Please fill in the form below and an independent insurance agent will contact you:

Name:*

Email:*

Type of Insurance:

Message:

Address

Phone Number:*

Leave this field empty

HOME
Online Quote
Business
Homeowners
Auto
Life
Powersports
Financial
- Bonds
- Annuities

Charter Boat Insurance Quote Request

V. W. Gould Agency Inc. - Florida Insurance Store > Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Vessel Name:(Required)

Vessel Information:(Required)

Hull ID/Serial Number:(Required)

Length Overall:(Required)

Manufacturer / Model:(Required)

Year Built:(Required)

Model Year:(Required)

Date of Purchase:(Required)

Purchase Price:

Present Value:

Maximum Speed:(Required)

Primary Power:(Required)

Hull Material:(Required)

Type of Vessel:(Required)

Engine Details:(Required)

Horsepower:(Required)

Tender / Dinghy Information (If applicable). Please provide Manufacturer, Year, Hull ID Number, Length and Engine Details:

Primary Mooring Location of Vessel:(Required)

{Including zip/post code where available} Between July 1st - Nov 1st please specify whether vessel will be ashore / afloat (moored) / or on a hoist?

Please adivse if this vessel is fitted with manufacturer recommended fire prevention / extinguishing equipment:(Required)

Yes

No

Explaination to why reccomended fire prevention/extinguishing equipment is not fitted.(Required)

Please detail any anti-theft precautions which are in place:(Required)

All waters to be navigated during this policy period:(Required)

Will the vessel be laid up (out of use) during this policy period - if so detail exact dates, location and advise whether ashore or afloat:(Required)

Is this vessel used for fare paying passengers?(Required)

Yes

No

Is this vessel chartered to others with a captain?(Required)

Yes

No

Does this applicant employ paid crew?(Required)

Yes

No

How many crew members?

Is this vessel used for waterskiing or diveboat charter?(Required)

Yes

No

Will this vessl be operated single handedly at night?(Required)

Yes

No

Does anyone reside aboard the vessel?(Required)

Yes

No

Will this vessel participate in any races / regattas / speed trials during this policy period?(Required)

Yes

No

Have you or any named operated been involved in a loss in the last 10 years?(Required)

Yes

No

Was any insurance declined, cancelled or non-renewed in the last 5 years?(Required)

Yes

No

Have you or any named operatged been convicted of a criminal offence or pleaded no contest to a criminal action?(Required)

Yes

No

All operators must be listed (First operator) Please include Name - Date of Birth - Boating Qualifications - Years Boat Ownership - Years Boating Experience - Lengths and Manufacturers of prior vessel experience:(Required)

All operators must be listed (Second operator) Please include Name - Date of Birth - Boating Qualifications - Years Boat Ownership - Years Boating Experience - Lengths and Manufacturers of prior vessel experience:

All operators must be listed (Third operator) Please include Name - Date of Birth - Boating Qualifications - Years Boat Ownership - Years Boating Experience - Lengths and Manufacturers of prior vessel experience:

Boating qualifications (For example 100ton)(Required)

Length and manufacturers of vessels previously owned or operated:(Required)

Have you been involved in a loss in the last 10 years (insured or not)?(Required)

Have you ever been convicted of a criminal offence or pleaded no contest? If YES, please give details:(Required)

Coverage Requested:

CAPTCHA

Δ

Call us today for a free no obligation quote 386 734 3970

Contact Us

Get a Quote
HAVE A QUESTION? FILL IN THE FORM BELOW AND AN INDEPENDENT INSURANCE AGENT WILL CONTACT YOU.
Name:
Email:*
Phone
Type of Insurance:
Notes
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

Δ

Like us on Facebook

Follow us on Twitter

Circle Us on Google+

OUR PROVIDERS

Berkshire Hathaway homestate companies

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

Charter Boat Insurance Quote Request

HOME OFFICE

201 N. Woodland Blvd.
DeLand, FL 32720
Phone: 386-734-3970

OFFICE HOURS

Mon: 9:00 AM – 5:00 PM
Tues: 9:00 AM – 5:00 PM
Wed: 9:00 AM – 5:00 PM
Thurs: 9:00 AM – 5:00 PM
Fri: 9:00 AM – 5:00 PM
Sat: Closed
Sun: Closed

Copyright 2021 VWGouldAgency.com

V.W. Gould Insurance Agency is Florida Insurance Agency based out of DeLand, FL. Serving the insurance needs of Central Florida. To learn more about some of the companies we represent, check out our partners.

We are an insurance company proudly serving insurance needs of Central Florida residents since 1907. Call us today for a free quote on Home, Homeowners, Auto, Life, Business, Boat, RV, Motorcycle, Yacht, Property Insurance, Workers Comp, Property, Commercial, Liability, Umbrella Insurance, Garage Keepers Liability, Business Owners Policy, Commercial Auto, Bonds.

Read more

V.W. Gould Agency, Inc. Voted “Best Insurance Agency”
The “Athens of Florida” and Home Insurance
Carrying adequate insurance coverage as a UAV operator
Home Preparation For A Florida Winter

Connect With Us:

Contact information

Address: 201 N Woodland Blvd
DeLand, FL 32720
386 734 3970
Phone: 386 734 3970

Open hours

Mon: 8:00 AM – 5:00 PM
Tues: 8:00 AM – 5:00 PM
Wed: 8:00 AM – 5:00 PM
Thurs: 8:00 AM – 5:00 PM
Fri: 8:00 AM – 5:00 PM
Sat: Closed
Sun: Closed

Copyright 1907- 2022 V.W. Gould Agency |Web Development & Brand Ambassador Services