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Boat Insurance Quote
Contact Information
First Name
Last Name
Email
Phone
Birth Date
Property Address
Address
City
State
Zip Code
Boat Information
Current Insurance Carrier
Years experience with similar boat
Actual cash value
Boat Type
Select
Sail
Houseboat
Personal Watercraft
Runabout
Cabin Cruiser
Bass/Fishing
Sailboat
Pontoon
Jetski
Propulsion Type
Select
Inboard
Houseboat
Outboard
I/O Drive
Jet Drive
Year
Make
Model
Cost New
Length
Horsepower
Max Speed
Beam
Construction
Select
Fiber
Wood
Fabric/Inflatable
Glass
Metal
If a trailer, complete the following
Trailer Make
Trailer Serial Number
Trailer Cost New
Coverage Information
Construction
Select
Boating Association/Marina Membership
Safety Course (copy of certificate required)
Audible anti-theft device
Outboard power boats, 100 horsepower or less
Liability
Select
25/50/10
50/100/10
100/300/50
250/500/100
$300,000 combined single limit
$500,000 combined single limit
Medical
Select
$1,000
$2,500
$5,000
Personal Effects
Select
$2000
$3000
$4000
$5000
Deductible
Select
$250
$500
$1,000
On Water Towing
Select
$300
$500
$1,000
Uninsured boaters coverage
Yes
No
Misc.
How long have you owned a boat?
Describe the location where the boat is stored
Comments
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