Boat Quote Beagle

Boat Quote Beagle

TEL - (239) 529-6496
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Marital Status*

SingleMarriedDivorcedWidowed
Occupation *
Spouse's Name*

First NameLast Name
Spouse's Date of Birth*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Residence*

OwnRent
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have long have you lived at address above?
In years
Is the Mooring Address the same?

YesNo
Mooring Address

Marina Name

Street Address Line 2

CityState / Province

Postal / Zip Code
Hull ID?
Needed for firm quote
Hull Material?*

FiberglassWoodSteelOther
How will the vessel be stored?*

TrailerDock/SlipLiftRackOther
Do you currently have insurance?*
If yes, please explain*
Why are you shopping and who is your current insurer and expiration date
Year of vessel you are purchasing?*
Length*
Make*
ex: Sea Ray, Hatteras, Boston Whaler
Model*
ex: 320 Sundancer, 25 Center Console
Purchase price*
Number of Engines*
Make and Model of engines?*
ex: Yamaha, Mercury, Caterpillar
Engine HP each?*
ex: 200, 300, 1200
Fuel type?*

GasDiesel
Engine type?*

OutboardInboardInboard/OutboardPod/Zues
Engine Serial Numbers?
Separate by a comma
Is the boat equipped with GPS monitored anti-theft device(i.e. GOST or SPOT)*
Date of Last Survey?*
Please attached

Browse Files

Cancelof
Do you have a trailer you would like to insure?*

YesNo
Value of trailer?
Maximum speed?*
Please give MPH
How many years of boat ownership?*
What specific brand & size of boats have you owned (Include year and year's owned)?*
ex: 2015 35' Boston Whaler from 2015 to 2021
How many years of boating experience?*
What specific brand & size of boats have you Operated (Include year and year's operated)?*
ex: 2015 35' Boston Whaler from 2015 to 2021
Have you taken any additional safety courses or do you have a Captain's license?

USCGPower SquadronCaptain's LicenseOther
P&I/ Uninsured Boater Liability Limits*

$300,000$500,000$1,000,000$2,000,000
Do you require coverage for the Bahamas?*

YesNo
Waters navigated?
Have you had any insurance claims in the past 5 years?*

YesNo
If you had a claim, please provide the year, amount, and cause.
ex: 2017, $12,000, Electronics Stolen
Have you had any driving violations in the past 5 years?*

Traffic ViolationsDUINone
Any additional comments or questions?
Insurance companies use information from you and other sources, including your driving record, CLUE report, credit and claims histories. By submitting this form request you are authorizing us to take the information that you provide here and use it to obtain a quote.
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