Bianchi Insurance

                         FREE WATERCRAFT INSURANCE ESTIMATE  (FOR NY ONLY!)


   

         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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Great Coverage's


** 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.

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