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Hull & Machinery
Protection & Indemnity
Contact Us
Quote
Canova Marine Insurance, Inc.
Home
Coverage
Hull & Machinery
Protection & Indemnity
Contact Us
Quote
GET A QUOTE
Get a Quote
Please fill out the form below to get a quote.
Name & Date of Birth
Corporate Name
Vessel Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone, Cell or Fax Number
(###)
###
####
Present Company & Expiration Date
Vessel Info: Year, Make & Model
Length, Weight & Top Speed
Construction (Steel, Fiberglass, Wood or Other)
Purchase Price
Date Purchased
Mortgage Holder, Address, Loan Amount
Coverage - Hull Value Requested
Coverage - Protection & Indemnity (Liability) Value Requested
Engine: Year, Make, Model & HP
Engine: Single, Twin, Gas or Diesel
Skiff/Tender - Value, Year, Make, Hull Material
Trailer Description: Value, Year, Make, Model
Homeport
Official/Registration Number
Navigational Limits & Maximum Offshore Miles
Equipment
Vessel Use (Passenger, Charter, Commercial Fishing, Private Pleasure...)
If Commercial Fishing - approximately how many days a year
Captain's Name & Date of Birth (List Alternate Captain's Name and Exp)
Captain's Years of Prior Experience, Licenses & Certifications
Date of Last Survey and By Whom
Current and Prior Vessels Owned
Number of Passengers
Number of Crew (Full-time, Part-time)
Is Vessel Equipped With Engine High Temp/Low Oil Pressure Alarms?
Is Vessel Equipped With High Water Level Alarms?
Automatic Fire Extinguishing System or Hand Helds
Claims In The Past 5 Years- Please List Date, Type, Amt & Status
Email Address
If coverage is placed through our agency, do you prefer policies and endorsements emailed or mailed via U.S. Postal Service
Thank you! We will be in touch shortly.