Home
Services
Personal
Commercial
Get a Quote
Auto
Home
Watercraft
Health
Other
Commercial
About Us
Contact Us
Watercraft Insurance Quote
Click each tab to fill out the required information. When complete, click on the submit button on the last page.
Basic Info
Property Description
Insured Watercraft
Coverages
Safety Equipment
Water Navigation
Effective Date:
First Name:
A value is required.
*
Last Name:
A value is required.
*
Date of Birth
Boating Experience:
Please Select
None
1 Year
2 - 3 Years
3 - 5 Years
5 - 10 Years
10 + Years
Address:
City:
State:
Zip Code:
Email Address:
A value is required.
*
Daytime Phone:
A value is required.
*
Choose One:
Please Call Me with Quote Premium
*
Please Send Quote via E-Mail
Please make a selection.
Previous Loss Info:
Additional Comments:
If you would prefer a certain agent, please choose the desired agent.
Thank You!
Dan Shields
Don Shields
Jessica Shields
Motor Type:
Please Select
Outboard
Inboard
Outdrive
Water Jet
Fuel Type:
A value is required.
Please Select
Gas
Diesel
None
Number of Engines:
A value is required.
Please Select
Twin
Single
None
Maximum Speed:
Boat Type:
Please Select
Sail
Power
Other
If Other:
Hull Material:
Please Select
Fiberglass
Wood
Steel
Other
If Other:
Boat
Year:
Manufacturer:
Model:
Serial Number:
Length:
Total HP:
Outboard Motor
Year:
Manufacturer:
Model:
Serial Number:
Length:
Total HP:
Trailer
Year:
Manufacturer:
Serial Number:
Boat:
Outboard Motor 1 (ACV):
Outboard Motor 2 (ACV):
Boat Trailer:
Personal Property:
Commercial Towing:
Boat Liability (ACV):
Medical Payments:
Uninsured Boater:
Optional Coverages:
Agreed Value Endorsement
Actual Cash Value
Boat Equipment
Limit:
* Check all that you own and use
GPS System
Automatic CO2 (Halon)
Ship to Shore Radio (VHF)
Depth Sounder
Electronic Burglar Alarm
Radar
Plotter
EPIRB
Vapor Detector Alarm
Inland Waters of What States?
Coastal Waters of What States?
Is the boat charterd or used for reasons other than pleasure?
Yes
*
No
Please make a selection.
Proud Member of the National Association of Professional Insurance Agents
Disclaimer