Welcome to Holman Insurance Brokers on-line Boat & Yacht Insurance quick quote page. Please ensure you complete the form as accurately as possible in order to ensure the best possible estimate. If you would rather speak to one of our sales representatives, please call us at (905) 886-5630 or 1-800-567-1279.

Completion of this form is for informational purposes only, and is just an estimate.
This WILL NOT result in a new policy, or change to an existing policy.

- NOTE: This coverage is for private pleasure uses ONLY -

* Required Fields

Contact Information
First Name*
Last Name*
Address*
City*
Province*
Postal Code*
Phone*
Phone 2
E-Mail*
Contact Method
Phone Email
Insurance Information
Are you presently insured? If yes, what company?* (enter "none" if answer is no)
Policy Number* (enter "none" if you do not have a policy number)
Expiry Date
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
Vessel Information

Years of Ownership
Year Built
Manufacturer
Model
Overall Length (meters)
Hull Material
Purchase Date
Purchase Price
 Current Value
Name of Vessel
Serial No.
License/Registeration No
Number of Engines
Model of Engines
Year of Engines
Type of Engines
Make of Engines
Horsepower
propulsion Use Fuel Type
Gas Diesel
Where do you use your boat or yacht?
Summer mooring location or marina?
Winter lay up location or marina?
Vessel Type
Power Boat
Hull Type Sail Boats
Construction:
Fiberglass
Stock/Production Vessel
Aluminum
Customer Vessel/Professional Builder
Wood
Home Built
Steel
Kevelar/Expoxy/Exotic Laminate
Custom paint or metallic flake finish?(Yes, describe below):
Accessories Information
Trailer:
Trailer Year Trailer Make
Trailer Model
Trailer Serial #
Trailer Value
 

Electronics:

Electronics Value (List items over $2500 in remarks section)
Redar Depth Finder
V.H.F G.P.S
Other Electronics
detail:

Appliances:

  Fuel

Location of Tank
(if propane or Natural Gas)

Continuous Burning Pilot Light?
Stove
Heater
Refrigeration

Personal:

Personal EffectsValue (List items over $2500 in remarks section):
Description Amount
Fire Protection :
Built-in Fire extinguishing system

CO2

Automatic
Halon Manual Fume Detector
Engine Blower Smoke Detector Automatic Bilge Pump
Areas Protected:
Auxiliary Generator (type of fuel used):
Is boat equipped according to Canandian Coast Guard standards?
Boating Information
How many years of boating experience do you have?
List any boating education or courses
What is your automobile drivers licence number?
What is the boats maximum rated speed? (MPH)
What is your automobile driving record?

Violations: Have you or any operator of said vessel:

a) had a suspension of your driver's license, because of impairment, dangerous driving or criminal charges within the past 6 years?
b) been convicted of an infraction relating to sailing of a marine vessel?
c) been convicted in a court of law for insurance fraud?
Remarks / Losses / violations :
Number of tickets on automobile driving record
Coverage Information
Liability
Hull & Machinery
Trailer
Electronics
Personal Effects
Tender
Claims (Please list all claims in past 6 years.)
Claim
Date of Claim
Claim Payout ($)
Details of Claim
1
2
3
Additional Comments



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Thank you for trusting Holman Insurance Brokers Ltd. for your insurance needs, one of our representatives will contact you soon with your quote!
Boat & Yacht Quote