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Commercial Marine Quote

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Personal Information

Named Insured *

First Name *

Last Name *

Mailing Address *

City *

State *

ZIP / Postal Code *

Primary Phone Number *

Fax Number

E-Mail Address *

Website

How did you hear about Voyager?

Company Information

Business Type *

Type of Operation *

Physical Address *

How Long in Business *

# of Employees *

Current or Prior Insurance Carrier

Policy Number

Expiration Date

Effective Date

Prior Losses/Claims

Gross Receipts

Annual Payoff by Classification

Do You Carry Workers Comp Insurance?

Yes
No

Workers Comp Expiration Date

Building Construction

Security/Alarms

Square Footage

Year Built

Tenant/Building Owner

Building - Limit Requested

Deductible for Building

Contents - Limit Requested

Floating Property/Docks - Limit Requested

Deductible for Floating Property/Docks

Loss of Income Floating Limit Requested

Dock Construction

Dock Year Built

Inventory Limit

In Transit Per Shipment Limit

Inventory at Other Locations Limit

Owned Vessels/Rental Boats

Commercial General Liability Limit

Marina Op Legal Liability Limit Requested: (non-owned vessels in your care, custody & control)

Protection & Indemnity Limit Requested: (liability coverage on the water)

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Important Notice
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