Yacht
Quick Quote Form
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Producer Name:
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Producer Code:
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City:
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Phone #:
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Fax #:
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Producer Email:
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Owner Information
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Boat Information
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Hull Type:
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Hull Material:
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Propulsion:
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Navigation Teritory:
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Operator Information
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Is the Owner the Primary Operator?
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Liveaboard
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# of years Boating Experience (list previously owned boats -include length
and # of years operated):
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Coverages & Limits
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Settlement Type:
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Uninsured:
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Included (w/ P&I)
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P&I Coverage:
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Med Pay:
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$10,000 Included (Higher Limits available)
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P&I Only:
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Personal Effects:
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$2,500 Included (Higher Limits available)
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Fishing Equipment:
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