Boat Dealer, Marina & Other Marine Industry Quote Request

Personal Information
Name Insured:
Mailing Address:
City:
State:
ZIP Code:
Phone:
Fax:
Email Address:
Website:
Contact Person:
Business Type:		Other
Federal Employers ID Number:

How did you hear about Voyager:
Type of Operation:
Physical Address:
How Long in Business :		# of Employees
Current or Prior Insurance Carrier:		Policy #
Expiration Date:		Effective Date:
Prior Losses/Claims:
Gross Receipts:
Annual Payroll by Classification:
Do you carry Workers Comp Insurance:		Expiration Date:
Building Construction:		Security/Alarms:
Sq. Footage:	Year Built :	Tenant/Bldg. Owner:
Building - Limit Requested:		Deductible:
Contents - Limit Requested:		Deductible:
Floating Property/Docks - Limit Requested:		Deductible:
Loss of Income Floating Limit Requested:
Dock Construction:		Year Built:
Inventory Limit:
In Transit Per Shipment Limit:
Inventory at Other Locations Limit:
Owned Vessels/Rental Boats:
Commercial General Liability Limit:
Marina Op Legal Liability Limit Requested: (non-owned vessels in your care, custody & control)
Protection & Indemnity Limit Requested: (liability coverage on the water)

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, such as additional drivers, vehicles, driver histories, etc..., please enter them here.

Please click the "Send Quote Request" button to submit your information.
One of our representatives will respond to you as soon as possible.

CA Lic. #OB99487