BOAT INSURANCE QUOTE

Let our Personal Lines Specialists help you find the best coverage to meet your boat insurance needs at a price that fits your budget.

If you would like an agent to contact you directly, simply complete the following information and submit: Location, Name, Phone, Email.

Select location to receive your information: Required

Pierre

Rapid City

Mitchell

Sioux Falls

Watertown

Name Required

Garaging Address

Address 1

Address 2

City

Country

State/Province

Postal Code

Phone Required

Email Address Required

Mailing Address (if different from above)

Address 1

Address 2

City

Country

State/Province

Postal Code

DRIVER 1 INFORMATION

First Name

Last Name

Gender

Male

Female

Marital Status

Single

Married

Divorced

Widowed

Separated

Years Licensed

State Licensed

Occupation

Date of Birth

DRIVER 2 INFORMATION

First Name

Last Name

Gender

Male

Female

Marital Status

Single

Married

Divorced

Widowed

Separated

Years Licensed

State Licensed

Occupation

Date of Birth

DRIVER 3 INFORMATION

First Name

Last Name

Gender

Male

Female

Marital Status

Single

Married

Divorced

Widowed

Separated

Years Licensed

State Licensed

Occupation

Date of Birth

DRIVER 4 INFORMATION

First Name

Last Name

Gender

Male

Female

Marital Status

Single

Married

Divorced

Widowed

Separated

Years Licensed

State Licensed

Occupation

Date of Birth

BOAT INFORMATION

Year

Make

Model

Type

Sail Boat

Ski Boat

Pontoon Boat

House Boat

Cabin Cruiser

Bass Fishing Boat

Flat Bottom

Tunnel Hull

Pickle Fork

Configuration

Outboard

Inboard-Outboard

Inboard

Identification Serial Number

Cost New Value

Boat Length

Maximum Speed

Lienholder State

Lienholder Zip Code

TRAILER INFORMATION

Year

Make

Model

Type

Single Axle

Dual Axle

Three Axle

Identification Serial Number

Cost New Value

MOTOR INFORMATION

Year

Make

Model

Type

Single Axle

Dual Axle

Three Axle

Identification Serial Number

Cost New Value

Horsepower or Motor Size

DEDUCTIBLE INFORMATION

BOAT

Comprehensive

No coverage

250

500

1,000

1,500

2,000

Collision

No coverage

250

500

1,000

1,500

2,000

TRAILER

Comprehensive

No coverage

250

500

1,000

1,500

2,000

Collision

No coverage

250

500

1,000

1,500

2,000

VIOLATION INFORMATION

Last 3 years (minor violations)
Last 5 years (major violations)

DRIVER 1

Minor violations - speeding, turn, stop sign, red light, etc.

1

2

3

4

Accidents - not at fault

1

2

3

4

Accidents - at fault

1

2

3

4

Major violations - drunk driving, reckless, hit and run, etc.

1

2

3

4

DRIVER 2

Minor violations- speeding, turn, stop sign, red light, etc.

1

2

3

4

Accidents - not at fault

1

2

3

4

Accidents - at fault

1

2

3

4

Major violations - drunk driving, reckless, hit and run, etc.

1

2

3

4

DRIVER 3

Minor violations - speeding, turn, stop sign, red light, etc.

1

2

3

4

Accidents - not at fault

1

2

3

4

Accidents - at fault

1

2

3

4

Major violations - drunk driving, reckless, hit and run, etc.

1

2

3

4

DRIVER 4

Minor violations - speeding, turn, stop sign, red light, etc.

1

2

3

4

Accidents - not at fault

1

2

3

4

Accidents - at fault

1

2

3

4

Major violations - drunk driving, reckless, hit and run, etc.

1

2

3

4

COVERAGE INFORMATION

BODILY INJURY

Watercraft Liability

Uninsured Boat

Medical Payment

PROPERTY DAMAGE

Watercraft Liability

Uninsured Boat

MISCELLANEOUS INFORMATION

Does the boat have a fire system?

Yes

No

Any commercial usage?

Yes

No

What is the fuel type?

Gas

Diesel

Desired amount of electronic fishing equipment:

What is the current insurance company?

Policy Expiration Date

Americas/Chicago

Current Premium

Questions or Comments

RELATED DOCUMENTS

Document 1

Document 2

Document 3

Please Note: Insurance coverage cannot be bound without a completed application and premium paid.

FishcerRounds

CONTACT US

Mitchell: 605-996-7711
Pierre: 605-224-9223
Rapid City: 605-737-7865
Sioux Falls: 605-336-444 4
Watertown: 605-886-4361

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