Boat Insurance Quote

Name:

Address:

City:

Province:

Postal Code:

Phone:

Email:

Policy Effective Date:

Liability limit requested: $1,000,000$2,000,000$3,000,000$4,000,000

Boat Type: SailboatMulti-Hull SailboatOpen RunaboutCabin CruiserSki BoatHouseboatTrawlerPersonal WatercraftOther

Amount of insurance on boat:

Boat manufacturer:

Year built:

Overall length:

Main Motor: NoneInboard/OutboardInboardOutboardJetdriveOther

Construction: FiberglassFiberglass over WoodPlywoodWood PlankAluminumSteelConcreteOther

Year of motor:

Manufacturer:

Horsepower:

Maximum speed of motor:

Amount of insurance on Motor:

Twin Engine: —Please choose an option—YesNo

Trailer: —Please choose an option—YesNo

Year of Trailer:

Make and model of Trailer:

Amount of insurance on Trailer:

Years operated:

Years owned:

Courses & Level Completed:

Loss Details:

Has any company ever cancelled or refused insurance of this description: —Please choose an option—YesNo