Yacht Quotation Request

  • Owner Information
  • Experience
  • Vessel information
  • Watercraft
  • Mooring
  • Crew
  • Cover
  • Additional Interests
  • Producer Information

Owner/Beneficial Owner Information

 
*
 
*
 
*
 
*
 
*
 
*
 
 
 
*
 
*Is the vessel corporately owned?:

 
 
Date of Birth:
 
 
 
 

 

Owners experience and loss history

 
*Has any insurance ever been declined, non renewed or cancelled?:
 
 
*Have you ever suffered any losses?:
 
 
 
*Is a professional captain employed:

If a professional captain is employed, please complete the following. You will be asked to provide a copy of the captains CV/Resume and any qualifications/licenses held.

  
 
 
 
 
Has the captain ever suffered any losses:
 
 

Back

Vessel information

*
 
*
 
*
 
*
 
*
 
*
 
*
 
*
 
*
 
*Is the vessel fitted with surface drivers:
 
*
 
*Date of purchase:
 
*
 
*
 
*
 
*
 
*Is the vessel equipped with a helicopter landing pad:
 
Back

Tenders/Personal watercraft

 
 
 
 
 
 
 
 
 
 

NB: If vessel’s exceeding 25ft in length are towed we will require a completed Towing Questionnaire to enable us to consider this aspect of coverage.
Back

Mooring location/Navigation/Vessel use

*
 
*
 
*
 
*
 
*
 
*
 
*Vessel use:


 
*Is the vessel used for racing (other than local club racing):
 
 
*
 
Back

Vessel operation/Crew

*Is the vessel exclusively owner operated:
 
*Does the vessel employ professional paid crew:
 
*
 
*
 
*
 
Back

Cover Details

*Cover required from:
 
*
 
*
 
*
 
*
 
*
 
*
 
 
 
Does the vessel currently have a separate named Windstorm Deductible:
 
 
Back

Additional Interests

 
 
 
 
 
 
 
Back

Producer Information

 
 
 
 
 
 
 
 
Back

© Copyright SmithGreenfield 2012 | Authorised & regulated by the Financial Services Authority. Register Number: 300546 | Terms & Conditions | Legal | Site map