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Yacht Insurance Proposal Application

Owning a yacht is a significant investment, and securing the right insurance is essential to protect it. At Pacific Ocean Marine Insurance Brokers, Inc., we simplify the process of obtaining comprehensive coverage through our easy-to-complete yacht insurance application. Whether you own a private vessel, a luxury mega yacht, or operate a charter yacht, our tailored policies are designed to safeguard your yacht, passengers, and crew. From physical damage and liability coverage to protection against environmental risks and personal belongings, we ensure your yacht is protected at sea and in port.

Applying for yacht insurance with us is quick and straightforward. Simply fill out our detailed application form, providing information about your yacht’s specifications, usage, and navigation areas. Once submitted, our experienced team will review your application and create a personalized quote that fits your needs and budget. With decades of expertise in marine insurance, we offer competitive rates and unmatched service, giving you the peace of mind to enjoy your time on the water.


 

"*" indicates required fields

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Applicant Information

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Residence:*
Max. file size: 50 MB.
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Vessels with an Out-of-Water Condition and Valuation Survey of 3 years or older may need to have a new survey performed before coverage can be bound.

Yacht Information

Hull Material:*
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Max. file size: 50 MB.
    Photos of pontoons are required, showing the condition of the unit and that all gates are fully paneled.

    Yacht Navigation Limits & Usage

    Yacht Storage Information

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    Operator Information

    Primary Operator Name*
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    Liscensed Captain
    Prior Boats Operated*
    Year
    Length
    Description of Boat Operated (Manufacturer and Model Name)
    Total Years Owned and Operated
    Owner (y/n)
    Operator (y/n)
     
    List and describe all prior marine losses, including dates:
    Loss Type
    Description
    Date
    Amount
     

    Eligibility Questions

    Is the yacht(s) up for sale?*
    Has the yacht(s) not been insured anytime during the past 30 days?*
    Has the yacht(s) (including the engines) been modified or altered from its original stock condition?*
    Has any owner(s) or opertator(s) ever been convicted of a felony?*
    During the past three years, has any operator(s) had their license suspended, revoked, or refused?*
    During the past three years, has any operator(s) had any boat or automobile insurance cancelled, been refused issuance or renewal, or receieved notice of such intent?*
    Are there any owners that have not been disclosed?*

    Loss Payee Information

    Name
    Loss Payee Address*

    Coverages and Premiums

    Clear Signature
    Clear Signature
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    List
    This field is for validation purposes and should be left unchanged.

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