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INLAND CRAFT QUOTE FORM

Inland Craft Quote Form

Date Of Birth
Day
Month
Year
Multi-line address
(a) Have you or any person who lives with you been convicted of arson or any offence involving dishonesty of any kind?
Yes
No
(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?
Yes
No

Section 2 - Mooring and Security Details of Craft

Is this the craft kept at you own own private residence or end of garden mooring?
Yes
No
(a) is it in a locked building?
No
Yes
(b) Is it in a locked yard?
Yes
No
(c) Is it on a mooring?
Yes
No
(ii) are there staff present at all times?
Yes
No
(iii) are there locked security gates?
Yes
No
(iv) any CCTV in place?
Yes
No
(v) any 24hr security in place?
Yes
No

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

Type of Class
Date of Manufacture
Day
Month
Year
Date of Purchase
Day
Month
Year

Section 4 - Engine Details

Engine Configuration
Engine 1 - Inboard or Outboard
Engine 1 - Date of Manufacture
Day
Month
Year
Engine 1 - Fuel

Section 5 - Sums Insured

NB: The basis for valuation should be the current market value, not the cost of replacement as new.

Values should be in GBP (£)

Values should be in GBP (£)

Values should be in GBP (£)

Values should be in GBP (£)

Section 6 - Use Of Craft

Will the craft be used for Private pleasure use only?
Yes
No
Will the craft be used for Club Use?
Yes
No
Will the craft be used for Hire/Charter & Reward?
Yes
No

Enter Whole Numbers only


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
Yes
No

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'
Yes
No

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.


Date of Declaration
Day
Month
Year
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