Houseboat Insurance | Insurance Associates

Houseboat Quote

We Do Not Insure Boats With a Value of Less Than $75,000

By entering the requested information we will be able to process and return your Houseboat Policy Request. This request does not provide coverage until one of our agents has contacted you. If you should have any questions regarding the completion of the form you may contact us toll free 888-423-2488 or email mtlong@insuranceassociates.net. You may also print off this application then fax to the attention of Mike Long at 513-425-9601. Your request will be submitted and processed within 2 business days. You will be notified when the request has been completed.

*Your name
*Your Age
*Corporate Name
*Mailing Address
*City
*State
*Zip Code
*Email Address
*Day Phone
Fax
*Your Occupation
*Marital Status
*Vessel Type	Yacht Sailboat Houseboat Powerboat Sportfisher
*Current Insurance Company
*Policy Expiration Date
*Years of Ownership (All Boats)
*Years of Boating Experience
Prior Boats Owned
Safety Courses	Power Squadron Coast Guard ASA
Other Safety Courses
*Will there be more than one owner?	Yes No
Please enter the total number of owners
*Will there be any other operators apart from the owner?	Yes No
Total number of operators
*Any paid Captain or Crew Members?	Yes No
Total number of paid crew
*Will the vessel be used for Chartering?	Yes No
Total Charters
*Is this vessel a Liveaboard?	Yes No
*Any insurance losses or claims in the past?	Yes No
Details if Yes
*Any driving tickets in the last 5 years for you or any operator of this vessel?	Yes No
Details if Yes
*Your Vessel Year
*Vessel Length (ft)
*Vessel Make
*Vessel Model
*Vessel Name
*Hull Material	Fiberglass Aluminum Steel
Other Hull Material
*Fuel Used	Gas Diesel
*Engine Make
*Engine Year
*Horsepower
*Top Speed
*Approximate Date of Purchase
*Purchase Price
*Last Survey Date
	In-Water Out-of-Water
*Summer Location
*Winter Location
*Vessel Laid Up?	Yes No
If Yes, please indicate the dates the vessel is laid up?	From To
*Area of Navigation
Please state below the limits of coverage you desire:
*Deductible
*Hull and Equipment
*Tender and Outboard
*Trailer
*Personal Effects
*Medical
*P & I Liability