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COMMERCIAL MARINE INSURANCE

(Australasia)

AUSTRALIAN & NEW ZEALAND NATIONWIDE INSURANCE SERVICES
sydney • Brisbane • Melbourne • Adelaide • Perth • Wellington • Auckland

NEEDS ANALYSIS FORMMarina Operator - Insurance

	This form is designed to gather general information from which to present to various Underwriters to obtain an indicative quote. You will most likely have to provide further information in due course.		Terms and Conditions
	If your requirements exceed the scope of this form, please contact us for direct personal assistance.

Please ensure all required fields are filled in. They have been highlighted in red for your convenience.

Section 1Liability

Location of Marina

Country

State (Province)

Name of Marina

Year of Construction

Marina Construction

Is the marina primarily constructed of

Timber Pylons and Timber Decks
Floating concrete deck with Steel Pylons
Free floating concrete deck

Other (please describe)
If the marina has a website, please tell us the web address

Marina Services

Boat Berths (pens)    Yes No
If Yes, what is the maximum number of boats that can be legally berthed at the marina

Swing Moorings    Yes No
If Yes, what is the maximum number of swing moorings that can be legally berthed at the marina

Dry Storage    Yes No
If Yes, what is the maximum number of boats that can be legally dry stored at the marina

Type of Boats kept at the Marina Moorings &Dry Storage

Please describe the type, size and values of boats using marina (average and maximum)

Does the business of the Marina include (inc tenants)

Boat/Ship repair, alterations and/or maintenance
Welding, Steel Fabrication
Hauling out & launching (rail slipway, travel lift, floating dock lift, etc.)

If yes, what is the maximium weight capacity of:

Rail Slipway kg.
Travel Lift kg.
Floating dock lift kg.
Cranes &/or hoist kg.

Boat Brokerage
Ship Chandlery
Charter Boat Management
Electrical Management
Fuelling

If Yes, what is the maximum capacity of tanks holding:

Petrol kg.
Diesel kg.

Any other types of business or activities not mentioned above

Yes No
If Yes, please describe below

Does the marina provide car parking facilities for tenants

Yes No
If Yes, please describe below

Section 2Liability

What Limit of Public Liability Insurance cover do you require

Is pollution cover required?

Yes No

Section 3Property

Please Note – no matter what the case one of our qualified and experienced insurance brokers will need to visit and inspect the marina’s buildings and facilities in order to ensure that all property that needs to be insured is insured.

This service from our brokerage is free of charge

General Description of Property

If you have a website
Website URL
If the Marina’s property is currently insured, you can attach a copy of your current insurance certificate which will indicate the current limits of cover which can be used as a comparison for underwriters indicate terms

Please describe the property you wish to insure with approximate values

Section 4Ownership Administration of the Marina

How Long has the Marina been established

Who is the operator of the Marina

Address of where the Marina is situated (Include Postcode and State)

Postal address if different from above (Include Postcode and State)

Business Telephone (Include Area Code)

Facsimile (Include Area Code)

Mobile

Email Address

Section 5Disclosure and Acknowledgement Details

Please examine your Duty of Disclosure

Click here

Have you or any person associated with this activity ever:-

a) had a Legal Liability claim made upon you or the other person? Yes No

b) ever made a claim for insurance in respect of the type of cover you require? Yes No

c) been refused insurance? Yes No

d) had an insurance claim of any type refused or reduced? Yes No

e) been charged with a crime of any type? Yes No

Is there anything else you need to disclose to us?

Yes No
If yes, please write here what it is that you think we ought to know

I acknowledge I have read and I agree to the terms and conditions stated. (Tick box)

Please ensure all required fields are filled in. They have been highlighted in red for your convenience.

For qualifications concerning the information on this page, please click here.