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Insurance Information
Boating liability
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No Coverage
Split limits
Combined Single Limits
Bodily injury & property damage- per person/per accident –
If Split Limits
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$50,000/ $100,000
$100,000/$300,000
$250,000/$500,000
$500,000/$500,000
Medical Payments
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$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
$10,000
Uninsured Boater Coverage
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No
Boat Safety Course?
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Yes
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Boat Information
Currently Insured?
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Manufacturer
Usage
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Personal
Charter
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Boat year
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Value
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Hull Material
Number of Engines
Engine Type
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Trailer Coverage
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Additional Notes
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