Pleasure Boat


 

 

    

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Pleasure boat insurance is a policy offered in order to protect your personal watercraft.

Complete the items that apply, and then click the Submit button to send the information.  We will contact you by phone in 1-2 business days with a quote.

Applicant Information
   
First Name:
Last Name:
Address:
City, Zip:
Phone #:
Email:


 
Description of Watercraft
         
Manufacturer:      
Model:      
Top Speed:      
Boat Type: Cruiser Open Cuddy Cabin Full Cabin
  Fish (not Bass) Bass Ski Pontoon (or Patio)
  Sail

Other (Describe):

Hull Type: Deep Vee Semi/Medium Vee Flat/Shallow Vee  
  Tri-Hull

Other (Describe):

Hull Material: Fiberglass Wood Aluminum  
Power: Inboard I/O (Stern Drive) Outboard Sea Drive
Description of Motor(s):      
Motor# Year Mfgr. Hpwr. Serial#
1.
2.


 
Description of Trailer
           
Year: Mfg.: Serial#:


 
Physical Damage Coverage
   
Boat / Trailer / Accessories Current Cash Value
Hull (including Inboard & I/O Engines) $
Primary Motor $
Trolling Motor (if applicable) $
Portable Equipment & Accessories $
Trailer $
   
Deductible ($):


 
Liability Insurance Coverage
   
Liability / Expense Limit of Liability
Watercraft Liability

 
Underwriting Information
     
Operator(s)    
Name Birth Date Yrs of Boating Experience
*How would your rate your credit history?
Bodily Injury/Property Damage Liability:
Yes No Is the Motor Home used as a primary residence?
Yes No Will this watercraft be used for waterskiing?
Yes No Any prior boating or automobile losses?  If yes, give details (cause, amount paid, etc).

 

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Copyright © 2006 Rhodes Warden Insurance, Inc.

Last modified: 06/19/08