Back to quote requests Boat Insurance Name: Address: City: Province: Postal Code: Phone number: Email: Policy Effective Date: Calendar Liability Requested: $1,000,000 $2,000,000 $3,000,000 $4,000,000 Boat Type: Sailboat Multi-Hull Sailboat Open Runabout Cabin Cruiser Ski Boat Houseboat Trawler Personal Watercraft Other Amount of insurance on boat: Boat Manufacturer: Year Built: Overall Length: Main Motor: None Inboard/Outboard Inboard Outboard Jetdrive Other Construction: Fiberglass Fiberglass over wood Plywood Wood Plank Aluminum Steel Concrete Other Year of motor: Type of motor: None Inboard/Outboard Inboard Outboard Jetdrive Other Manufacturer: Horsepower: Maximum speed of motor: Amount of insurance on Motor: Twin Engine: YesNo Trailer: 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: YesNo Security code: