Get a Quote | Jack Martin & Associates Insurance

Yacht/Boat
Information

Use

Insured
Value

Experience

Get a Quote

Please complete this form for our team to generate a quote for you!

Name/Owner *

Email Address *

Phone Number *

Street Address

City *

State *

ZIP Code

Date of Birth *

Marital Status

Yacht/Boat Information

Purchase Date *

Yacht Name:

Price *

Year Built *

Length *

Manufacturer *

Model *

Hull Type *

Hull Material *

Hull #

Number of Engines *

Engine Year *

Engine Manufacturer *

Engine Horsepower *

Fuel Type *

Tender

Use

Use *

Navigation Area/Range *

Layup Period *

Summer Location *

Winter Location *

Do you live aboard vessel? *

Yes

If yes, no. of months per year

Insured Value

Hull Value

Liability

Deductible

Current Insurance Provider

Experience

Prior Boats Owned (List length of boat and number of years owned for each boat)

Prior Boating Experience *

Losses/Claims *

Boating Education *

How did you hear about us?

Are you working with a specific agent? If so, who?

Jon Horton

By submitting this form, you authorize the information to be provided to Alera Group and its subsidiaries (collectively "Alera") and agree Alera may contact you utilizing the contact information provided.

**We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

***Certain individuals associated with Alera Group, Inc. and its subsidiaries are registered to offer investment advisory services and offer securities. For each individual’s registration status, please view their individual website and disclosures. Additional information about individuals registered with FINRA can be found on FINRA's BrokerCheck