Inland Craft Proposal Form
(a) Have you or any person who lives with you been convicted of arson or any offence involving dishonesty of any kind?*
(b) Have you or any person who lives with you suffered from diabetes, epilepsy, heart condition, or any other physical or mental disability?*
(c) Have you suffered any accident or loss in the last five years with any craft you own or have used?*
Section 2 - Security Details of Craft
Is this your own private residence?*
(a) is it in a locked building?*
(b) Is it in a locked yard?*
(ii) are there staff present at all times?
(iii) are there locked security gates?
(v) any 24hr security in place?
Please note that this policy will require an engine security devices is to be fitted, and when trailered a proprietary wheel clamp is required.
Section 3 - Details of Craft
Section 4 - Engine Details
Engine 1 - Inboard or Outboard
Engine 1 - Date of Manufacture*
Section 5 - Sums Insured
NB: The basis for valuation should be the current market value, not the cost of replacement as new.
Will the craft be used for Private pleasure use only?*
Will the craft be used for Club Use?*
Will the craft be used for Hire/Charter & Reward?*
Do you wish to extended the third party cover to include legal liability to and of water skiers being towed by your craft £ 1 000 000.00 indemnity*
Section 7 - Previous Insurance
If claiming a discount for no claims bonus please attach a copy or send separately in the post in the for of your last renewal notice of a letter from your insurer confirming the 'no claims bonus' level in addition please provide the following information:-
Are you claiming a 'no claims bonus'*
Declaration
I confirm and declare that by clicking yes to the next question I have read the following declaration and have checked my answers carefully, particularly if this form has been completed on my behalf by another party.
We declare that to the best of my/our knowledge and belief, the answers given are true and all material information as explained has been disclosed.
I/We agree that if any answers have been completed by any other person, such person shall for that purpose be regarded as my/our agent and acting on my/our behalf, and not the agent of Geo Underwriting Services Limited
I/We declare that this proposal form is for insurance in the normal terms and conditions of the insurer’s policy and shall be incorporated in and form part of the insurance contract.
I/We consent to the information on this form and on any claim I/We make, being supplied to IDS ltd and ABI so that it can be made available to other insurers I/We also agree that. in response to any searches you make in connection with this application or any claim, IDS Ltd and ABI may supply information they have received from other insurers about other claims I/We have made.
