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Insure
Canadian Cruiser Insurance
Canadian Pontoon Boat Insurance
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Canadian PWC Insurance
Canadian Runabout Insurance
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Canadian Jet Boat Insurance
Canadian Sport Boat Insurance
Canadian Deck Boat Insurance
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Special Risk Insurance Quote
Special Risk Insurance Online Quote
Step
1
of
2
50%
Are you an existing Gallagher Skippers Plan customer?
*
Yes
No
Thank you for your interest in Gallagher Special Risks Coverage. This coverage is only available to existing Gallagher Skippers’ Plan customers.
My net assets are (CDN)
*
Less than $250,000
Greater than $250,000
Greater than $500,000
Equal to or Greater than $1,000,000
Thank you for your interest in Gallagher Special Risks Coverage. The minimum requirement to obtain coverage is to have sufficient assets in excess of $250,000 to leverage in the event of an incident.
The limit of your policy will be the amount selected and will not exceed $1,000,000 CDN.
Have you or your immediate family had any prior threats or incidences of Kidnap, Extortion, Detention or Hijack?
*
Yes
No
Thank you for your interest in Gallagher Special Risks Coverage. Unfortunately, we are unable to provide a quote.
Full Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Date of Birth
*
MM slash DD slash YYYY
Email
*
Contact Number
*
Gallagher Skippers’ Plan Policy Number
*
Vessel Navigation Area
*
Standard Navigation (not south of 40°N)
East Coast - Zone 1 (South of 40°N to 30°N)
East Coast - Zone 2 (South of 30°N to 20°N)
East Coast - Zone 3 (South of 20°N to 9°N)
West Coast – Zone 1 (Not south of 32°N)
West Coast – Zone 2 (South of 32°N to 22°N)
See the Vessel Navigation Area
By completing this Application, I consent to my personal information being provided to any third-party insurance company, reinsurance company, or intermediary solely for the purpose of obtaining a quote.
*
I consent.
I consent to receiving promotional messages from Arthur J. Gallagher Canada Limited and its affiliates and subsidiaries, including invitations to programs and events, industry updates, and other notifications from time to time.
*
Yes
No
If purchased, the existence of the Special Contingency Insurance Policy must be held in strict confidence, or coverage can be negated. Do you agree with this condition?
*
Yes
No
Your Comprehensive Special Contingency Insurance Premium
Your Comprehensive Special Contingency Insurance Premium
Your Comprehensive Special Contingency Insurance Premium
Your Comprehensive Special Contingency Insurance Premium
Your Comprehensive Special Contingency Insurance Premium
Your Comprehensive Special Contingency Insurance Premium
Based on your selected Navigational Area Standard Navigation (not south of 40°N)
Based on your selected Navigational Area East Coast - Zone 1 (South of 40°N to 30°N)
Based on your selected Navigational Area East Coast - Zone 2 (South of 30°N to 20°N)
Based on your selected Navigational Area East Coast - Zone 3 (South of 20°N to 9°N)
Based on your selected Navigational Area West Coast – Zone 1 (Not south of 32°N)
Based on your selected Navigational Area West Coast – Zone 2 (South of 32°N to 22°N)
Your Limits of Liability are:
Ransom:
$250,000
Ransom:
$500,000
Ransom:
$1,000,000
Ransom in Transit:
$250,000
Ransom in Transit:
$500,000
Ransom in Transit:
$1,000,000
Additional Expenses:
$250,000
Additional Expenses:
$500,000
Additional Expenses:
$1,000,000
Legal Liability:
$250,000
Legal Liability:
$500,000
Legal Liability:
$1,000,000
Personal Accident:
$250,000
Response Consultant:
Included
Fees and Expenses:
Unlimited
Covered Events Include:
Kidnap
Extortion
Detention
Hijack
Express Kidnap
Threat Response
Mysterious Disappearance
Maritime Kidnap Additional Expense
Would you like to purchase?
*
Yes
No
I would like more information
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