Fill out the below form to the best of your abilities and we will contact you with a quote!
Please select… None 1 2 3 or more
Violations/Accidents/Claims for all types of vehicles past 5 years
(date and description) *
Watercraft Losses past 5 years
(date and description)
Engine Type Outboard Inboard Inboard – Outboard Other
If Other, please describe
Fuel type Gas Diesel Marine Fuel Other
Total Horsepower (of all motors)
Is the boat homemade, used in racing, modified from original manufacture, equipped with a converted engine, used as a residence, under construction, used for any commercial purpose, held for sale, have existing damage, navigated in Mexico or towed by a trailer not specifically manufactured as a boat trailer?
Watercraft Liability $10,000 $25,000 $50,000 $100,000 $300,000 – Most Recommended $500,000 $1,000,000 or higher
Uninsured Boatowners None – not recommended Same as above limits – recommended
Medical Payments $1,000 $5,000 $10,000 Higher if available
Boat Hull Coverage Settlement Options Actual Cash Value Agreed Value Replacement Cost – most requested
Hull Deductible Options 1% 2% 3% 5% $500 – Most Popular Option $1000 or higher if available
Personal Effects Coverage Settlement Options
Actual Cash Value Replacement Cost
Personal Effects Deductible Options $250 $500 $1000
Personal Effect Coverage Amount Requested $1000 $2,500 $5,000 $10,000 None
Towing $500 $1,000 $2,000 – Most popular $3,000 $5,000
Trailer Coverage (please enter value of your trailer)
Trailer Deductible Option
Please select… $250 $500
Information Required for the Application
Special Requests you may have?
When coming in to bind a watercraft policy, the following information will be required at that time. If some of the essential information is missing at time of payment and signatures on the application, WE MAY NOT BE ABLE TO PROVIDE YOU WITH IMMEDIATE COVERAGE.
For all owners and operators of the watercraft:
Name, Date of Birth, SSN, Drivers Licence #/State, Relationship to Insured and if the Owner/Operator or if Owner-Operator/ MVR Violations-Claims-Accidents both At Fault and Not At Faulty, and all Watercraft Losses – all report issues for past 5 years.
Name, Full Address (for Insurance Information) and Loan Number.
Detailed Garaging and Storage Locations:
Marina, Street/Yard, Garage Moored in Water, etc.
Year, Make, Model Length, HIN#, Hull Material, Weight, Purchase Date, Purchase Price, Current Value.
Engine Type, Fuel Type, Year, Make, Model, Horsepower, Serial #.
Year, Make, Model and Serial Number. Most Insurers prohibit homemade trailers.
Proof of Prior Insurance – bring current declaration pages, renewal offer or current binder. If disputed by insurer then you would need a “Letter of Experience” to show no coverage lapses.
A “Letter of Experience” from your prior insurance company would also be needed if the insurer needs to validate any MVR or Claim issues as reported by you on the application. If, for instance, you report “no issues” and the underwriter has access to reports that indicate there are MVR or Watercraft Claims. The letter of experience is the only way you can substantiate your statements at that time.
Your boat safety course or license may need to be faxed to the insurer.
Your alarm certificate or special equipment certificate would be needed to show proof for these credits.
Full Coverage Issues:
If you are getting coverage of the boat hull and motor – we need to take pictures and/or inspect the boat on behalf of the insurance company.
Prior Insurance Cancellation Issues:
If any insurance has been cancelled in the past for underwriting issues other than for non-payment – you will want to be prepared to respond to a request for information on this past issue.
THANK YOU FOR YOUR QUOTE REQUEST
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