Commercial Vessel & Work Boat  

NEW ZEALAND AUSTRALIA - ASIA PACIFIC MARINE INSURANCE
Auckland WellingtonSydneyVanuatuSingapore Pacific Islands

 
Commercial Vessel and Work Boat Insurance - Quick Quote  
   
   
Type of Vessel:
   
In which Jurisdiction
is the Vessel Flagged:
   
Where is the Vessel's
Home Port:
Country:   State:
Province
Vessel's Name:
   
Builders Name:
  Date Built: Place Built:
   
When did you purchase the Vessel:
   
Dimensions:
Length:   Beam:      
Draft:   Tonnage GRT:      
   
Primary Uses:
   
Is the Vessel in
Commercial Survey:
Yes      No
If Yes, what is the vessel's Commercial Classification
   
   
Do you have a Hull
Condition Report:
Yes      No
If Yes, what is the vessel's value:  
What is the Date of the Report::
If possible please attach a copy
of the Report:
   
   
Is the Vessel classed
with a Classification Society?
Yes     No
Name of Society:
   
Does the Vessel regularly operate in open Oceans & Seas: Yes     No
  If Yes, please give brief details:
   
Does the Ship cater for passengers: Yes     No
  If Yes, please give details:
 
How many passengers: (at any one time)
Can the ship legally carry?
Does the ship usually carry?
   
Primary Propulsion: Power      Sail      Other
   
Engine(s) Type:
Single   Twin   Other
Inboard   Outboard   Other
Diesel   Petrol   Other
               
Single   Multi   Other
             
Fibreglass   Timber   Steel/Alloy
Composite   Other
Hull Type:
Hull Construction:
   
   
Do You Require: Insurance for the Vessel:
(means the hull, superstructure
engines & all fittings and equipment)
Yes   No    
   
How much would you like to
Insure the Vessel for:
:
             
Do You Require: Insurance for Third Party Liability: Yes   No  
             
How much Third Party Liability
cover do you require:

:          
Has the Vessel Owner had any Marine related Accidents,
Incidents or Claims:
Yes No    
         
or been prosecuted for breaches of Marine Navigation Law
or similar Maritime Laws:
Yes No    
     
If Yes to any of the questions above, please give details:
   
         
Has the Owner or the Person requesting the quote ever: -        
         
  a) been refused insurance: Yes No  
  b) had an insurance claim of any type refused or reduced: Yes No    
  c) been charged with a crime of any type: Yes No    
 
If Yes to any of the questions above, please give details:


CONTACT DETAILS:  

Preferred Method of Contact Phone     Email
 
Best Time to Call:  
Message:
   

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