Clear Waters Policy for Pleasure Craft Application Form

Transcription

1 Clear Waters Policy for Pleasure Craft Application Form Towergate Underwriting and Towergate Underwriting Marine are trading names of Towergate Underwriting Marine, 3rd floor, Ellenborough House, Wellington Street, Cheltenham, GL50 1XZ Tel: Fax: Registered Office: Towergate House, Eclipse Park, Sittingbourne Road, Maidstone Kent ME14 3EN Registered in England No Authorised and regulated by the Financial Services Authority 5871/160/PF/11.12/

2 Section E. Use and moorings 1. Will you use your boat for private pleasure use? Yes No If No what will it be used for? 2. Will you be the only person using your boat? Yes No If No who will use it? 3. Will your boat be used with a professional skipper on board? Yes No If Yes give details Name Experience/Qualifications Please attached CV. Age 4. Will your boat have a permanent crew on board? Yes No 5. Will you use your boat for racing? Yes No Give details of any Yes answer including frequency 6. Do you keep your boat in a marina? Yes No If Yes tell us where the marina is 7. If No please tell us the EXACT location of the mooring and the type (trot, swinging, fore and aft, mudberth etc) Location Type 8. When was the mooring laid? / / Who by? 9) When was it last inspected? / / Who by? 10) If you keep your boat ashore please tell us the precise address and place (e.g locked compound, boatyard etc) 11. What security is there at this location? 12. Please tell us the precise dates (day & month) between which your boat will be laid up out of commission annually ( Easter is not acceptable) The boat will not be used between the / / and the / / inclusive 13. Please tell us the address and place where your boat will be laid up (e.g locked compound, boatyard, etc) Ashore Afloat 5

3 Section F. Where do you want to use your boat 1. Non-tidal waters of the UK (including the Norfolk Broads and including inland tidal waters for access) Yes No 2. Inland and coastal waters of the UK (this does not include Eire, the Isle of Man or the Channel Islands) Yes No 3. UK Coastal and Continental Waters Brest Elbe Yes No 4. UK Coastal and Continental Waters Brest to La Rochelle Yes No 5. Inland & Coastal Waters of N.Ireland and Eire? Yes No 6. Mediterranean waters (please indicate how far east you wish to sail ie 5/10/20/25/30/35 degrees) Yes No 7. Other (please state) Section G. Values you want to insure for Hull, Machinery and Equipment bought with boat Outboard motor I Outboard motor II Dinghy Tender Life Raft(s) Trailer Personal Effects * Additional Special Equipment Total PLEASE NOTE You should only insure your boat and equipment, engines, trailer, trolley & special equipment for their market value, not the cost of new ones. If you do not show a value against any item in the box it will not be insured. We will not insure water sports equipment, oars or paddles. *Maximum value of any one item will be 250 unless we agree otherwise. **Please provide a list Section H. What insurance cover do you want? 1. Do you want to insure for: full cover Yes No third party only Yes No 2. Do you want to include legal liability to and of water skiers being towed by your boat? Yes No 3. Do you want to insure your masts, spars, sails and rigging while you are racing? Yes No If so please show the cost of replacing the entire rig new Section I. Period of insurance When do you want the insurance to start? 12 months from: / / Important Before you sign the declaration below, make sure you have answered all the questions which refer to your craft and that you have read the IMPORTANT NOTES on the first page. We remind you that you must tell us all the information we might need to help us to decide if we want to accept your insurance or not. If you do not then we may void the insurance. If you are not sure whether information is important you should tell us anyway and we will decide. The insurance will not start until we have accepted your proposal form and we have the right to refuse it. You should keep a record (including copies of letters) of all the information you send us and we will let you have a copy of your proposal form if you want one. Declaration I declare that as far as I know, the answers I have given are true and complete and I have given you all the information you need for this insurance. The values shown are the full values of the property I want to insure and I agree to accept a policy on your standard form. I accept the terms and conditions of your policy. I also agree that if someone else has answered any of the questions, that person is my agent and not Towergate Underwriting Marine Signature of Proposer Date

4 Clear Waters Policy for Pleasure Craft Application Form Enjoy peace of mind with the reassurance of a new plain English pleasurecraft insurance policy from Towergate Underwriting Marine, which offers: 3,000,000 liability cover plus legal fees Damage to underwater machinery Plain English Policy Up to 25% No Claims Bonus Marina Benefits Just look at the benefits! You are covered against accidental loss or damage to your boat, including fire and theft Theft of your gear and equipment from either your boat, or place of storage is covered (as long as there is forcible entry or it is forcibly removed) Outboard motors are covered if they drop off or fall overboard You are insured for injury caused to passengers in your boat or to other people up to 3 million plus legal fees (there is no excess for this) Personal accident cover, including death benefit (10,000) is included If your yacht or motor cruiser is damaged while it is moored on its permanent marina berth you will not have to pay your policy excess nor will you lose your no claims bonus. Important Notes WE DO NOT OFFER CREDIT FACILITIES ON THIS CLASS OF BUSINESS. Outboard motors must be secured to your boat with an outboard motor lock. Trailers must be secured with a wheel clamp or trailer hitchlock (where we agree). WE DO NOT ACCEPT A PADLOCK OR PADLOCK AND CHAIN AS A SECURITY DEVICE. If your craft is kept at a caravan park she must be kept in a locked compound (not next to your caravan or in a field) with keyholder access only, cctv and 24 hours security. This is how we settle claims We will not reduce your claim because new materials have replaced old ones, but we might reduce it for sails, protective covers, running rigging, batteries, outboard motors and personal belongings if we think it is fair because of their age or condition. Additional Information The Insurance Companies (Third Insurance Directive) Regulations 1994 require that we give you the following information before you buy your insurance. The law that applies to this policy You or us can choose which law will apply to this policy. Unless we agree anything different, English law will apply. Customer Service We do everything we can to make sure that our customers get the high standard of service they expect. If we fall below these standards, or you are not happy with the service we give you, please write to our Customer Service Advisor who will make sure that your problem is dealt with as soon as possible. The address is: The Customer Service Advisor Towergate Underwriting Marine 3rd floor, Ellenborough House Wellington Street Cheltenham GL50 1XZ If you are still not happy, you can write to our Chief Executive at the same address. If the problem has still not been solved you can ask the Insurance Ombudsman to review your case. If you ask us we can send you a leaflet explaining the procedure. These procedures do not affect your right to take legal action. 2

5 Pleasure Craft Application Form Please use BLOCK CAPITALS Agents Name Our quote ref. or premium charged Section A. General details First name(s) Surname Address Postcode Telephone Number: Home Business Occupation ( Company Director is not sufficient nature of business is required) Date of Birth / / 1. Are you the owner of the boat? Yes No Please give the names/occupations/ages of any co-owners 2. Please give details of your: a) boating experience including type of boat b) sailing qualifications obtained 3. Have you or any other person who lives with you: a) had any accident or loss in the last five years in connection with any boat you have used or owned? Yes No b) had any insurance on any boat cancelled, refused or renewed on special terms? Yes No c) been convicted of arson or any offence involving dishonesty of any kind? Yes No Give details of any Yes answer 4. Please give details of your present or previous insurers Policy No If you want to take advantage of a no claim discount from your previous insurers show the amount and send your % renewal notice Section B. Details of your boat 1. Name of boat 2. Type/Class/Model 3. Length 4. Beam 5. Hull material 6. Rig 7. Year Built 8. Builder s name 9. Where is your boat registered? 10. When was your boat last surveyed? 11. When was your boat last serviced? 12. When did you buy your boat? 13. How much did you pay? 3

6 Section C. Engine details 1. Inboard Make Year made HP Serial No. Fuel 2. Outboard I 3. Outboard II How fast will your boat go with these engines? Knots/M.P.H. (delete as applicable) If your craft exceeds 17 knots/20mph Section D below must be completed. Section D. Fire and security precautions Please give details of 1. a) all manual and automatic or remote control fire extinguishers Make Type (Water, Dry Powder etc) Manual/Automatic/ Remote Control Location When were they last serviced b) any other fire extinguishing appliances or alarms (e.g. fire blankets, smoke detectors) Make Type Location When were they last serviced 2. Do you use bottled gas? Yes No If Yes a) is it contained in a self draining locker which drains overboard? Yes No b) does the delivery tubing conform to the British Standard? Yes No c) are the bottles fixed securely? Yes No 3. Is your boat fitted with a) a purpose made burglar alarm system? Yes No b) any other precautions to prevent theft? Yes No Give details of any Yes answer 4. Do you keep your outboard motor a) below decks? Yes No b) in the cockpit locker? Yes No c) fastened to the deck rail? Yes No d) in a locked building? Yes No How is it secured? 4