Boat Marinas Repair Service Quote

Boat Marinas Repair Service Quote2025-11-05T11:18:03-08:00
Name of Applicant
Address
Type of Business:
Is Applicant affiliated with any other business (e.g., resort)?
Is business open all twelve (12) months of the year?
If no, when open?
Deductible requested
$
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Sales $
Payroll $
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Sales $
Payroll $
No. of Spaces: $
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Sales $
Annual Gross Receipts $
$
Do you sponsor any Special Event?.
Do you use a Crane/Boat Lift?
Feet
years old
Do you provide Pump-out Service?
If yes, do you maintain all environmental records in accordance with State and Local Regulations?
Do you operate a Fueling Station?
If yes, answer questions below
$
Number of tanks located at your site:
years old
gallons
years old
Do you offer twenty-four (24) hour self-service fueling?
Is fueling always performed by an employee attendant?
What is the maximum length of boats:
Do you repair high performance boats?
Do you rent or sell any ATVs, houseboats, jet skis, wave runners or other personal watercrafts, and vehicles?
Do you build or manufacture any watercraft?
Describe your floating property
Dock Name, Letter or Number
Dock Contruction Type (wood of steel)
Age
Number of slips
Are docks covered (i.e., with roof)?
Located on a waterway that is subject to tides and/or water?
Boat Repairs (Repairs, Restoration, Alteration, Maintenance):
Types of Work Done:
%
%
%
%
%
%
%
%
%
Type of vessels repaired:
Any conversion or reconstruction of vessels (e.g., for parasailing)?.
If Yes:
Value of vessels handled:
Percentage of income from:
Are operations subject to the Jones Act or the USL&H Act?
PLEASE ATTACH A COPY OF THE FOLLOWING ITEMS IF APPLICABLE
YOUR BOAT RENTAL AGREEMENT
YOUR SLIP RENTAL AGREEMENT
YOUR FIVE YEAR CURRENTLY VALUED INSURANCE CARRIER LOSS RUNS

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