Newton Crum Quotation Form

To enable us to tailor make your quotations, please complete the form below with as much information as possible.

NOTE - we only insure privately owned & used craft. NO hire, charter, paid use of any kind, paid boat share or AirBnB.

Fields with * are mandatory, if any are not applicable please enter N/A or 0. If you have any queries, please call us on 01424 718800.

If any sections remain red upon completion of the form, please click the tab and complete the missing fields also marked in red.

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:

Craft Use

Houseboat or liveaboard?*

Private pleasure use?*

Will craft be transported on public roads?*

If so, how often per year?*

Water skiing / Wakeboard use?

Towing water toys use?

Racing 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:*
Mooring type:*
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*

Cruising range required*
If other, please state?*
If laid up part of the year, please advise:
Date laid up from:
Date laid up to:
Where is craft laid up?:
Is that ashore or afloat?:

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:

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*

NO CLAIMS

I am currently entitled to a No Claim Bonus of

%
or
years

or

I was entitled to a No Claim Bonus on last boat I owned in

What EXCESS deductible would you prefer? (£100, £150, £200, £250, more)

Your Details

Owner's Full Name:*

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

Exact occupation and nature of business:*
Telephone Number:*
Full Address:*
Postcode:*
Email Address
Country of Residence:*
Nationality:*
Country of Birth:*
Are there any additional owners of the craft?*
If so, please state their full names, nationality, date of birth, address, occupation and details of boating experience and of any claims or losses*
Have you recently or are you presently insured with Newton Crum?*
How would you like to be contacted with your quotation?:*
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 especially that the craft will only be for non-commercial private unpaid use & that this form creates the basis for assessment, quotation, insuring by the Underwriters applicable in accordance with the Consumer Insurance (Disclosure & Representations) Act 2012. It is understood, however, that submitting this form does not commit you to acceptance of any quotation.

Even though the premium may have been paid, the contract is not activated until the proposal is accepted & policy issued by Newton Crum Insurance Agents Ltd.

I confirm the above

“RECEIVED FROM A THIRD PARTY – I was so impressed with the way that my claim was arranged that I have now insured my dinghy with you & it was cheaper.”