Boat Insurance Quote - Terry Miller Inc. of Colorado

Terry Miller Inc.
All Your Protection Under One Roof

8690 Wolff Ct Ste.110
Westminster, CO. 80031
303-425-4659
303-427-7913 (fax)
Colorado Ins Lic RP100087560 Colorado
E-mail:tmille5@amfam.com

Our agency is licensed to quote and write insurance policies only in Colorado. To find agents offering these coverages in all other states, please click the IQ.net logo.

Boat Insurance Quote
Completely fill out and submit this form to our agency to receive an accurate quote. You MUST provide at least one method of contact to receive a quote from our agency.
Personal Information

Name (required)

E-Mail Address (required)

Address

City/State/Zip(required)

Home Phone

Work Phone

Fax

Operators

First Name Birthdate Has Operator completed Coast Guard Auxiliary or Power Squadron course?

#1

#2

#3

Boat Information (ALL INFO REQUIRED)

Boat Currently Insured?

Policy Expires Month/Year

Current/Desired Policy Deductible

Boat Type

Use

Where is vessel stored

Waters Navigated

Used for Racing?

Hull

Make/Model

Hull Type

Length

Estimated Market Value

Year Built

Max Speed (in MPH)

Personal Effects? (Amount)

Misc Boating Equip? (Amount)

Engine(s)

#1 Engine

Make Year

Type

Fuel Type

Est. Value (O/B Only)

Horse Power

#2 Engine

Make Year

Type

Fuel Type

Est. Value (O/B Only)

Horse Power

Trailer?

If Yes

Make

Value

Liability Coverage

Liability

Medical Payments

Water Ski Medical Needed

Explain all yes answers below

Has any listed operator been involved in a boating accident within the past 5 years?

Has your boat and / or equipment suffered damage from any cause within the past 5 years ?

Has any listed operator been involved in an auto accident or received a moving traffic citation in the past 3 years?

Remarks

This page and site has been developed and maintained by InsuranceQuote.Net

Operators
First Name	Birthdate	Has Operator completed Coast Guard Auxiliary or Power Squadron course?
#1
#2
#3