No

If Yes, Type of Racing:

Club Cruising

Full Competition

Where will the vessel be moored:

Type of Mooring:

Navigational Limits:

NZ Inland and Coastal Waters

Australian Inland & Coastal Waters

Other (Please give details)

If our indicative quote is accepted, the appropriate signed proposal documents will be required(which includes the Duty of Disclosure and Applicant declaration).

For Bluewater cover, we will require a completed Marine Insurance Proposal and Bluewater Questionnaire prior to providing a quote.

Boat split through the middle
High speed impact

Boat over edge
Poor parking

Boat damaged in front
Bad berthing