Contact Us 877-SAIL-INS
Navigation

 

  MARINE   HOMEOWNERS   AUTO   BUSINESS  

Hull Builders Risk Application


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Contact Inforamtion
First Name
Required
Last Name
Required
Address
Required
ZIP / Postal Code
Required
Phone Number
Required
E-Mail Address
Required
Builders Information
Name & Address of Builder
Required
Name & address of customer vessel is being built for.
Required
Loss Payee (if applicable)
Optional
Description of vessel when completed
Type of vessel
Required
Construction type
Required
Propulsion type
Required
Engine Information (manufacturer / HP / # of Eng.)
Required
Length, beam & depth when completed
Required
Estimated Gross Tonnage
Required
Time for construction
Date of keel laying
Required
/ /
Estimated date of completion
Required
/ /
Requested effective date of insurance
Required
/ /
Costs
Contract price or completed value
Required
Value of vessel at time of attachment of insurance
Required
Is the contract price fixed or adjusted?
Required
Will sub contractors work on the project?
Required
If yes, are all subcontractors insured for both general liability as well as ship repairers liability?
Optional
Location of construction
Location and address of construction
Required
Is construction inside or outside a building?
Required
Describe any fencing, lighting or other security measures
Required
What is the distance to the nearest fire hydrant?
Required
How many fire extinguishers are kept on site?
Required
Is the location subject to flooding, cyclones, tornadoes, hurricanes or windstorms?
Required
If yes, please specify which and the precautionary measures taken to protect the vessel
Optional
Are vessels to be moved while in the course of construction?
Required
What type of equipment is used to move the vessels
Required
Please describe your launching procedure and location used to launch the vessels
Required
Are the vessels worked on after they are launched?
Required
If yes, please describe work and mooring location
Optional
Please briefly describe vessel builders sea trial process
Required
Delivery
Will the builder deliver the vessel?
Required
If the vessel is to be delivered please select how
Required
If towed, is there a release of the tower?
Optional
Builders Expierience
Please give a brief summary of the builders expierience with construction of vessels of this type and size
Required
Please list all claims made agains you or the builder during the last five years resulting from operations covered by this form of policy, including date, cause, amount paid or estimated amount, if claim not yet settled.
Required
Name of insurance company that presently insures you
Required
Name any insurance company or agent that cancelled or refused to renew this type of insurance for you.
Required
Submission Validation
Required
CAPTCHA
Change the CAPTCHA codeSpeak the CAPTCHA code
 
Enter the Validation Code from above.
Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.




 
Our Carriers Our Company Services Contact Us More Help
Progressive
Travelers
Home
Who We Are
Events
Customer Service
Get A Quote
Insurance Types
Send A Message
Locations
Glossary
Frequently Asked Questions
GET SOCIAL WITH US FacebookLinkedIn   
Whitestone Office 12-23A 150th Street | Whitestone, NY 11357 | 718-767-9226
Mattituck Office 15400 Main Rd | Mattituck, NY 11952 | 631-765-2777
Florida Office 2151 South Us Hwy One | Jupiter, FL 33477 | 561-729-0520
Powered by Insurance Website Builder

Join Our Newsletter Refer A Friend Our Partners Get A Quote