ACORD Forms : How to Complete a Watercraft Application 82The underwriting process for any personal lines policy begins with the
submission of a completed application. This guide will provide assistance in completing the ACORD Watercraft Application.
This form can be used either as a stand-alone application or as a supplement to the Homeowners Application (ACORD 80) if physical damage on watercraft is being written under the Homeowners policy. Check with the company to determine whether physical damage can be written on the Homeowners policy.
If coverage will be provided under a yacht policy, do not use this form. Use ACORD 210, Yacht Section.
The generic sections of each personal lines form are explained in the Personal Lines Generic Section at the beginning of the Personal Lines Section of the Forms Instruction Guide. On the ACORD website, this information appears under the title PERSONAL LINES GENERIC SECTIONS.
Provide hull number if more than one hull is to be insured.
Indicate the method of propulsion. Sailboats can be powered by an auxiliary engine, therefore, please check SAIL in addition to the auxiliary type of propulsion for sailboats.
Type of Hull
Indicate the type of watercraft to be insured. "Personal WC" refers to "personal watercraft".
If the hull material is not fiberglass, metal or wood, please indicate the material type in the remarks area.
Indicate the type of hull to be insured.
Indicate whether the fuel tank is made of fiberglass or metal.
Model year of the unit in YYYY format. If built at home, enter the year built.
Name of the manufacturer and the model (e.g., Chris Craft Tournament Fisherman, Pacemaker Runabout).
Overall length measured in feet from bow to stern.
Enter the maximum speed of the craft. State if measured in knots or miles per hour.
Date the watercraft was purchased by the insured in MMYY format.
Cost of the boat when it was purchased new, in whole dollar amounts.
Boat's present value, stated or agreed, in whole dollar amounts.
Name of Boat
Name in which the watercraft is registered.
Registration Number/Hull Identification Number
Enter the registration number and the serial number of the watercraft.
Identify the primary area of operation (e.g., San Francisco Bay Area, Hudson River).
This is typically the navigation territory. However, use company manuals to determine territory.
Physical address where the boat is stored; no P.O. boxes.
Specify the period when the boat is not in operation (e.g., October through March). Also, state if the boat is stored afloat or in a dry dock. If the boat is stored afloat, indicate the devices used to prevent ice damage (e.g., bubble system).
Use this section to provide information about all engines and motors used to propel the boat.
Model year of the engine/outboard motor in YYYY format.
Enter the name of the manufacturer, the model (e.g., Mercury Mark 50, Evinrude 200), and the serial number.
Enter the horsepower. There is a method for determining the maximum safe horsepower for a specific boat based on length and width. If the company employs this formula, it may be helpful to make note of the width in the space labeled "other".
Indicate the fuel used to power the engine.
For Outboard Motors Only
Provide the date purchased, cost when new and present value.
If boat trailer insurance is to be included on the watercraft policy (usually only available for stand-alone watercraft policies), enter all pertinent information regarding the boat trailer: year, manufacturer, serial number, number of axles, capacity, date purchased, cost.
COVERAGES/LIMITS OF LIABILITY
Indicate the limit of insurance, deductible and coverage premium for each applicable coverage. List any additional coverages, including their limit and premium in the other coverage section.
Amount of coverage for boat damage; this may include collision liability.
Amount of coverage for damage to the outboard motor. Limits may be entered for three motors.
* Coverage for inboard motors is included in the hull coverage.
Coverage amount for those items not permanently attached to the boat. Examples:
Amount of coverage for damage to the trailer.
Coverage amount for bodily injury and property damage. May be called protection and indemnity.
Amount of coverage for medical expenses for bodily injury to occupants of the boat.
Uninsured Boaters Liability
Coverage amount for bodily injury caused by an uninsured boat operator. Some companies offer this coverage.
Estimated total premium.
Describe all Credits to Apply to each Boat
List all credit amounts and names for each boat.
Total credit amount for the watercraft portion of the policy.
Indicate whether the agency or the company(direct) will bill the insured or other payee for the policy. If direct bill, also indicate who is to be billed, and the plan to be used for payment.
Provide the following information for each entity having an interest in the motors or the watercraft to be insured: the interest number or rank (1st, 2nd), whether the additional interest is the lienholder (e.g., bank in which the loan is held) or other interest, the name and address of the interest (e.g., Loans Are Us Bank, 123 Main St, Anytown, NY 10010) and loan number.
Provide a description of the equipment on the boat that is of particular interest to the underwriter.
Indicate the number present on the boat and an appropriate description of each piece of equipment.
A bilge pump is a manually operated or automatically activated device used for pumping water from the inner part of the ship's hull. Using the same principle as the manual pump, the automatic pump is activated by the rise of water within the hull. Specify the manufacturer and the model (e.g., Dynaflow Pump 304).
Indicate the manufacturer, model and fuel type. Also indicate if there is more than one stove.
A device used for detecting the presence of fuel vapors below deck. Specify the manufacturer and model (e.g., Sniffer 203).
CO2 / Chemical System
A built-in fire extinguishing device. Indicate if it is manual or automatic and identify the spaces protected. Include the manufacturer and model. Use the Remarks section if necessary.
Indicate the number of fire extinguishers on the boat. Specify the type, size, and the date last weighed, if available.
An electronic device for determining the depth of the water beneath the boat. Indicate the manufacturer and model (e.g., Moran 6" - 150/SV-300).
A device for detecting distant objects and determining their position. Specify the manufacturer and model.
Radio Direction Finder
A navigational aid employing a radio signal. Enter the manufacturer and model (e.g., Loran, GSP).
Ship to Shore Radio
Indicate the type of radio. Examples:
SSB-Single Side Band
VHF-FM-Very High Frequency - Frequency Modulation
CB -Citizens Band
Special locks, burglar alarms or engine cut-out devices may be employed by the applicant. Marina security may be noted as well.
Describe heating system, if any.
Use the blank spaces to list additional equipment. Attach a separate list if necessary.
List the portable accessories that are to be insured. Include the name of the equipment, year of manufacture, name of manufacturer, and the model and serial number if applicable. Also provide the limit(s) of insurance required.
List the name, sex, marital status (S-Single, M-Married, D-Divorced, SEP-Separated, W-Widowed), date of birth (MM/DD/YY), social security #, auto drivers license number and licensed state if applicable, for each household member and any other frequent operators.
Indicate if any operator completed courses offered by the United States Coast Guard Auxiliary, the Power Squadron or other recognized training. The underwriter will also be interested in the number of years of boating experience and the type of boats operated or owned. Some companies require the percentage of use for each operator. Be sure to cross-reference the operator number.
Use the Remarks section to provide additional information for any questions answered with a "Yes" response.
1. Is the boat chartered to others?
If the vessel is chartered, describe the type of arrangements, destination, length of time and frequency. Indicate if it is a bare boat charter where no crew or supervision is furnished, a voyage charter, a time charter, etc. Include the purpose of the charter (sight-seeing, fishing) and whether alcohol is served.
2. Is the boat used commercially or for business purposes?
Describe the commercial or business use of the vessel. Indicate if the vessel is used for demonstrations, promotions, fishing, sight-seeing trips, etc.
3. Is the boat used for racing?
If the vessel is used for racing, indicate the frequency of such races during the year, the extent of the race, the waters navigated, etc.
4. Is the boat used for waterskiing?
Indicate how frequently the vessel is used for waterskiing.
5. Does the applicant employ a paid crew?
Specify the number of crew members, and whether they are full or part time. Be sure to list the crew members in the Operator section of the application.
6. Any sleeping facilities?
Provide number of beds.
7. Any existing damage to the boat?
If yes, describe in detail.
Use the Remarks section to provide additional information for any question answered with a "yes" response.
1. Has the applicant lived at current address for less than 3 years?
Indicate the previous address of the applicant.
2. Any operator have physical/mental impairment?
Answer "yes" only if the impairment impedes the use of the watercraft. Indicate the impairment and any applicable medical treatment being used.
3.Any drivers license suspended/revoked during the last 3 years?
Indicate if the drivers license of any operator was suspended or revoked and explain the circumstances.
4. Has any operator had an accident/conviction during the last 3 years?
Indicate accidents/convictions for both driving and boating records.
5. Any other insurance with this company?
Indicate if other insurance is currently written for this applicant by the company. If a submission was mailed to another department recently, note it in the remarks section along with any policy numbers available.
6. Any losses occur during the last 3 years?
Describe in detail, all losses during the last three years. Include data on the operator, the type of loss, the amount of the loss, the date and the disposition.
7. Any coverage declined, cancelled, or non-renewed?
Provide the circumstances surrounding this situation. This question cannot be asked in Missouri.
8. During the last five years(ten in RI), has any applicant been convicted of any degree of the crime of arson?
In RI, failure to disclose the existence of an arson conviction is a misdemeanor punishable by a sentence of up to one year of imprisonment.
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Labels: Watercraft Application 82