Boats - Pleasurecraft Your Name: Your Email Address: Best Phone Number To Call You Back At:Registered Owner of Boat: Your Mailing Address: Your Phone Number:Address of where boat will be kept (moored)? How long have you owned the boat? What is your occupation? Do all operators have the following: Power squadron? Boating Education? Member of cruising club? Please outline:Please list all operators of this vessel and their birthdates?What is your birthdate of the owner of the vessel? MM slash DD slash YYYY Any claims in the last 5 years? If yes, please state date of loss, amount paid out by ins. company and briefly outline what happened.Please describe any past experience with boats? size/length of time, previous boats...Year Boat Built: Vessel Manufacturer: Vessel Model: Length of Boat: Which best describes the boat: Jet Boat Small Boat Ski Boat Runabout Sail Boat Power Cruiser Higher Performance>60mph Seadoo/Jet Ski Fishing Boat (Non-Charter) Fishing Boat (Charter) Type of Motor: Inboard Inboard/Outboard Outboard Jet Drive How many main motors do you have? Main Motor: Max Speed: Horse Power Main Motor: Max Speed: Miles Per Hour MPH Type of Fuel: Gas Diesel Propane Other Do you have an anti-theft device tracking system installed which is actively monitored? Yes No Hull Construction Fiberglass Wood Aluminum Steel Plywood Other If you have a current insurance policy on this location, please send first few pages.Max. file size: 10 MB.File must be 10 MB or less When do you require insurance for this boat? DD slash MM slash YYYY Is this the first time you insured this boat? Total Purchase Price: Approx. Date Purchased: Current Market Value (Approx)? Main Motor: Year: Make: Horsepower: Serial No.Trailer: Year: Make: Serial No.Do you have an Auxiliary motor? Yes No Yes, but I do not want to insure this. Do you have a Dinghy/Dinghy motor: Yes No Yes, but I do not want to insure this. Does your vessel have a galley, head, or sleeping quarters?Liability Limit Requested: $1million $2million Higher than $2million List all auto moving traffic violations & at-fault accidents per operator (past 3 years):Is boat permanently moored on a mooring buoy? Yes No Confirm boat use is for private pleasure use only: Yes No Do you use your boat for any water sports like waterskiing, tubing, or boarding? Yes No Where will you be operating your boat: BC Coastal freshwater BC Coastal saltwater BC Coastal/USA freshwater BC Coastal/USA saltwater Both salt & freshwater BC & USA Do you live aboard your boat? Yes No Have you ever had any insurance refused or canceled? Yes No How did you find out about our office? I am already an existing client. I was referred by someone. I found you via Google, Facebook, or other social media. I am a client of one of your staff members. I noticed your office when I was driving/walking by. PhoneThis field is for validation purposes and should be left unchanged.