Boat/Personal Watercraft Insurance Quote Form

Please complete the following form and click the "Submit" button for a FREE boat/personal watercraft insurance quote. Final premium is subject to verification of information and inspection, and coverage can only be bound by authorized rep. All information provided will be held in strictest confidence and used only for the purpose of providing an accurate rate for this specific policy.

Name
Mailing Address
City
State
Zip Code
E-Mail Address
Telephone Number
Date of Birth
Drivers License Number
Social Security Number
Number of Years of Boating Experience
Current Premium
Current Insurer
Expiration Date
   
BOAT...  
VIN # (optional)
Year
Make
Model (optional)
Length
Current Value
Limit of Personal Liability
Construction
Type
If Other...Describe
   
MOTOR...  
Year
Make
Horsepower
Current Value
Maximum Speed
Waters Navigated
   
TRAILER...  
Year
Make
Current Value
   
Remarks
Previous Claims? (Date, Amount, Explanation)
Any Major Violations
Do You Request an Umbrella Liability Quote*? Yes No
 
*A personal umbrella liability policy is an excess policy that provides LIABILITY over-and-above the current limits of your existing automobile, homeowner, watercraft, snowmobile (etc) liability coverage. It also can fill in any gaps you may have in your primary policies. The umbrella limit starts at $1Million and can be increased at your option. Annual premium can be as low as $200 (depending on your underlying exposures). That's a great price for a good night's sleep, knowing your liability exposures are well cared for.