Client: New Quote - Watercraft - North Town Insurance

Client Quote - Boat / Personal Watercraft / JetSki

Thank you for letting us assist with your watercraft insurance! Please complete the information below, to the best of your ability. As you may know, we partner with a handful of insurance companies and will present the quote with the best rate and coverage recommendations. Our goal is to have a QUOTE TO YOU BY THE END OF THE NEXT BUSINESS DAY.

Name(Required)

First Last

Watercraft: Year, Make, Model(Required)

Hull ID / VIN(Required)

Hull Material(Required)

Please share if the hull material is fiberglass, aluminum, etc.

Length(Required)

HP (horse power)(Required)

Fuel Type(Required)

Gas

Diesel

N/A

Is there any existing damage?(Required)

Yes

Where is the watercraft be moored in boating season?(Required)

Please describe where the boat will be kept during boating season (residence, in a structure, outdoor, marina, storage facility).

Where is the watercraft stored in the off-season?(Required)

Please describe where the boat will be stored in the off-season (residence, in a structure, outdoor, or at storage facility).

Propulsion Type(Required)

Please describe if the motor is inboard, outboard, jet drive, sterndrive (inboard/outboard).

Engines (excluding trolling motor)(Required)

Please describe how many engines w/ year, make, model if known.

Modified Engine to enhance performance(Required)

Has the engine been modified to enhance performance? Please include details in comments.

Will you be doing any racing or competitions?(Required)

Coverages Quoted(Required)

Liability Only

Liability with Comprehensive & Collision ("Full Coverage")

Are you financing?(Required)

Yes

Who is/are the Registered Owner(s)?(Required)

Estimated Value / Full Purchase Price(Required)

What is the estimated value of the watercraft (which includes motors).

Trailer: Year, Make, Model(Required)

Trailer: VIN(Required)

Estimated Trailer Value(Required)

Primary Driver's Name(Required)

First Last

Driver's Birthdate (if not currently insured with us)

Driver's License Number (if not currently insured with us)

Notes / Other Drivers or Vehicle Info / Questions for us

Preferred Method of Confirmation *Include Email Address or Phone#(Required)

If you prefer the quote is sent to you via email or text, please provide that information. If you prefer a phone call, please share the phone number and best time of day for a phone call.