How Much Coverage Do I Need?

Watercraft Quote

	Request for boat insurance quote: First Name Last Name Address City State Zip Occupation Date of Birth Drivers Lic# State Social Security# Years as Boat Owner Size of Boats Years Boating Experience Boating Courses USCG USPS Other Other BOAT INFORMATION Year of vessel Make / Builder Model Length Beam HIN# Hull Type (if known) Hull Material #of Engines Mfr Total H.P. Fuel Type Gas Diesel Purchase Price Purchase Date Insured Value Is there a survey? No Yes Date of survey Was boat ever damaged? No Yes If Yes, please explain Mooring Location Storage Location What date is the vessel usually put in storage? Is boat bubbled? No Yes P & I Liability Limits Requested $100,000 $300,000 $500,000 $1,000,000 Other Other Amount .... Great Lakes U.S. Gulf Fla & Bahamas Inland Lakes & Rivers Is vessel owned by a corporation No Yes Domiciled? No Yes Is vessel used for private pleasure use only? No Yes If Chartered, Explain Has boat insurance ever been cancelled or refused? No Yes List any Claims or losses to boat from liability in the last 3 years