Company Boat #1:Boat #2: (if necessary) Year * Manufacturer * Model * Year (B2) Manuf. (B2) Model (B2) Watercraft Type * Runabout Bass Boat Cabin Cruiser Pontoon Sailboat - Single-Hull Sailboat - Multi-Hull Houseboat Inflatable Length * Watercraft Type (B2) Runabout Bass Boat Cabin Cruiser Pontoon Sailboat - Single-Hull Sailboat - Multi-Hull Houseboat Inflatable Length (B2) Boat Use? * Pleasure Use Exclusively Racing/Speed Contests Business/Commercial Use Rented or Leased to Others Residence Market Value * Boat Use? (B2) Pleasure Use Exclusively Racing/Speed Contests Business/Commercial Use Rented or Leased to Others Residence Market Value (B2) Number of Engines * 0 1 2 3 4+ Total Horsepower Number of Engines (B2) 0 1 2 3 4+ Total Horsepower (B2) Engine Type Outboard Inboard Stern Drive (I/O) Waterjet Pump Other Deductible * $100 $250 $500 $1000 No Coverage Engine Type (B2) Outboard Inboard Stern Drive (I/O) Waterjet Pump Other Deductible (B2) $100 $250 $500 $1000 No Coverage Hull Material * Fiberglass Aluminum Rigid Hull Inflatable Inflatable Roplene Wood Steel Trailer Coverage * Not Desired $1,000 $2,000 $3,000 $4,000 $5,000 $7,500 $10,000+ Hull Material (B2) Fiberglass Aluminum Rigid Hull Inflatable Inflatable Roplene Wood Steel Trailer Coverage (B2) Not Desired $1,000 $2,000 $3,000 $4,000 $5,000 $7,500 $10,000+ Storage Location * Home Marina Storage Facility Storage Location (B2) Home Marina Storage Facility Does your boat or engine have any structural modifications or performance customization? * Yes No Operator Information Primary Operator Name * Operator 2 Name (if necessary) Gender * Male Female n/a Married? * Yes No Gender (O2) Male Female n/a Married? (O2) Yes No Age * Under 16 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51-55 56-60 61-65 66-70 71-75 76-80 80-85 86-90 91-95 96-100 100+ Accidents/Tickets in the past 3 years * 0 1 2 3 4+ Age (O2) Under 16 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51-55 56-60 61-65 66-70 71-75 76-80 80-85 86-90 91-95 96-100 100+ Accidents/Tickets in the past 3 years? (O2) 0 1 2 3 4+ Coverage Desired * Minimum Coverage Standard Coverage Premium Coverage When would you like this policy to start? * First Name * Last Name * Address Line 1 * Line 2 City * State * Zip Code * Country * Email * Phone Number * Message Contact us (770) 645-8088 Fax: (678) 720-9089 795 Holcomb Bridge Rd Suite B Roswell, GA 30076 Click Here to Email Us →