Request a Quote | Navis Marine Insurance Brokers

Request a Quote

Please fill out the form below and we will be in touch with you soon.

Request a Quote Form
Insurance Type*
- Yacht & Boat (Recreational)
- Commercial
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Cell Phone Number*
Boat Dealer Referral
DEALER NAME
Please confirm which Boat Dealer you were referred to us by.
OTHER BOAT DEALER
NAME OF SALESPERSON
Vessel Details
Vessel Type*
Vessel Length*
Vessel Year*
Engine Year*
Engine Make*
Date of Last Survey
MM slash DD slash YYYY
Hull Construction*
Hull Manufacturer*
Max Speed (mph)*
Engine Fuel*
Market Value $*
Purchase Price $*
Purchase Date*
MM slash DD slash YYYY
Additional Equipment
Dinghy/Tender:
Manufacturer, Year & Value
Engine for Dinghy/Tender:
Manufacturer, Year & Value
Other Auxiliary Motor:
Manufacturer, Year & Value
Trailer:
Manufacturer, Year & Value
Boathouse:
Boathouse Year, Boathouse Type, Boathouse Size & Boathouse Value
Moorage Information
Moorage Location*
Membership of Yacht Club or Group*
Owner(s) Experience
Type & Size of Previously Owned Vessels
Years as Owner
Years as Operator
Boating Education
- CYC
- PS
- Mandatory OPC
- OPC
- Other
Boating Education 'Other'
Have you had a claim or incident in the last five years?
- Yes
- No
Other Information