UK Fireball Association Insurance scheme

Statement of Fact

IMPORTANT – Please read the following information carefully

This is a record of the information you have given us and will be used to provide your insurance cover. Please take reasonable care to answer all questions honestly and to the best of your knowledge. If you don’t answer the questions correctly, your policy may be cancelled, or your claim rejected or not fully paid.

The Scheme operates from 1 March 2017 to 28th February 2018.

Cover will commence from 1 March 2017 or the date cover is requested and confirmed by us.

We must receive your instructions as to which date you would like cover to start from.

You must tell us if anything changes from the information listed below.

Insured:
Name
Address including Postcode
Telephone Number
Email Address
Date of Birth
Are you a UK Fireball Association member?
Does the craft have more than one owner?
If yes, please provide details of any other interested parties. / Yes / No
Are you the main user of the vessel?
If no, please provide full details (name, date of birth, address) of the main user / Yes / No
Craft & Equipment:
Type of Craft / Fireball
Craft Name & Sail Number
Total sum insured including trailer/trolley
Was the craft professionally manufactured?
If no, please provide full details. / Yes / No
Has the craft been structurally modified?
If yes, please provide full details / Yes / No
Is the craft stored outside of the UK for more than 6 months in a calendar year?
If yes, please provide full details / Yes / No
Use & Cruising:
The insurance protection applies while your boat is in commission (including racing) or while it is laid up, provided you use it within the cruising limits of inland and coastal waters up to 6 miles offshore in Europe (excluding crossings of the English Channel, Irish and North Seas).
Do these limits meet with your requirements?
If no, please provide full details / Yes / No
Claims, accidents or losses
Have you or the main user had any claims, accidents or losses in the last 5 years on any vessel owned or operated by you?
If yes, please provide full details / Yes / No
General Questions
Have you or the main user been refused boat or dinghy insurance at any time?
If yes, please provide full details / Yes / No
Do you or the main user have any convictions (other than motoring convictions or spent convictions), police enquiries or prosecutions pending in the last 5 years?
If yes, please provide full details / Yes / No
Is there any pre-existing damage to the vessel?
If yes, please provide full details / Yes / No
Is there any dispute over the ownership of the vessel?
If yes, please provide full details / Yes / No

The UK Fireball Association is an Introducer Appointed Representative of UKGlobal Risk Solutions Limited.

Craft Cover and UKGlobal are trading styles of UKGlobal Risk Solutions Limited.

UKGlobal Risk Solutions Limited is registered as a company in England and Wales No. 05926710.

Registered office: 1 City Road East, Manchester, United Kingdom, M15 4PN.

UKGlobal Risk Solutions Limited is authorised and regulated by the Financial Conduct Authority.

FCA Firm Reference Number 460003.

UKGlobal Risk Solutions Limited, Quadrant House, Croydon Road, Caterham, Surrey, CR3 6TR

Telephone 01883 333 500

Navigators and General is a trading name of Zurich Insurance plc.

A public limited company incorporated in Ireland. Registration No. 13460.

Registered Office: Zurich House, Ballsbridge Park, Dublin 4, Ireland.

UK Branch registered in England and Wales Registration No. BR7985.

UK Branch Head Office: The Zurich Centre, 3000 Parkway, Whiteley, Fareham, Hampshire PO15 7JZ.

Zurich Insurance plc is authorised by the Central Bank of Ireland and authorised and subject to limited regulation by the Financial Conduct Authority. Details about the extent of our authorisation by the Financial Conduct Authority are available from us on request.

Our FCA Firm Reference Number is 203093.

Correspondence Address: Navigators & General – Brighton, PO Box 3707, SN4 4AX. Tel: 01273 863400, Fax: 01273 863401.

Website: Email:

Communications may be monitored or recorded to improve our services and for security and regulatory purposes.

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