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Boats

Boat Quote Request

1. Your Name(required)
2. Last Name:(required)
3. Sex: Male Female (required)
4. Date of Birth:(required)
5. Social Security:
6. Phone number:(required)
7. Marital Status: Married Single Other (required)
8. Email:(valid email required)
9. Address:
10. Automobile Driver License Status:
11. Primary Residence: Own Home/Condo Own Mobile Home less 10 years old Rent Live with Parents Other
12. If Other:

Driving record (prior 35 months)

1. Number of/Nature of Tickets (all vehicles)
2. No/Nature of AF/NAF Auto & Boat/PWC Accidents

Boat Information

1. Type (i.e. pleasure, fishing, sail, etc): Runabout Fishing Boat Cabin Cruiser House Boat Pontoon Sailboat Bass Personal Watercraft (required)
2. Year:(required)
3. Lenght (ft):(required)
4. Make:(required)
5. Model:(required)
6. Number of engines: 1 Engine 2 Engines 3 Engines Other (required)
7. Total Horsepower (excluding trolling & kicker motors):(required)
8. Propulsion Type: Inboard OutBoard Inboard/Outboard Jet (required)
9. Hull Material: Fiberglass Steel Aluminum Composite Wood Other (required)
10. Trailer Coverage: No Yes (required)
11. Enhanced Performance Modif. (i.e. blowers, etc):(required)
12. Rating Base:(required)

Underwriting Information

1. Dockage/Mooring/Storage Zip Code:(required)
2. Watercraft Use(i.e. pleasure, business, etc(required)
3. Multi-Owner (more than one owner, not in the same husehold) No Yes (required)

Coverage Information

1. Hull Coverage: Total Loss Replacement (new boats only) Agreed Value Actual Cash Value (required)
2. Hull Deductibles: $250 $500 $1,000 $2,500 $5,000 (required)
3. Liability Coverage Limits : $100 $300 $500 $1,000 Other (required)
4. Uinsured Boater Coverage: No coverage $100 $300 $500 $1,000 Other (required)
5. Medical Payments Coverage: No Coverage $1,000 $2,500 $5,000 $7,500 $10,000 (required)
6. Personal Effects Coverage : $1,000 $2,000 $3,000 $4,000 $5,000 (required)
7. Fishing Equipment Coverage (Primary): $1,000 $2,500 $5,000 $10,000 (required)
8. On Water Towing: $300 $500 $1,000 $2,500 (required)
9. Extended Coastal Navigation: 50 nautical miles 75 nautical miles 75 nautical miles (required)
10. Additional Information:

 

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