American Marine Insurance – Canada

Our exclusive focus on Marine Insurance means you get expert marine knowledge and the best selection of marine insurers in North America

Quick Quote

1. Contact Information
Name*
First Last
Date of Birth*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
2. Vessel Information
Vessel Make*
Vessel Model*
Vessel Year*
Vessel Length*
Hull Material*
Other , Describe
Purchase Date*
Purchase Price*
Current Value*
Is there a trailer?*
- Yes
- No
Trailer Value*
Have you owned other boats?*
- Yes
- No
Vessel Make*
Vessel Length*
Years Owned*
3. Engine Information
# of Engines*
- 1
- 2
- 3
- 4+
Is your boat gas or diesel powered?*
- Gas
- Diesel
Total Horsepower*
Top Speed*
4. Usage
Where will you be using your boat?*
Mooring Location*
Is this boat your primary residence?*
- Yes
- No
Commercial use?*
- Yes
- No
Briefly describe the commercial use*
Is the boat laid up?*
- Yes
- No
From*
To*
Did you take any Safety Courses ?
- Yes
- No
Safety Courses name:
5. Policy Information
Limit of Liability*
Any past insurance losses/claims?*
- Yes
- No
Date Paid*
Amount Paid*
Describe Loss*
How did you hear about us?
6. Who is requesting this quote ?
*
Insurance Brokerage name:*
Name
Producer name*
Name
Address*
Address
Phone*
Email*
Comments
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Head Office

2700 Newport Blvd., Ste. 190,
Newport Beach, CA 92663
info@americanmarineinsurance.com
1.800.228.6779

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1. Contact Information