Welcome to Holman Insurance Brokers on-line Commercial Hull 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.

* Required Fields

Contact Information
Company Name*
Contact First Name*
Address*
Contact Last Name*
City*
Phone*
Province*
Phone 2
Postal Code*
Fax
Web Site
E-Mail*
Please specify your preferred method of contact:
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
Year Built
Vessel Name
Make / Model
Length
Beam
Draft
Hull Construction
Number of Engines
Engine Manufacturer(s)
Total Horespower
Fuel Type
Gas Diesel
Berthed
Vessel Used For:
Waters to be Navigated
Market Value
Last Surveyed
Number of Crew
Number of Passengers (max.)
Liability Required
Effective Date of Insurance
Claims (Please list all claims in past 6 years.)
Claim
Date of Claim
Claim Payout ($)
Details of Claim
1
2
3
Additional Comments



Please take a moment to tell us how you heard about us:
Thank You

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