15001 Walden Road, Suite 215C
Montgomery, TX 77356

1-866-TEXAS-45
(1-866-839-2745)

24 Hour Turn Around on Internet Quote Requests for Home, Auto, RV, Renters, Motorcycle and Water Craft!

Our Mission:

To help our clients find the right insurance coverage's at a fair price. As an independent agency, our agency can quote your insurance through a number of different carriers to make sure you are getting a good value on your insurance products.

Kyle E. Hern, Agent
Please feel free to call me on my cell phone, 713-203-8538, or visit our contact page.

Texas Watercraft / Boat Owners Insurance

(Texas residents only, please.)

Boat and Personal Watercraft We have several different markets for your watercraft / boat owners insurance needs. Vessels Insured Cruiser/Yachts Mega Yachts Runabouts Deck/Pontoon Boats Bass Boats Bay Boats/Center Console Sportfish Houseboats Tournament Ski Boats Personal Watercraft Coverage Provided All Risk Coverage Deductible Options Liability/P&I Medical Payments Personal Effects Uninsured Boater Towing & Assistance Full & Limited Charter Extended Navigation

Please provide the following information:

Zip Code First Name Middle Initial Last Name Date of Birth Email Address Confirm Email Address Home Phone (with area code) Work Phone (with area code) Fax Number (with area code) Address City State Zip Rent or Own Marital Status: Please Choose Married Widowed Single If married, please answer the questions below: Spouse's First Name: Spouse's Last Name: Spouse's Date of Birth: Boat Information Year: Make: Type of Boat: Please Choose Cruiser Day Sailor fishing House Boat Jet Ski Motor Sailor Multihull Preformance Power Boat Runabout Trawler Utility Model: Length (In feet): feet Purchase Price (in US Dollars): $ Purchased New or Used? New Used Date Purchased: Does the purchase price include the Trailer? Yes No Number of Motors: Engine Size(s): HP Inboard or Outboard: Maximum Speed: Is boat kept in locked garage?: Intended Use for Boat: Please Choose Pleasure Charter Commercial Principal Dwelling Propulsion Type Please Choose Inboard Outboard Inboard/Outboard Jet Discounts / Violations Will Boat be rented out? Yes No Will Boat be used for business? Yes No Boating years experience? years Any accidents, violations or suspensions in the past 3 years? Yes No Are you a member of a Boating Association? Yes No If yes, Boat club name: COVERAGE INFORMATION Bodily Injury Property Damage Personal Liability 20,000/40,000 25,000/50,000 50,000/100,000 100,000/300,000 250,000/500,000 15,000 25,000 50,000 100,000 Uninsured Motorist No Coverage 20,000/40,000 25,000/50,000 50,000/100,000 100,000/300,000 250,000/500,000 No Coverage 15,000 25,000 50,000 100,000 Deductible Waiver Personal Injury Protection: 2,500 No Coverage 5,000 10,000 DEDUCTIBLE INFORMATION Vehicle 1 >Vehicle 2 Vehicle 3 Vehicle 4 Comp (Theft) No Coverage 250 500 1,000 1,500 2,000 No Coverage 250 500 1,000 1,500 2,000 No Coverage 250 500 1,000 1,500 2,000 No Coverage 250 500 1,000 1,500 2,000 Collision< No Coverage 250 500 1,000 1,500 2,000 No Coverage 250 500 1,000 1,500 2,000 No Coverage 250 500 1,000 1,500 2,000 No Coverage 250 500 1,000 1,500 2,000 MISCELLANEOUS INFORMATION> Current Insurance Company: Expiration Date: Current Premium $: Questions or Comments to help the Agent: Surname

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