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3059787218 | 9850 NW 41 Street, Suite 100, Doral FL 33178
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Quote
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SeaVee Boats Insurance
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SeaVee Boats Insurance
Excel where excellence is standard
Seavee Boat insurance
"
*
" indicates required fields
Name Insured (if LLC please list here)
*
Date of Birth
*
MM slash DD slash YYYY
if LLC, please name beneficiary Owner
Occupation (if retired please put previous occupation)
Are you the only owner in the vessel
*
Yes
No
Spouses do not count as an additional owner
Email
*
Phone
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
State & Driver License Number
*
Salesman
*
Eric
Eddie
David
Donny
Fulton
Hunter
Ariel
Other
Gender
Male
Female
Marital Status
Single
Married
Divorced
Widowed
Years of Boating Expierence
*
Home Ownership
Own Home
Rent Home
Live with Parents
Other
Boating Courses or Safety Qualifications
*
None
U.S Power Squadron
U.S Coast Guard Auxiliary
Mariners License
Captains License
Boat Name
Previously Owned Boats (Do not include the boat being quoted)
*
Year of Boat
Make & Model
Length
Year Purchased
Year Sold (If applicable)
Add
Remove
Please list all Boats owned to the best of your ability. you can click the + to add multiple boats.
List other operators (Full Name, Date of Birth , Years of Experience & DL #)
*
Please list name, date of birth, years of experience and driver license #
Prior Claims, Losses, Suspensions, Violations for all operators (if NONE, please state NONE)
*
please list Details of loss, Date, Cause of loss, Amount Paid
Any Auto Tickets/Accidents in the last 4 years?
*
Yes
No
Some companies run Motor Vehicle Records to quote
Storage Location (Marina/Address, City, State, Zip Code)
*
If boat is between multiple locations please list estimated months at each location.
Boat Storage Method
*
Dock/Slip
Trailer
Lift
Indoor Rack Storage
Outdoor Rack Storage
Other
If boat is kept on lift what is the estimated lift capacity?
Lay Up Dates (if applicable)
EX: September - February
Lay up storage method
Ashore
Afloat
No lay up boat used year around
Have you ever been convicted of a Felony or a DUI
*
Yes
No
How will the boat be used?
*
Private
Private with occasional charter
Full time Charter
Live Aboard
Other
Has any carrier ever cancelled or non-renewed coverage?
*
Yes
No
Do you own, rent or have a business more than 150 miles away from the boats storage location?
*
Yes
No
Example would be a vacation or rental property more than 150 miles from mooring location
If answered Yes above please list the secondary address
Example would be your secondary or primary home location that is 150 miles away from the boat storage location
Have you had boat insurance in the last 30 days?
*
Yes
No
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