Aircraft Insurance
Marine Insurance
Auto Insurance for Pilots
Auto Insurance for Boaters
Aircraft & Marine
Insurance Agency, Inc.
101 W. Burnsville Pkwy,
Suite 215
Burnsville, MN 55337
Voice : (952) 890-1124
Toll Free: (800) 747-1124
Fax : (952) 890-0937
Contact Us
Privacy Policy
Marine Insurance Quote Form
Named Insured:
Street Address:
City:
State/Province:
Postal Code:
Contact Phone:
Your E-mail Address:
Current Company:
Expiration Date:
Watercraft
Use:
Pleasure
Liveboard
Charter
Other Commercial
Paid Capt/Crew
Year:
Make:
Model:
Length:
Max Speed:
Horsepower:
Twin
Single
Fuel:
Diesel
Gas
Aux
Moored/Location:
Laid Up/Location:
Lay-Up Dates:
From
To
Navigation Limits:
Trailer
Year:
Manufacturer:
Owner Record
Yrs Boating Exper.:
Date of Birth:
Occupation:
Losses Last Five Years:
Moving Traffic Violations (last 5 years):
Limits
Hull Market Value:
$
Deductible:
1%
2%
3%
5%
(Min. $250 Sailboat/$300 Powerboat)
Dinghy:
$
Liability Limit:
$
Trailer:
$
Personal Effects:
$
