Marine Insurance Quote Request

Owner Information
How many individuals are listed as owners of this vessel?


In the questions below we will be referring to "You", the principal owner/operator of the vessel being considered for insurance.
Full Name:
Full name required.
Email Address:
Email Address required.
Please enter a valid email address.
Telephone: Telephone Number required.
Are you a holder of a Bermuda marine pilot's License or a U.S. or Canadian Coast Guard boat operator certificate or equivalent? Yes
No
Has any company at any time: Declined a marine proposal from you, required an increased premium, imposed special conditions or cancelled or refused to renew an existing policy held by you? Yes
No
Have any accidents, claims or boating offences occurred during the past 5 years in connection with any vessel owned or operated by you? Yes
No
Have you owned a boat for more than one year? Yes
No
How many years driving experience have you had?

 

Vessel Usage and Mooring Info
Please Answer the following questions: YES NO
Do you intend to use this boat for Rental, Hire, Charter, Commercial fishing or other commercial operations?
Do you intend to use this boat for racing?
Do you intend to undertake ocean crossings with this boat?
Main Purpose for Use:
* Live-Aboard: please answer yes if the vessel is used as your primary residence. It is not necessary to answer yes if you live aboard your boat for the occasional weekend or your summer vacation.
If a boat is a live-aboard, please specify type of cooking fuel used:
If a boat is a live-aboard, how is the cooking fuel stored?

 
Vessel Info:    
Year of manufacture:
Length (ft):
Hull material:
Has your boat been professionally surveyed? Yes
No
If yes, what is the date of the last survey?
Is your vessel hauled after use? Yes
No

 
Mooring Info:    
Please specify mooring location(s) for your boat. You can specify up to 4 locations:

Once you select a parish, please wait while the system loads the location for the parish selected.

  Parish & Location
Primary Location:
Second Location:
Third Location:
Fourth Location:

 
Laid Up:    
If you normally take your boat out of the water during the winter, please enter the dates during which your boat will be laid up.

Laid up on:
Back in Water:

 

Coverage Information
Please choose your coverage type:
Third Party Only Cover
*Third Party coverage includes third party and passenger liability protection, but not loss or damage to vessel.
Comprehensive Cover
*Comprehensive Coverage includes coverage against loss of or damage to vessel, third party and passenger liabilities
Do you intend to use your boat for water skiing? Yes
No
Is your boat capable of speeds in excess of 45 knots (50 miles)? Yes
No
What engine layout does your boat have?
Please choose 3rd party and passenger Liability amount:


Please answer the following ONLY if you selected Comprehensive Cover above.
What is the value of your boat (hull and engine)?
If the engine is an outboard, what is the value of the engine?
Is your boat amateur built or fitted? Yes
No
Does your boat have equipment such as:
GPS, Compass, Loran, VHF Radio, Life Raft, Alarm Systems, Radar, Auto pilot, Tender/Dinghy with or without engine? 		Yes
No
If yes, what is the total value of all such equipment?

All quotes are subject to medical underwriting. Quotes do not guarantee insurance.