Narrowboat Insurance Quote @ Collidge and Partners Enquiry Form

To take advantage of our highly competitive Narrowboat and Inland Waterways Craft Insurance facilities, and if you would like a quotation then please complete this enquiry form. Quotations will be supplied by e-mail and post to the addresses provided in this enquiry. Before continuing please View/download a PDF version of the Summary of cover (to use this you will need a copy of the Adobe Reader) However, if you would like more information before proceeding, please contact us for assistance.

We are recognised as one of the leading sources of finance as well by many people within the industry, our experience, gained over many years, is greater than many of our competitors and our service is second to none. Click here If you would like to apply for a Marine Loan with us
Please note that ALL fields marked with an (*) REQUIRE an ENTRY.

Personal details

	Title	Forenames	Surname
Assured(*):
Joint Assured:

Email(*):

Present Address:

Post code:

Occupation:

Date of birth:

Telephone no: home:

Telephone Number - Daytime/work:

Are you the sole owner of this vessel?:

Yes No

Do you wish Mortgagees interests to be noted?:

Yes No

If no please state who is:

If yes please state who:

Have you or anybody who will use the boat been convicted of any criminal offence?:

Yes No

Experience with this type of craft:

Hire Boats Only Novice Experienced

If Experienced - Please State Number of Years:

Have you suffered any marine accidents or losses in the last 5 years?:

Yes No

If yes please state insurer, value of claim, date & briefly describe what happened:

Are you entitled to a NO CLAIM BONUS from an existing or previous marine craft policy?:

Yes No

If Yes please state number of years entitlement:

Cruising Range

All UK Inland waterways & Broads & Fens & Inland Tidal waters for access to the Inland Waterways System:

Use of Vessel

Commercial use of any kind must be previously agreed by the underwriters

Private & Pleasure use only:

Yes No

House Boat / Residential Use:

Yes No

Will the vessel be used Single Handed?:

Yes No

Mooring Details - Please be precise (e.g. Marina name & pontoon details)

Mooring Details:

Vessel details - PLEASE NOTE vessel must have appropriate licences (e.g. B.W.B. Safety Test Cert.) as required by law

Vessel Name:

Number of Engines:

Vessel Type:

HP of engine(s):

Length:

Date Engine(s) Built:

Beam:

Engine Manufacturer:

Vessel Manufacturer:

Fuel Used:

Date Vessel Built:

Engine Type:

Inboard Outboard

Built of:

SteelGRP

If Outboard - Engine Serial Number:

Fit Out:

ProfessionalAmateur

Values

Price Paid (�)

Sum Insured (�)

Hull & Equipment & Engines (inboard):

Tender (Make & Model):

Life Raft (Make & Model):

Outboard Engine (Make & Serial Number):

Trailer (Make & Serial Number):

Portable generator (Make & Model):

Personal Effects:

Date Vessel Purchased (dd/mm/yyyy):

Total

IMPORTANT - Please read the following information carefully

This is a record of the information that you have given us and will be used to provide you with a quote and any subsequent insurance cover. This must have been given to the best of your knowledge and belief and provide us with all the relevant facts, which are likely to influence acceptance of your application and on what terms and conditions.

If you are satisfied that this is a true statement of the facts, you need take no further action. You should keep this statement with your policy documents. If any details are incorrect please contact us immediately. You will be advised of any resultant changes in premium or cover and issued with a replacement policy.

The policy documentation gives full details of your cover and the conditions and exclusions which apply. Please make sure you read them meticulously. This is a record of the information given and forms the basis of the contract between you and your insurer.

The information you supply on this form will be used by COLLIDGE & PARTNERS to provide you with a quotation. We may retain the information provided to supply you with a future quotation if our first one is not accepted unless you ask us not to. We will not pass your details on to any other companies, other than the insurance company. Under the terms of the Data Protection Act, you are entitled to receive a copy of the personal data we hold about you on payment of a fee.

The enquirer should keep a record (including copies of letters) of all information supplied to COLLIDGE & PARTNERS for the purposes of entering into the contract. A copy of the enquiry form will be supplied on request within a period of 3 months after its completion.

COLLIDGE & PARTNERS reserves the right to decline any enquiry and/or proposal.

Collidge & Partners is Authorised and Regulated by the Financial Services Authority (FSA), at 25, The North Colonnade, Canary Wharf, London E14 5HS