NAMU Marina & Boat Dealer Supplemental Application

Please fill out the form below and hit the submit at the bottom of the page.

Boat Dealers / Marina Operators Supplemental Application (Supplement to Accord Applications)

To download a printable version of the application, click here

General Information
Building/Premises Information
Boat Dealers
Limits
$
$
$
$
$
$
Maximum value any one vessel
$
$
List Brands Sold
Do You Sell?
$
$
miles
$
$
$
Boat Repairs
Type of Boats Repaired
%
%
Types of Work
%
%
%
%
%
%
%
%
%
Repair Work Done
%
%
Value of Boats
$
$
$
Storage
$
$
Type of Storage
%
%
%
%
%
$
Slip Rental & Moorage
$
$
$
Hauling & Launching (not in conjunction with Repair/ Storage)
$
$
$
$
Fueling
$
Protection & Indemnity
$
Piers & Docks
$
$
$
$
Owned Watercraft
Rental Watercraft

Attach a complete list of all rental watercraft including a description of Use, Type, Year, Make, Model, Length, HP, and Serial # and an insured value for Physical Damage coverage. Also include a copy of the boat rental agreement.

$
Loss Information – prior 5 years (if none state none)

Click here to download a PDF of the Dock Schedule form, complete it, scan it, and upload it below.

You can download the dock schedule template above and upload it here once completed.

I hereby declare that I have personally read this application and that the statements are true. I understand that this is not a binder of insurance and is information submitted only for the purpose of rating and quotation.