01424 718800 - Narrowboat/Yacht/Motorboat

01702 710041 - Dinghy/Sailboard/Small Powercraft

Newton Crum Quotation Form

Free & without obligation

Fields with * are mandatory, if any are not applicable please enter N/A or 0

Craft

Craft Name:*

Type:*

Class:*

Builder:*

Year Built:*

Year of last full out of the water professional condition survey:*

Have all recommendations been carried out?*

Craft condition:*

Has this craft ever suffered significant damage?:*

If so, please give details:*

If built pre 2008 and sail, what is the age of the standing rigging?*

Does craft hold current Boat Safety Scheme Certificate?*

If registered, where?

Purchase date:*

Purchase price in £:*

Length in feet:*

Hull Material:*

Engine make:*

Engine type:*

Fuel:*

Horsepower:*

Maximum top speed in knots:*

Is the craft professionally built & fitted out?*

If not, please give details*


Is craft fitted with:

Are electric circuits fitted with fuses or circuit breakers tested to activate if overloaded?

Craft Use

Houseboat or liveaboard?*

Private pleasure use?*

Charter or hire or paid boat share or commercial use or activity?*

Will craft be transported on public roads?*

If so, how often per year?*

Water skiing / Wakeboard use?

Towing water toys use?

Racing (Please select usage)

Replacement cost value of spars, rigging, sails if racing risks cover required

Will craft be sailed single handed at night or outside UK waters?

Home Port

Home base exact name/location:*
Is Security There:
7 days a week?*
24 Hour?*
CCTV?*
Other, please give details:
Is craft visited at least every 30 days to check bilges, security, moorings etc?*
If not how often?*
Is craft likely to be left unattended at any mooring which has flooded over past 5 years?*
If so, details?*
Cruising range required*
If other, please state?*
If laid up part of the year,
From:
To when:
Where:

Have you or any person likely to use the craft:

Made any claim or had any accidents with any craft owned or used by you/them in the past 5 years?*
Been declined insurance, had renewal or insurance offered on special terms, increased premium or excess or had the insurers cancel cover?*
Been charged or convicted of any crime or dishonest act including theft or fraud?*
Derive any income from sailing/boating or sponsorship or are likely to in the future?*
If yes to any of the above please provide details*

Sums Insured On

Please enter '0' if not applicable

Craft* - (excluding items listed below) but including furniture, furnishings & built in units:

Electronic Equipment* i.e. R.D.F., Radar, Electric Log, Radio, Auto Pilot, R.T., Echo Sounder, GPS etc:

Tender dinghy(s)* - Warranted all marked with name of parent vessel and home port:

Life Raft:*

Outboard motor(s)* - (serial number must be retained/advised for theft claim to be valid):

Road Trailer:*

Cradle:*

Personal effects* (maximum £200 any one item unless otherwise agreed):

Other:*

Please specify:*

Total:

Additional Information or special requirements:

No Claims Bonus & Excess

Please answer any one of the 3 sections below*

1. I do not have any No Claims Bonus discount:

2. Current no claims bonus entitlement:

%
OR
Years

Current premium paid

3. If you do not have a current bonus (because your last boat was sold, etc.) what bonus did you last have?

%
OR
Years

And do you still have proof (old renewal or similar)?

Deductable excess acceptable to you

Your Details

Owner's Full Name:*

Date of Birth:*(dd/mm/yyyy)

Exact occupation and nature of business:*
Telephone Number:*
Address:*
Email Address
Postcode:*
Country of Residence:*
Nationality:*
Country of Birth:*
Are there any additional owners of the craft?*
If so, please give full names, occupations and boating experience*

Experience

Please enter 'none' into any boxes that are not applicable

State any boating qualifications*

Boating Experience:*

Years boating as crew on type & length of craft:
Years owning a boat(s) type & length of craft:
If marine mortgage, loan or hire purchase on craft, name of company/bank*
Have you recently or are you presently insured with Newton Crum?*
Do you wish to be notified by:*
Name of current insurer or any other firm you don't want us to ask for a quotation:*

Please Note: Unless you have advised us above not to contact them, these details will be passed to our Lloyd's Underwriter and to our separate associates at Nautical Insurance Services and we or Nautical will get back to you without charge or obligation.


Please read before completing/submitting the form.


CONFIRMATION - Note that in submitting this proposal you agree that we collect your personal data as detailed in our Privacy Policy you have read and that you are the owner/joint owner of the craft and that all information & answers are true, correct & complete with no requested information known to you withheld or misstated & that this form creates the basis for assessment, quotation, insuring by the Underwriters applicable in accordance with the Consumer Insurance (Disclosure and Representations) Act 2012.

I confirm the above

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