Bianchi Insurance       Free Boat Insurance Estimate   (NY State Only!)

Stand Alone Watercraft policies will include a $50 Brokers Fee.

This is waived if you have or write Auto or Homeowners with us.


   

    Residence 

      Boat Year         

    Make                  

    Model                     

    Length       

    Type Of Boat (Sail , Bass , Power etc)      

    $ Value     

    Includes a trailer?    

     Number of Motors       

    Total Horsepower         

    Maximum Speed  

    Propulsion Type       

    Hull Material                

    Boat Mooring Zip Code 

    Do You want Physical Damage Coverage (Collision)       

    Diesel Engine                                                             

    Does your watercraft have over-the-transom exhaust and/or  exposed engine?      

  

    Boat Operator   

Full Name
Date of Birth
Street Address
Social Security #    (We run a credit score)
  Drivers License #
City
Zip Code
Cell/ Work Phone
Home Phone
County ****

  Bodily Injury Liability (BI) coverage you want

   NY State Minimum
   $50,000 per person / $100,000 per accident

   $100,000 per person/$300,000 per accident or $100,000    Combined Single Limits (CSL)

   Greater than $100,000 per person/$300,000 per accident or $100,000 (CSL

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** This is not an offer to sell insurance or an advertisement of insurance in any place except the State of NY , United States of America. 
Rand M. Rudolph
Copyright © 1999    [Bianchi Agency Inc.]   All rights reserved.

WAuto, Insurance, Homeowners, Car, Estimate, Quote, Syracuse, Solvay, Cheap, DWI, Suspended, Revoked, Points, Discount, Local Office, Local Agent, Auburn, Baldwinsville, Marcellus, Geddes, Liverpool,
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