Quotation Request

Coast Insurance

Yacht Details
Owner & Use
Proposer
Cover / Policy
Calculations
Reporting

Yacht Details

What is the make of the yacht/boat?
Please provide more details
What is the model of the Yacht?
What is the name of the yacht?
What year was the yacht built?
What is the length of the yacht (ft)?
What material is the hull built from?
What is the make of the engine?
What year was the engine made?
What is the horsepower of the engine?
What is the maximum designed speed of the yacht (knots)?
Is the yacht standard production and in good state of repair?

Ownership and Use

What is the name of the business?
Are there any co-owners?
What year did you purchase the yacht?
How much did you pay for the yacht?
£
In which country is the yacht flagged/registered?
What do you use the boat for (select all that apply)?
What is the yacht's geographical cruising area (select all that apply)?
What year was the [yacht/boat]'s last survey carried out?
In which country is the yacht permanently moored?
Enter details of the mooring location
Is the yacht subject to a marine mortgage or finance?
Enter details of the marine mortgagee/loan/finance company

Proposer

What is your first name?
What is your last name?
What is your date of birth?
What is your nationality?
What is your email address?


What is your main telephone number?
What country do you reside in?
What is your address?
What is your postcode?
How many years boating experience do you have?
What is your highest qualification?

Cover / Policy Details

On which date within the next 60 days (including today) would you like your cover to start?
What is the hull and machinery sum insured?
£
Do you want to insure the tender?
What is the make and model of the tender?
What is the value of the tender?
£
What is the value of the outboard?
£
What is the value of the liferaft?
£
What is the value of the trailer/cradle?
£
What is the value of the personal effects?
£
Total sum to be insured
£
Has any applicant or persons to be insured had any yacht claims in the past 5 years?
Has any applicant or persons to be insured ever had insurance refused, declined or cancelled?
Does any applicant or persons to be insured have any unspent criminal offences or convictions?
Has any applicant or persons to be insured ever been declared bankrupt, entered into an Individual Voluntary Arrangement (IVA) or had a County Court Judgement (CCJ) registered against them
Are all applicants or persons to be insured capable of operating the craft safely?

Calculations

Type of Yacht Rate
£
Manufacturer Rate
£
Age of Yacht Rate
£
Cruising Area Rate
£
Use
£
Skipper Experience Rate
£
Skipper Qualifications Rate
£
Mooring Type Rate
£
Mast Material Rate
£
Value Band Rate
£
Previous Claims Rate (NCB)
£
Minimum Rate Adjustment
£
Policy Deductible

Reporting

Broker Name
Broker ID
Rate Version
Document Version
MTA Reason
Cancellation Reason
Agreement No
Coverholder Name
Reporting Period Start Date
Reporting Period End Date
Class of Business
Risk Code
Type of Insurance
London Broker Reference
Year of Account
UMR