Maryland Boat Insurance Quote

Upper Chesapeake
Insurance Agency of
Baltimore, MD offers
affordable and
experienced personal
insurance services
throughout Maryland.

In addition to Maryland
Boat Insurance quotes,
we also offer affordable
Homeowners Insurance
policy quotes.

We are a Baltimore, MD full service insurance agency, offering affordable
Maryland boat insurance quotes in the following neighborhoods, cities and
counties: Federal Hill, Locust Point, Canton, Fells Point, Bolton Hill,
Butchers Hill, Dundalk, Essex, Baltimore Highlands, Lansdowne, Middle
River, Rosedale, Arundel Village, Brooklyn Park, Kenwood, Eastpoint, North
Point, Chesaco Park, Rossville, Halethorpe, Elkridge, Linthicum, Glen
Burnie, Rippling Ridge, Garland, Ferndale, Woodlawn Heights, South Gate,
Severn, Catonsville, Shipley, Arbutus, West Edmondale, High Point, Riviera
Beach, Green Haven, Orchard Beach, Lipins Corner, Ellicott City, Lochearn,
Brighton, Woodmoor, Rockdale, Lynne Acres, Pikesville, Randallstown,
Owings Mills, Garrison, Towson, Mays Chapel, Overlea, Parkville, Carney,
Perry Hall, Elmwood, Edgemere, North Point Village, Rodgers Forge,
Ruxton, Linhigh, Fullerton, Putty Hill, Baynesville, Lutherville-Timonium,
Annapolis, Columbia, Hampton, Providence, Montgomery County, Carroll
County, Prince Georges County, Howard County, Anne Arundel County,
Harford County, and Baltimore County, MD. We also offer Maryland boat
insurance quotes throughout the Old Line State.

Applicant Information:

Full Name:
Mailing Address:
City:
MARYLAND     Zip Code:
Email Address: (Required)
Home Phone: Work Phone: Ext.
How to Contact You:     Social Security #:
Date of Birth:             (mm/dd/yyyy)
Gender:         Marital Status:
Current Insurance Company:
Policy Expiration Date:          (mm/dd/yyyy)

Maryland Boater Information:

  Boat       Year      Builder               Model          Vessel Type    Length    Cost New
     1
     2

Engine Information:
  Boat       Year       Engine Type       Manufacturer      # of Engines      Cost New
    1
    2

Mooring/Storage Location
  Boat
     1
     2

What types of safety equipment is on your vessel(s)?
(check as many boxes as desired)
  Boat
     1   VHF    Depth Finder    SAT NAV    Auto Halon
          EPIRB    SSB    GPS    Radar
          Loran    CO-2    Fume Detector    Other
     2   VHF    Depth Finder    SAT NAV    Auto Halon
          EPIRB    SSB    GPS    Radar
          Loran    CO-2    Fume Detector    Other

Is boat used on any private lakes?
  Boat
     1
     2

Is this a promotional/Memo boat?
  Boat
     1
     2

Is boat used for guide service or chartering?
  Boat
     1
     2

Is boat used for residence?
  Boat
     1
     2

Is boat used for waterskiing?
  Boat
     1
     2

Is your driving record accident & violation
free during the past 5 years?
If No, how many accidents?    How many violations?

Boat Insurance Coverages Desired For?
(check as many boxes as desired)
Boat(s)    Motor(s)    Equipment    Trailer

Maryland Boat Insurance Coverage Information:

                    Liability                  Uninsured
  Boat    Limits(x $1,000)      Boater(x $1,000)       Medical
     1
     2             SAME                       SAME                       SAME

                   Collision         Comprehensive
  Boat       Deductible           Deductible
     1
     2

Any boating claims of losses to vessel(s) or
from liability in the past 5 years?
Description of losses:

Additional Information or Comments

Click on the "Submit Quote Information" button below to
send your Maryland Boat insurance quote request.**

**Information received from this Maryland Boat Insurance quote form sent
to Upper Chesapeake Insurance Agency, will be for our use only and will
not be sold, given to or distributed to any other parties. A quote will be
based on the boat insurance policy information provided and does not
guarantee acceptance of the risk by us. The precise coverage
afforded is subject to meeting underwriting guidelines, and the terms,
conditions and exclusions of the policy as issued. By submitting this
request you acknowledge that this is neither an offer to insure nor a
guarantee of insurance. Completion of this form does not entitle you
to a Maryland Boat Insurance policy. We are licensed in Maryland
and will not provide boat insurance quotes for other states.