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IMPORTANT NOTICE: The following forms/documents are provided for the convenience of our staff and clients. The forms/documents listed are in Adobe.pdf format. A link to Adobe Reader is provided on this website. Use of these forms and/or documents constitutes your agreement they shall only be used in your business or personal dealings with our firm, offices , affiliates and/or service organization. Any other use is strictly prohibited.
Policy wordings are copyrighted by their respective publishers or owners. Do not make illegal copies of these forms.
Copies of policy wordings displayed on our website are provided as a courtesy and for informational purposes only and should not be construed as confirmation of any agency agreement or other authority to act for any insurer(s), underwriter(s) or their representative(s).
We have no authority whatsoever.
Whilst we try and ensure the documents, forms, policy wordings and other publications are accurate and up-to-date, we do not guarantee them. Policy wordings change regularly and they are also amended by endorsement and other altering language.
Refer always to your policy as the items on this website are provided for informational purposes only and may be inaccurate, incomplete or out-of-date.

Form/document use or description Version Remarks
YYMMDD
Premium Payment options
Credit/debit card authorization 060920
Monthly credit/debit card authorization 060920
Monthly bank account debit authorization 060920
FaxChek© instructions Marathon Office 031203
FaxChek© instructions Merritt Island Office 031203
FaxChek© instructions Caribbean Office 031203
Claims forms
Marine claim (First notice) Use to report a claim by fax or mail
Policy wordings*

  * Policy wordings are copyrighted by their respective publishers/owners and are provided for informational purposes only

ACV Endorsement 020910
ACV Endorsement-Commercial Yachts 020910 Attached to some CharterBiz policies
ACV Endorsement-Commercial Yachts 042805 Attached to some CharterBiz policies
ACV Endorsement-Private Pleasure Yachts 030922 Attached to some Skipper's Choice policies
Additional Assureds
Arbitration 020910
Arbitration 041229
American Yacht Form R12
Breach of Warranty Required by some lenders
Brokers Cancellation Clause
Classification clause
Columbia Endorsement
Cuba Endorsement Attached to some Skipper's Choice policies
CIC Agreed Wordings 060902 Attached to Asset/Lemma policies
Diveboat endorsement 030304 Attached to some CharterBiz policies
Dive Snorkel Endorsement 031101
DNOC-Direct Notice of Cancellation
General Change Endorsement 030930
General Change Endorsement 041229
Haiti Endorsement
Institute Yacht Clauses 850101
Institute Cargo Clause A Attached to CargoCare policies
Institute Cargo Clause B Attached to CargoCare policies
Institute Cargo Clause C Attached to CargoCare policies
Insurer contact information 051104
Insurer's Health Statement 040528
Latitudes Policy wordings
Liability Limitation Endorsement 030629
Limited Pollution 030504
Love me Tender 04.05.11 040511 Important information regarding your dinghy
Mediterranean  Navigation 030915
Named Operator Endorsement
Named Storm Limitation 030803
NMU Marine policy Used by National Marine Underwriters
Perils of the Sea Exclusion Used on some floating homes policies
Racing Endorsement 030426 030426
Radioactive contamination
Several Liability Notice 030504 030504
TLD Commercial Yachts TLD3COM Attached to TL Dallas Commercial Yachts policies
TLD endorsements Maybe attached to some TL Dallas policies
TLD Private Premier TLD1PYP Attached to TL Dallas Premier Private Pleasure policies
TLD Private Pleasure Yachts TLD3PPO Attached to TL Dallas Private Pleasure policies
TLD Private Pleasure Yachts TLD5PPO Attached to TL Dallas Private Pleasure policies
Hurricane Plans & Zone/Period definitions
Hurricane Plan Form C 060315 Required by NAGICO, CICL and others
Hurricane Plan Form T 060315 Required by TL Dallas
Hurricane Zone CICL & NAGICO
Hurricane Zone TL Dallas
Hurricane Tips-Are you ready? 060315 The boat you save may be your own
Service Contracts
LifeLine© Services Contract 031203
LifeLine© Services Contract 040711
Lifeline© Benefit Endorsement 030128 Maybe attached to NAGICO/IMPL/AICL/CICL policies
Lifeline© Benefit Endorsement 040711 Maybe attached to NAGICO/IMPL/AICL/CICL policies
Miscellaneous
Application/Proposal form MS Word format 070907 Used for CharterBiz, Pleasure and some Commercial yachts
Application/Proposal form PDF
Application/Proposal Supplements 060505 Required for CharterBiz, Races and Commercial yachts
Institute Cargo Clauses comparison Helpful when comparing CargoCare cargo coverages
Maintenance & Routine Suggestions 060912 Useful tips to keep your boat running young
Recreational Rental Property Program Application 0305 PWC Renters, Waterskiing, Paragliding, Gliders, etc.
Resume of personal boating experience Required for underwriting purposes
Resume of personal boating experience (hi-speed vessels) Required for underwriting purposes when insuring hi-speed, performance or tunnel-hulled vessels
Self survey MS Word format 070907 Helpful to evaluate the condition of your boat but it does not replace a professional survey or opinion
Self survey PDF
Statement vessel not subject to Florida taxes 040825 Required for vessels where it is not clear if the boat is or is not located in Florida for more or less than 90 days

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