Seico Insurance Consultants

Thank you for using the marine/boat insurance quotation form. After submitting this form, you will be contacted by us with the most competitive for your policy within the next 24 hours. Different companies have different terms and conditions so it is important to check the quotes you recieve.

About You:

Client Name:
Trading name (if applicable):
Postal Address:
Post Code:
Contact Name and Number:
E-mail Address:
Business Description (exact work being undertaken) if applicable:
Date Business Established if applicable:
Claims:
Any claims suffered in the last 5 years. If yes please give suitable details:
Have you or any other person who will be in charge of the vessel ever been charged with or convicted of any offence of dishonesty or any other offence which might effect the assessment of the risk?	yes no
Have you or any person who will be in charge of the vessel ever been declared bankrupt	yes no
How many years have you been insured without a claim
Details of Vessel:
Name
Port of Registry
Type of class
Year of build
Material of hull
Length OA:
WL
Beam
Draft
Was the Vessel wholly built and fitted by professional boat builders	yes no
If yes, please give name of builders if known
Is gas used on board	yes no
Do you maintain Fire Extinguishers and annually service them	yes no
Details of machinery
Inboard(s) :- Number of engines
Make
Year
Horsepower
Fuel
Outboard(s):- Make
Year
Horsepower
Serial number
Maximum designed speed of:- Main vessel
Tender
Details of Use
Will be vessel be used for private pleasure purposes only If no please give details of intended use	yes no
If your vessel is24 feet or over will you use the vessel single handed or permit anyone else to do so	yes no
Cruising range
State the place where the vessel will usually be kept while in commission
Is this a marina berth	yes no
State the place where the vessel will usually be kept while laid up
Is this ashore, afloat or mud berth
Will the vessel be used as a houseboat while laid up	yes no
Details of additional cover
What cover do you require against third party liability:
Do you want cover against liability to and of waterskiers being towed by your vessel, its dingy or boat	yes no
Do you want to cover mast, spars, sails and rigging while racing If yes please state replacement value and type of racing	yes no
Do you want cover for transit	yes no
Values Present market value of:
Hull, machinery, equipment, gear	£
Trailer and/or trolley	£
Dinghies and/or boats	£
Outboard motors	£
Personal effects	£

Preferred Method of Payment:	Cheque Credit Card Direct Debt