Personal Boat Insurance Quote
1
Personal Information
2
Boat Information
3
Engine Information
4
Additional Information
5
Additional Comments
Please select owner type
*
Boat is owned by a business, corporation or LLC
Boat is owned by an Individual or Jointly by a legally married couple
Owner 1
First Name
*
Last Name
*
Date of Birth
*
Mailing Address
*
Phone Number
*
Email
*
Add Another Owner
Remove Owner
1
Personal Information
2
Boat Information
3
Engine Information
4
Additional Information
5
Additional Comments
Is the boat stored in the mailing address provided?
*
Yes
No
Boat Storage Address
*
Is the Primary Operator an absentee boat owner?
*
Yes
No
When was the boat made or purchased?
*
How long was the boat in your ownership?
*
How long is the boat? (ft)
*
Select boat type
*
Airboat
Cruiser
Houseboat
Runabout
Sailboat
Ski Boat
Pontoon
Sportfishing
Trawler
Hull Material
*
Fiberglass
Wood
Aluminum
Steel
Kevlar
Inflatable
Other
Please specify hull material
*
Is the hull Monohull (V hull) or Multihull (Cat or Tri Hull):
*
Monohull
Multihull
Who is the manufacturer of the boat?
What is the boat model?
Purchase Price (Hull and Equipment)
*
Top Boat Speed (Mi/h)
*
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Personal Information
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Boat Information
3
Engine Information
4
Additional Information
5
Additional Comments
Year of Purhcase for engine?
*
Number of Engines
*
Engine/s Manufacturer
*
BOMBARDIER
CAT
CHRISCRAFT
CHRYSLER
CRUSADER
CUMMINS
DETROIT
EVINRUDE
FORCE
HINO
HONDA
ILMOR
INDMAR
J AND T
JOHNSON
LEHMAN
MAN
ILMOR
MARINER
MERCRUISER
MERCURY
MPC
MTU
NISSAN
OMC
PERKINS
PLEASURE
CRAFT
SUZUKI
TOHATSU
UNIVERSAL
USMARINE
VOLVO
WESTERBEKE
YAMAHA
YANMAR
Other
Combined Horse Power
Please specify engine manufacturer
*
Engine Type
Inboard
Inboard or Outboard
Outboard
Sail
Jet
Is there an Automatic Fire Fighting System in Engine Compartment?
*
Yes
No
Fuel
*
Gas
Diesel
Do you have a Tender you would like to cover?
*
Yes
No
Tender Year
*
Tender Length (ft)
*
Tender Make
*
Tender Engine Year
*
Tender Engine Manufacturer
*
Tender Engine Horse Power
*
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Personal Information
2
Boat Information
3
Engine Information
4
Additional Information
5
Additional Comments
Number of months boat is Laid up
*
Rated Area of Use
*
Coast
Great Lakes
Outboard
Inland Lakes
Waterways
Other
Please specify Rated Area of use
*
Boat Usage
*
Private Pleasure Only
Charter-Fishing Guide (Unlimited Charter Days)
Occasional Charter-Fishing Guide (Limited to 24 Charter Days a Year)
Pro Angler
Other
Please Specify Boat Usage
*
Is this boat used as a primary residence?
*
Yes
No
Is there a paid Captain or Crew employed for the boat?
*
Yes
No
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Personal Information
2
Boat Information
3
Engine Information
4
Other Information
5
Additional Comments
Is the Primary Operator different from the Owner?
*
Yes
No
Operator's First Name
*
Operator's Last Name
*
Operator's Date of Birth
*
Operator's Mailing Address
*
Years of Boating Experience
*
Has the operator taken up any boating course?
*
Yes
No
Please Specify Course Taken
Operator's Occupation
*
Aside from the Primary Operator, will there be regular operators under 16 years of age?
*
Yes
No
In the last 36 months has any regular operator been charged with operating a boat or motor vehicle under the influence of drugs or alcohol, reckless or careless driving, speeding or other moving violations?
*
Yes
No
Liability Coverage
*
NO
$100,000
$300,000
$500,000
$1,000,000
Medical
*
NO
$10,000
$25,000
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General Information
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Business Information
3
Building Information
4
Coverage Information
5
Additional Comments
Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, please enter them here.
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