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Download Forms
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These forms are in PDF format. A reader maybe
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 |
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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may be inaccurate, incomplete or out-of-date.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 |