Saturday 5 July
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To receive a quotation for Kit/Specialist Car Insurance please complete this form.
Proposer:
Address:
Postcode:     E-mail Address: 
Home Telephone:      Work:      Mobile: 
Risk Location if not home address (include postcode):
Details of premises & occupiers if not your private garage, including nature of construction if not brick/concrete with tile/slate/asbestos/metal roof:
Kit car build kit will be stored in a secure locked garage:  Yes /No
Please provide details of best quote obtained elsewhere:  £
Quote obtained from

Build-Up Cover With / Without Goods In Transit Cover
Cars under construction are not normally insurable under a home contents policy and do not qualify for motor insurance until completed.  MSM offer comprehensive cover for the car during build, with option to include cover for the kit being transported home from the manufacturer and the part or fully built car being trailered to subcontractors (e.g. paintshop or trimmer) or to the SVA/MoT test station.  With so few SVA test stations across the UK some long journeys will be necessary and we strongly recommend the inclusion of Goods in Transit cover to protect your investment and hard work.
Sum To Be Insured: £    With Goods In Transit:  Yes /No
Vehicle Kit
Chassis Number
Minimum £500, Maximum £50,000.
Maximum sum insured = Cost of kit, accessories, parts (new / re-conditioned) for which valid receipts available.
Risks insured:  Fire, Theft, Malicious Damage, Aircraft, Explosion, Riot, Impact, Storm, Flood, Burst Pipes. 
Car under construction must normally be kept in a locked garage/workshop.  
Goods in Transit cover is optional.  All quotations subject to satisfactory proposal form.
Full policy details, terms and conditions are available on request.
A, Have you ever had any insurance declined, cancelled or refused:  Yes /No
B, Have you ever had any insurance of the type now proposed refused or made subject to special terms/restrictions:  Yes /No
C, Have you ever sustained a loss following fire or any other of the risks to be insured against, whether a claim was made or not:  Yes /No
D, Have you ever been convicted of, or charged but not yet tried with, a criminal (not motoring) offence or ever had a County Court Judgement registered against you, or been declared bankrupt or insolvent:  Yes /No
If you have answered YES to questions A, B, C or D above please give full details:
All quotes are subject to satisfactory proposal form, evidence of no-claims record, copy licences etc.  The insurers reserve the right to decline any proposal submitted.
  

MSM Insurance, P.O. Box 5526, Takeley, Bishop's Stortford, Herts CM22 6PZ
Telephone: 01279 870535                  Fax: 01279 870636                  E-mail: info@msminsurance.co.uk