Watercraft Quote Request

Please note, we cannot bind coverage from an email or voicemail request. Coverage is bound after you receive a written email or telephone confirmation from an agency staff member.

Deliver this request to
Your Name
E-mail Address
Daytime Phone Number
Address
Address Line two
City
State
Zip
Choose One
Description of Property
Motor type
Number of Engines
Boat Type
Other Boat Type
Fuel Type
Maximum Speed
Hull Material
Other Hull Material
Insured Watercraft
Boat
Year
Manufacturer
Model
Serial Number
Length
Total HP
Outboard Motor
Year
Manufacturer
Model
Serial Number
Length
Total HP
Trailer
Year
Manufacturer
Model
Limits
Boat (Including Auxiliary Equipment)
Outboard Motor 1
Outboard Motor 2
Boat Trailer
Personal Property
Commercial Towing
Boat Liability Limit
Medical Payments
Uninsured Boater
Optional Coverages
Agreed Value Endorsement  Yes No
Actual Cash Value  Yes No
Fishing Equipment  Yes No
Limit
Safety EquipmentCheck all that apply
GPS  Yes No
Automatic CO2 (Halon)  Yes No
Ship to Shore Radio (VHF)  Yes No
Depth Sounder  Yes No
Electronic Burglar Alarm  Yes No
Radar  Yes No
Plotter  Yes No
EPIRB  Yes No
Vapor Detector Alarm  Yes No
Operator Information
Date of Birth
Years of Boating Experience
Waters to be Navigated
Inland waters of the following states
Coastal waters of the following states
Is the boat chartered or used for other than private pleasure purposes?  Yes No
Previous Loss Information
Please describe any losses or claims filed on your Boat Insurance in the last 3 years Please include the date and type of the loss, as well as the amount of the claim
Additional Comments
Please use the box below to enter any additional information you wish to include

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Protecting your privacy and identity is very important to us. Social Security number is required to complete this quote. We will contact you personally for this information.

If you have not received a response from us within one business day, please contact us again. Thank you.