Phone:
(781) 641-3300
Fax:
(781) 777-1402
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Boat Owners Insurance Request
No
Yes
am
pm
Helpful Info
Please complete the following Quick Request form for more information on our services. Your request will be emailed to our attention.
Step 2 of 5
Owner / Operator Information:
Previously Declined, canceled or non-renewed policies.
no
yes
Step 3 of 5
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Yacht Information:
Engine Info
Single
Twin
Other
Engine Type
Outboard
Inboard
Outdrive(i/o)
Water Jet
Fuel Type
Gas
Diesel
None
Hull Material
Fiberglass
Wood
Steel
Aluminum
Other
Outboard Motor(s):
Dingy (If over 16' or 25hp):
Trailer:
Step 4 of 5
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Waters Navigated:
Location - List name & location of marina or residence:
pleasure use
Yes
No
live aboard
Yes
No
Safety Equipment:
GPS
Built-in CO2
Ship/Shore Radio
Depth Sounder
Radar
EPIRB
Laser Plot
Burglar Alarm
Vapor Detector
Step 5 of 5
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Coverages:
Hull (Incl. machinery equipment & o/b
Hull deductible
Protection & Indemnity
$100,000
$300,000
$500,000
$1,000,000
Commercial Towing
$800
$1,000
$5,000
$10,000
Medical Payments
Pers Prop
Submit
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