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Form Application for Marina Operator’s Liability

    MARINA OPERATOR'S LIABILITY APPLICATION SUPPLEMENT

    Location number

    OF

    (Fill out application for each location to be insured)

    1. Applicant:

    Name:

    2. Total Gross Receipts:

    Total Marina Receipts:

    Expiring Policy Year ($):

    Next Policy Year ($):

    3. Marina Location:

    Address:

    4. Marina Description:

    Description (enclose diagram and/or pictures, if available):

    Additional file:

    Additional file:

    Additional file:

    5. Operations Performed:

    a. Repair:

    Repair: Annual Gross Receipts ($)?

    Repair: Highest Value Yacht Repaired ($)?

    Type of Work Performed:

    Engine Work (%):

    Hull Repair (%):

    Other (%):

     

    b. Storage:

    Storage: Annual Gross Receipts ($)?

    Storage: Maximum no. of Watercraft Stored (#)?

    Estimated Average Value of Stored Watercraft ($)?

    Method of Storage:

    Racked Inside (%)?

    Racked Outside (%)?

    Cradle/Trailer Inside (%)?

    Cradle/Trailer Outside (%)?

    Other (%)?

    If "Other", please explain:

     

    c. Mooring

    Mooring: Annual Gross Receipts ($)?

    No. of Slip Moorings Available for Rental?

    No. of Buoy Moorings available for rental?

    What is the Estimated Average Value of Watercraft Moored?

    Are any Commercial Watercraft Moored?

    If "Yes", please explain:

    Are any Mooring Slips Under a Common Roof?

    If "Yes", please explain:

     

    d. Fuel Sales:

    Fuel Sales: Annual Gross Receipts ($)?

    Are fuel tanks below ground?

    Is Fueling Self Serve?

    If "Yes", please explain:

     

    e. Hauling/Launching:

    Hauling/Launching: Annual Gross Receipts ($)?

    Method used to Haul/Launch:

    Rated Working Capacity of Travel Lift(s) (TONS):

    Rated Working Capacity of Crane(s) (TONS):

     

    f. Sale of Water-craft and Supplies:

    Total Sales of new, used, and consignment watercraft and parts/motors ($)?

    New Watercraft Sales ($)?

    Used Watercraft Sales ($)?

    Watercraft Sales on a Consignment Basis ($)?

    Sales of Parts/Motors ($)?

    Watercraft manufacturers represented (list)?

    Parts/Motor Manufacturers represented (list)?

    Do watercraft, parts and/or Motor Manufacturer(s) provide you with a broad form Vendor's Endorsement?

    Annual number of boat shows in the water (#):

    Annual number of boat shows out of the water (#):

     

    g. Other:

    Other: Annual Gross Receipts ($):

    Fully describe these "Other" Operations:

     

    6. Floating Docks:

    Do you have floating docks?

    If "Yes", Answer the Following:

    Average age of the floating docks (years):

    Describe the Construction (Pilings and Decking):

    Type of Flotation Used:

    7. Workboats:

    Do you own and/or operate a workboat(s):

    If "Yes", are they covered for P&I Insurance Including Crew?

    Schedule of Workboats:

    Workboat 1:

    Name:

    Description:

    Horsepower:

    Intended Use:

    Workboat 2:

    Name:

    Description:

    Horsepower:

    Intended Use:

    8. Fire Protection

    Public Fire Department: Paid or Volunteer?

    Public Fire Department: How Far Distant (Miles)?

    Public Fire Hydrants: How Many (#)?

    Remarks and/or Other Fire Protection Measures Taken:

    9. Security

    Number of watchmen employed (#):

    Number of watchmen per shift (#):

    Are there watchmen on duty 24 hours? YesNo

    Is the Marina Fenced with Guard at Gate at all times when yard is operating?

    Remarks and/or Other Security Measures Taken:

    10. Adjacent Properties:

    Describe adjacent properties to the location:

    Copyright by Capacity Marine. All rights reserved.

    Copyright by Capacity Marine. All rights reserved.