Commercial Vessels Insurance Quote - Fleetwood Insurance Group

Quote Request for Commercial Vessels

Please complete and submit the form below to receive a quote. While not all fields are mandatory, providing this information will help us offer you a more accurate quote.

1.) Personal Information

Name of Insured

Owners Name

Corporate Name, if any

Is corporation for sole purpose of vessel ownership?

Phone

Address

Website

Current Insurer

Prior vessels owned or operated

Year

Type

How Long Owned

Losses in past 5 years (on any vessel)?

2.) Vessel Information

Vessel Name

Year

Make

Model

Length

Construction

Hull ID/Serial #

Replacement Cost

Has Vessel been Coast Guard Inspected?

If yes, how many passengers is it certified for?

Doc #

Is vessel more than 6 passenger?

Date of Vessel’s Last Survey

Surveyor

Purchase Date

Purchase Price

Amount Financed

3.) Engine Information

Number of Engines

Horsepower per Engine

Max Speed

Year - Engine 1

Manufacturer

Serial #

Year - Engine 2

Manufacturer

Serial #

Is vessel equipped with the following

High Water Level Alarm (outboard only)

Fume Detectors

Automatic Fire Extinguisher System with Manual Override

4.) Navigation Details

Maximum Number Passengers Any One Trip

Home Port

Waters Navigated

Type of Charters

Any Overnight

Is this vessel used for HOBA or other on demand rideshare services?

If yes, provide details

Do passengers swim, snorkel, scuba dive or waterski from the insured vessel?

Average Number of Charters per Year

Lay-up Period (if any): From

Lay-up on Land or Water?

If Lay-up Period; Give Location

Is vessel being held for sale?

5.) Captain Information

Is Vessel Captain Owned?

Total Number of Crew (excluding Captain)

Captain Name

Date of Birth

Years with Insured

Prior Experience

Does Captain have a current USCG Operator of Uninspected Passenger Vessel License?

Other Licenses & Certifications

Name of each crew members, job each performs & years with insured

Name

Job Description

Years with Insured

Name

Job Description

Years with Insured

Name

Job Description

Years with Insured

Name

Job Description

Years with Insured

Please note that coverage is not bound or altered unless confirmation is received from an agent. You also agree to release us from any liability if this information is accidentally viewed by unauthorized others. We will only use this information for insurance quoting purposes.