Employment Opportunities with Haines & Haines/T.C. Irons

Yacht Owners Insurance Quotation

Application Information More Information Name Address Address City State Zip Code Phone (day) Phone (evening) Best Time to Call Fax Number E-mail Address Effective Date of Coverage Vessel Information Year of Vessel Length Overall Manufacturer Model/Type Hull Material Fuel Tank Material Engine Information Year Manufacturer Fuel Type Maximum Speed Number of Engines Horsepower of each Engine Amount of Coverage Hull & Machinery Liability 100,000 300,000 500,000 1,000,000 Other Trailer Additional Information Storing Location Dry Dock Location Purchase Price Date of Purchase In/Out of water by Dock Winter Storage DRY WET From: To: Operational Information Years of Experience Courses Completed USPS USCG Prior Boats Operated Date of Birth Age of all Operators Is boat used Commercially YES NO If used Commercially how Current Insurer & Premium Do you have Claims prior 3 Years Where is Vessel Navigated Additional Comments Please enter any additional comments or additional information where there was not enough room in fields above.

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Privacy Policy-We routinely collect personal and/or business information that is needed as part of the quoting and underwriting process.  We also collect the same information as part of service and update activities.  The Haines & Haines/T.C. Irons Agency will not share that information, or use it in any other way, with outside parties, vendors, etc.

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