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Lobster Boat Quote
General Information
First Name:
Last Name:
Address:
City:
State:	Zip:
Telephone:	- -
EMail
Hull
Year Built
Length
Construction
Name
Homeport
Hull Value
Liability P & I
Limit	No Coverage 125,000 300,000 500,000
# Crew
Boat General
Months Lobstering	0 1 2 3 4 5 6 7 8 9 10 11 12
Months Per Year Other Fishing	0 1 2 3 4 5 6 7 8 9 10 11 12
Any Losses in 3 Years?
Type of Other Fishing?
Any changes or additions will not take effect until confirmed by your agent. Coverage has not been bound by this submittal.