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Yachts and Boats
 
For information on how we use your personal data please refer to our Privacy Notice.
Agent Details

Instructions to NFU Mutual Agent, please complete the following details:

NFU Mutual Agency Code *
NFU Mutual Agent Name  *
NFU Mutual Email Address *
NFU Mutual Telephone *
Client Payment Method *
Type of Business *
iFaces Ref *
NIS User’s Email Address

Important Notice– Please ensure your clients are informed and understand the information below.

In seeking a quotation and/or binding cover via this portal you are agreeing that you will have served the client all relevant regulatory documents.

Fair Representation of the Risk

The information provided here must make a fair presentation of the risk, in accordance with Section 3 of the Insurance Act 2015.
To Summarise, you must:
a) Tell us about every material circumstance which you know or ought to know. Failing that, you must give us sufficient information to make us aware that we need to make further enquiries in order to reveal material circumstances. Information is material if it would influence the judgement of a prudent insurer as to whether to accept the risk, or the terms of the insurance (including premium);
b) Disclose information in a reasonably clear and accessible way; and
c) Ensure that every material representation of fact is substantially correct, and that every material representation of expectation or belief is made in good faith.

For the purposes of the above, you are expected to know the following:
a) If you are an individual, what is known to the individual and anybody who is responsible for arranging his or her insurance.
b) If you are not an individual, what is known to anybody who is part of your senior management; or anybody who is responsible for arranging your insurance.
c) Whether you are an individual or not, what should reasonably have been revealed by a reasonable search of information available to you. The information may be held within your organisation, or by any third party (including but not limited to subsidiaries, affiliates, the broker, or any other person who will be covered under the insurance). If you are insuring subsidiaries, affiliates or other parties, we expect that the Insured will have included them in its enquiries, and that you will inform us if you have not done so. The reasonable search may be conducted by making enquiries or by any other means.


Completion of this form is required by us as part of your duty of fair presentation.

Insurers may cancel cover and/or refuse to pay any claims if the facts provided in this form are incorrect.

Arthur J. Gallagher Insurance Brokers Limited, Arthur J. Gallagher (UK) Limited and their affiliates and subsidiaries "we" or "us" or "Gallagher" collect and process data about individuals. We are insurance intermediaries and part of the Arthur J. Gallagher global group of companies. The Gallagher group company which provides the insurance intermediary service offered to you is primarily responsible for the personal data collected in relation to that service. Information on the Gallagher group companies and their services is available here . We collect and process information about you in order to arrange insurance policies and to process claims. Your information is also used for business purposes such as fraud prevention and detection and financial management. This may involve sharing your information with third parties such as insurers, reinsurers, other brokers, claims handlers, loss adjusters, credit reference agencies, service providers, professional advisors, our regulators, police and government agencies or fraud prevention agencies. We may record telephone calls to help us monitor and improve the service we provide. For further information on how your information is used and your rights in relation to your information please see our privacy notice at https://www.ajginternational.com/Privacy-Policy/. If you are providing personal data of another individual to us, you must tell them you are providing their information to us and show them a copy of this notice.

Proposer Details
Proposer's full name *
Business name or Name of owners and or interested parties.
Are you a company? *
Company Registration Number *
​​​​​​Proposer’s Date of Birth​ *
If the Proposer is an individual please complete the age, there is a Minimum age of 18.
Proposer’s Contact Tel. No. *
The telephone number on which the person to be contacted can be reached.
Address search
Please enter the post code, or part of the address, or the company name, and then pick the correct entry from the list provided.
Proposer's address *
Please provide the registered business address or the home address if the Proposer is an individual.
Proposer’s Occupation/Nature of Business *
Business of the Proposer or if the Proposer is an individual their Occupation.
Names of other joint owners or mortgage lenders
Please provide details of any Person or Business who may have an Insurable Interest in the Vessel.
Previous Insurance Information
Are you presently insured? *
Is the proposed risk currently insured and if so which Insurer provides the cover and when does the cover fall due for renewal?
Present Insurer's name *
Policy No.
Expiry Date *
Has any Insurer ever Declined a proposal, Cancelled or refused to renew your policy, or required special terms and conditions? *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed and could void a policy.
Please provide details *
Have you or any member of your family normally residing with you, or directors where the proposer is a limited company, ever been convicted of any criminal offence other than driving offences? *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed and could void a policy.
Please provide details *
Have you or any person above suffered from diabetes, epilepsy, heart condition or any other physical or mental disability, infirmity or disease, or had any condition controlled by drugs? *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed and could void a policy.
Please provide details *

Exact number of years experience do you have of sailing similar craft?​

*
If you have experience of sailing other types of craft, please give details in the Additional Information' box at the foot of this form.
Please state any formal sailing qualifications that you have
Examples of UK qualifications are OIA, MCA, RN. Please also include overseas qualifications if applicable.
Claims History
Have there been any accidents or losses within the last 5 years? *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed. A copy of a Confirmed Claims Experience from previous Insurers may be requested by Underwriters in addition to this information.
Please select the correct number of years for any No Claims Bonus entitlement *
Date of Claim *
The date must be in the last 5 years and not in the future. This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed.
Type of Claim *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed. Select the type of claim from the system table.
Please give details of claim type *
Amount Paid £ *
Insert the value of the loss which is estimated as still to be paid by insurers or to be incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Amount Outstanding £ *
Insert the value of the loss which is estimated as still to be paid by insurers or to be incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Please give details of this claim *
Add another claim *
This will enable details of any additional claim to be disclosed.
Date of Claim *
The date must be in the last 5 years and not in the future. This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed.
Type of Claim *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed. Select the type of claim from the system table.
Please give details of claim type *
Amount Paid £ *
Insert the value of the loss which has been paid to date by insurers or incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Amount Outstanding £ *
Insert the value of the loss which is estimated as still to be paid by insurers or to be incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Please give details of this claim *
Add another claim *
This will enable details of any additional claim to be disclosed.
Date of Claim *
The date must be in the last 5 years and not in the future. This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed.
Type of Claim *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed. Select the type of claim from the system table.
Please give details of claim type *
Amount Paid £ *
Insert the value of the loss which has been paid to date by insurers or incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Amount Outstanding £ *
Insert the value of the loss which is estimated as still to be paid by insurers or to be incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Please give details of this claim *
Add another claim *
This will enable details of any additional claim to be disclosed.
Date of Claim *
The date must be in the last 5 years and not in the future. This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed.
Type of Claim *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed. Select the type of claim from the system table.
Please give details of claim type *
Amount Paid £ *
Insert the value of the loss which has been paid to date by insurers or incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Amount Outstanding £ *
Insert the value of the loss which is estimated as still to be paid by insurers or to be incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Please give details of this claim *
Add another claim *
This will enable details of any additional claim to be disclosed.
Date of Claim *
The date must be in the last 5 years and not in the future. This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed.
Type of Claim *
This is specific material information which must be disclosed as it will affect an Underwriters assessment of the risk proposed. Select the type of claim from the system table.
Please give details of claim type *
Amount Paid £ *
Insert the value of the loss which has been paid to date by insurers or incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Amount Outstanding £ *
Insert the value of the loss which is estimated as still to be paid by insurers or to be incurred if the loss was not covered by an insurance policy. This amount should include taxes and handling expenses.
Please give details of this claim *
Vessel Details
Name of craft *
Registered Name of craft to be insured or the name by which the craft is known.

Is vessel registered? If so where?​​

*
Provide the country or the place the vessel registered.
Manufacturer *
Builder/Producer of craft to be insured.
Type *
Model *
Please provide details *
Construction material (Hull) *
Material used to produce the boat.
Year built *
Date of acquisition *
Date when the boat was purchased by current owner.
Price at acquisition £ *
Amount paid for the boat when purchased. Please include all peripherals and accessories. 
Length *
Length over all (LOA) of vessel – including any pulpit and bathing platform.
Unit of measurement *
Beam *
Unit of measurement *
Date of last survey
Survey will be required if hull is 20, or more, years old.
Hull Serial/HIN No *
Unique Serial or Identification number.
Engine type *
Inboard – Outboard – Jet Method of propulsion which the craft uses.
Engine configuration *
Please advise whether the vessel has Single or Twin engines as the means of Propulsion , please treat any auxiliary as Twin.
Engine make *
Manufacturer of engine.
Year of Engine Manufacture *
Engine serial No. *
Unique Identification Number for the engine. This is usually located on a plate attached to the engine.
Engine HP *
Horse Power of the Engine.
Engine fuel type *
The type of fuel used to power the propulsion engine.
Does the engine have a tracker fitted? *
Engine make *
Manufacturer of engine.
Year of Engine Manufacture *
Engine serial No. *
Unique Identification Number for the engine. This is usually located on a plate attached to the engine.
Engine HP *
Horse Power of the Engine.
Engine fuel type *
The type of fuel used to power the propulsion engine.
Does the engine have a tracker fitted? *
Maximum speed of Vessel (knots) *
Highest speed the craft is capable of. If the craft has a top speed in excess of 45 Knots this will need to be referred to underwriters for consideration.
Use
Private pleasure use: Used by yourself, family and friends. No commercial gain is made from the vessel.
Charter: Craft is used to carrying paying customers or crew.
Racing: Vessel is used for organised racing other than socially club racing.
Type of racing *
Please state new replacement value of masts, spars, sails & rigging £ *
£ - Costs incurred to completely replace all of the listed items.
Maximum number of passengers and crew on board *
Are passengers fare-paying? *
Do passengers pay a fee in excess of the running costs of the vessel?
Navigation limits - select cruising range
Limits of the craft and personal cruising area/limits of use.
Schedule of Values and Limits
Value of hull/inboard engines if fitted £ *
Financial worth of the vessel and inboard engines – Outboard engines are excluded.
Value of outboard motors £
Financial worth of Outboard Engines.
Value of dinghy/tender £
Financial worth of tenders and dinghies for the craft.
Value of road trailer/trolley £
Financial worth of storage, launch or road trailers included with the craft.
Value of personal effects £
Financial worth of personal items kept on the craft. These will include clothing, waterproofs etc.
Value of special equipment £
Financial worth of any after-market additions to the craft including but not limited to navigational and safety equipment.
Other £
Financial worth of any additional items which have not previously been accounted for.
Please state the item *
Please give a description of the item.
Third party liability limit *
This is the maximum limit which insurers will pay to a third party claimant.
Specify your own value £ *
If the limit you require is unavailable, please insert value here.
​Liability to waterskiers and/or towing toys​
*
If you are towing water skiers please specify the limit of third party indemnity, which you require.
Specify your own value £ *
Mooring location when in commission *
Type of berth where the craft will be permanently stored when in use.
Please detail mooring/storage location *
State the location of the mooring facility.
Are all moorings professionally maintained? *
Please advise whether the moorings on which the vessel is located have been installed and are maintained by a professional mooring contractor.

Please provide details

*
Please give details of maintenance including frequency.
Commission period *
During which dates is the craft available for use.
In commission from *
‘In commission’ means the vessel is in the water and ready to be used.  For any other dates, the vessel will be deemed to be ‘out of commission’, i.e. it is out of the water and not being used.
In commission to *
Please enter a date which is later than the ‘In commission from’ date.
Location of craft whilst out of commission *
Type of berth where the craft will be permanently stored when not in use.
Out of commission location and security *
Please give details of the security and location of the craft when out of commission. 
Important Information

Responsibilities relating to the disclosure of information were explained earlier in proposal form under the heading ‘Fair Representation of the Risk.

Please read the following carefully:

  • The questions on this Proposal Form and any other details we specifically request, relate to facts which we consider material to underwriting this insurance. However, because no list of questions can be exhaustive, please consider whether there is any other material information which is known to you which could influence our acceptance of the risk or the terms of the insurance (including premium).
  • FAILURE TO DISCLOSE MATERIAL FACTS WHETHER OR NOT THE SUBJECT OF SPECIFIC QUESTIONS MAY INVALIDATE YOUR INSURANCE OR RESULT IN CLAIMS NOT BEING PAID IN FULL OR AT ALL
  • We recommend that you keep a record, including copies of this proposal, any letters and all information supplied to us for the purpose of entering into this insurance.
  • Agents of the proposer must be aware that the provision of false or inaccurate information may invalidate your Client’s insurance and you accept and understand that Arthur J. Gallagher shall not be liable for any loss, damage or costs incurred arising as a result of your entering false or inaccurate information in relation to your Client’s risk details onto this form in order to obtain a policy for your Client.

ADDITIONAL INFORMATION
Use this space to provide full details, if there is any other Material Information which you should disclose:

 

Please provide any additional material information and ensure the proposer is aware that all material information must be disclosed.
 

You can opt out of marketing communications at any time by contact​ing us: UK.unsubscribe@ajg.com​​​

When this Submit button is engaged the following will happen.
  1. The enquiry will be forwarded to the Underwriter with a copy to NIS and also to Arthur J. Gallagher.
  2. You will receive an email acknowledging that the enquiry has been successfully sent.
  3. You will receive a response to the enquiry within 3 working days.
  4. If terms are offered and acceptable please process the instruction using the SONIC system.
  5. If the terms are accepted please complete the NIS Cross Selling Form and return it electronically to NIS
  6. If there are further queries or issues to discuss please use the ‘Ask the Expert’ facility to communicate them.
 
Our team of insurance specialists are here to help. Please fill out the form below and we will get back to you.

Your Details

NFU Mutual Agency Code *
​NFU Mutual Agent Name​
*
NFU Mutual Email Address *
NFU Mutual Telephone *
Enquiry Details

Nature of enquiry *
Please provide full details relating to the enquiry you wish to make. This will ensure the issue is raised with the correct department as quickly as possible. If necessary the person dealing with it will telephone you to discuss the matter but, for audit purposes, the response will need to be in writing.
 

You can opt out of marketing communications at any time by contact​ing us: UK.unsubscribe@ajg.com​​​

​This form will now be sent to National Intermediary Services team who will respond or escalate dependent upon the nature of the enquiry. They will look to respond to you within a period of 1 working day to either provide an answer or explain to whom the enquiry has been directed and the expected timeframe for resolution.

In the event that you are unable to get the assistance you require, you can call NIS on 01789 455009.​

​​We are specialists in the arrangement of Yachts and Boats insurance; our packages are very flexible and competitively priced, being tailored to meet the individual requirements of your Clients. We select partner Insurers with whom we work on a regular basis to ensure that we can provide the best combination of terms and cover required to help you win the business.  We can provide assistance and advice to ensure your Clients are provided with the cover they require and to ensure they understand what is included in the policy.

We need you to provide us with the information we require to secure terms and provide a fully Contract Certain Quotation for your Client. Accurate information is the key to providing competitive terms and it is your responsibility to ensure the information given meets your Client’s requirements or that you explain in writing any agreed shortfall.

Please complete and submit your Client’s enquiry now. 

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