Discover the Right Coverage Policy for Your Yacht Request a Boat Insurance Quote Thank you for your interest in Blue Water Yacht Insurance, Inc. To request a free boat insurance quote, simply fill in and submit the Quote Request Form below. One of our agents will contact you by phone or email to discuss boat insurance options. Note: The submitted data will be use only to contact you regarding your quote request. Blue Water Yacht Insurance, Inc. WILL NOT sell or distribute your informaton in any way.How did you hear about Blue Water Yacht Insurance, Inc.?(Required)GoogleLatitude 38YahooOther Search EngineRefferral (Yacht Broker)Refferral (Current Customer)SSCAYellow PagesBoat Owner Name(Required)TitleMsMissMrsMr First Last Street Address(Required) City(Required) State [for outside US use "Non-US (see Province)"]:(Required)Non-US (See Province)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesottaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUSVI (St. Croix)USVI (St. John)USVI (St. Thomas)USVI (other)UtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingProvince: Zip Code:(Required) Country:(Required) Country of Vessel Registration (Flag):(Required) Owner Occupation(Required) Owner Date of Birth (DOB): MM slash DD slash YYYY Email(Required) Phone Number:Boating Experience:(Required)None1-5 Years5-10 Years10-20 Years20+ YearsQualifying Experience:(Required) Captain (100-ton) Captain (50-ton) Coast Guard Aux Power Sqd Sailing School Navigation School Other (use info section) None other: Have you had any claims in the past 5 years?(Required)YesNoOriginal Purchase Date of Vessel:(Required) MM slash DD slash YYYY Vessel Name:(Required) Vessel Year:(Required)Date of Last Survey: MM slash DD slash YYYY Vessel Length (feet):(Required)Vessel Type:(Required)Aux SailCruiserCatamaranPerformancePower CatamaranRunaboutSport FisherTrawlerTrimaranOtherVessel Material:(Required)AluminumFiberglassSteelWoodVessel Manufacturer:(Required) Engine Manufacturer:(Required) Engine Year:(Required) Horsepower (each):(Required) Number of Engines:(Required)1234Fuel Type(Required)DIESELGASN/AMaximum Cruising Speed (in knots):(Required) Insured Value (HULL) in USD:(Required) Tender/Dinghy & Outboard Motor Value:(Required) If you do not have a tender and outboard motor, please use zeros.Personal Effects in USD:(Required) Please note: Any one item over USD 500 will require item description and price/value. USDLiability Limit:(Required)$ 100,000$ 300,000$ 500,000$ 1,000,000$ 10,000,000Cruising Itinerary (please be specific so we can quote the best possible price):(Required)Do you currently live-aboard the vessel year round?(Required)YESNOWhere will the Vessel be located during storm season (July 1 - November 1)?(Required)Is the vessel laid-up (not being used and not living aboard)?(Required)YESNOHow many months will the vessel be laid-up?(Required)0123456789101112Is the vessel laid-up ASHORE (out of the water) or AFLOAT (in the water)?NOT LAID UPASHOREAFLOATSUMMER/FALL Mooring Location July 1 to November 1 (include Marina Name & Address if at Marina):(Required) WINTER/SPRING Mooring Location November 2 - June 30 (include Marina Name & Address if at Marina):(Required) Will you be using the boat for chartering?(Required)YES (with PAID crew)YES (without PAID crew)NOIf Chartering, will you be serving LIQUOR?(Required)YESNON/AIf Chartering, will any children under 18 be paying passengers?(Required)YESNON/AWill the boat be used for racing (non-competitive) or rallies?(Required)YESNOProvide us any further information you think may be important:Please upload survey if you have one.Max. file size: 100 MB.Email PhoneThis field is for validation purposes and should be left unchanged.
