Yacht and motor boat proposal form

Please ensure that all relevant sections of this quote form are completed.

Your personal details
Name in full
Address in full
Telephone number
Date of birth (dd/mm/yy)
Occupation/profession
Date cover required
(Cover cannot apply until this proposal is accepted. The Policy will be renewable annually on this date)
Vessel details
Name of vessel Year built
Make and model Date of purchase
Country of registration Value of vessel (excluding tenders, engines and personal effects)
Value of special equipment (e.g. navigational equipment, etc.) Value of trailer
Type of vessel Max. designed speed
Construction Length
Beam
If vessel is a sailing vessel please provide the following additional information
Type of rigging Material of mast
Will the vessel be used for racing?  
If "Yes", what type of racing is this?
Full replacement cost of mast, spars, sails and rigging
Engine details
Number of engines Fuel type
Make and model Year built
Type of engine Horsepower
Serial number
Dinguies/tender vessels
Name of dinghy/tender Value of dinghy/tender
Make and model Year built
Engine details Name of dinghy/tender
Personal effects
Value of personal effects
Use and moorings
Home port Place where vessel is moored
Type of mooring Months in commission
Use of craft (e.g. Private/Pleasure) Laid up period
Where kept during laid up period Cruising range
Additional questions
Are you the sole owner of the vessel?  
Do you have any sailing qualifications?  
Will the vessel be used for single-handed sailing?  
Do you have any fire extinguishers on board?  
Is gas used on board?  
Is Water-Skiers Liability required?  
Is cover required for transit?  
State name of your existing insurer and policy number.
Do you have a current No Claims Bonus?  
Have you or any persons who to your knowledge will use the vessel
(a) suffered any accident or loss in the last 5 years in connection with the use of a vessel?  
(b) had any insurance on any vessel cancelled or refused or had any special terms imposed?  
(c) ever been convicted of any offence involving dishonesty, fraud, violence, criminal damage, arson, drugs or do you have any prosecution or police enquiry pending?  
Important

All Material facts must be disclosed. Failure to do so could invalidate the Policy. A material act is one, which be likely to influence an Insurer in the assessment and acceptance of the proposal form. If you are in doubt as to whether a fact is material then it should be disclosed to the Insurer. State any other material facts that you may believe to be relevant

Declaration

I hereby declare that to the best of my knowledge and belief the above statements and particulars are true and correct and that I have withheld no information material to this proposal.

Law applicable to contract
You and the Insurer are free to choose the law applicable to this contract but in the absence of agreement to the contrary, the law of the country in which you reside at the date of the contract will apply. If you are not resident in Gibraltar the law that will apply is the law of Gibraltar.
Complaints Procedure
Our aim is at all times to provide a first class service. However, there may be occasions when you feel that this objective has not been achieved. Should you have any query or complaint regarding this insurance please contact either your local adviser or write to the Argus Insurance Company (Europe) Limited, Regal House, 3 Queensway, Gibraltar.

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