Pleasure Craft Quote Sheet
 
Instructions: Please fill in the following information and a Qualified Johnston Meier Insurance Representative will contact you with your quote. 

Note: Quoted prices are only valid within the Province of British Columbia, Canada.

Description
.
Type
Identification
Construction
Engine
Auxiliary.
Year Built
Fuel
H.P.
Manufacturer
Outboard.
Year Built
Fuel
H.P.
Manufacturer
Tender.
Year Built
Length in Feet
Value
Manufacturer
Trailer.
Year Built
Serial Number
Value
Manufacturer
Boating Experience of Operators.
Name
Years Owned
Years Operated
Vessel Size
Courses Successfully Completed (CPS,CYA,etc.)
Will there be any operators under 18 years of age?
Electronic EquipmentList all Navigation Equipment used specifically in the operation of the vessel
C.B. RadioValue: 
Depth SounderValue: 
VHF RadioValue: 
LoranValue: 
RadarValue: 
Other: Value: 
Safety Equipment.
Number of Bilge PumpsAutomatic 
Manual 
Fume Detector
Automatic Fire Extinguishing SystemQuantity 
Type 
Date last tested and tagged 
List other safety features
Location.
Where is your vessel moored?
Where is vessel laid up?
Afloat Year Round  Ashore
Primary areas of operation?
InsuranceVALUATION
including Hull, Machinery, Attached Equipment
Present Insurer
Policy # 
Estimated Current Replacement (New) Value
Present Market Value
Price Paid when Purchased
Date Purchased
.
Contact Information
Name
Address
City
Postal Code
Email Address
Telephone #
Fax #