American Reliable Insurance Company
To Get Underwriting Guidelines
Available To Texas Residents Only
UNINSURED BOAT OWNERS
Boat Owners limits must equal or be lower than Liability
Current Market Value $
( Claim Settlement Value Payable @ Time Of A Covered Loss)
If Watercraft < 16 yrs old
Hull Deductible Options
Watercraft 16+ yrs old ($500 minimum)
Cash Value Replacement
Minimum Written and Earned Premium Is $100
D ISCOUNT / SURCHARGE
Discounts that apply:
The applicant has maintained continuous, claim free,
insurance on a watercraft for the past year.
the watercraft used in speed contests or racing (except
sailboats), or designed and/or modified for racing?
Boat Safety Course / License: (Check all that
Is this vessel equipped with a converted
automobile engine, hydrofoils, or other apparatus that
enable it to become airborne? Yes
Is this vessel homemade, an experimental
craft or a collapse able craft? Yes
Is the watercraft used as a residence? Yes
& Federal Maritime Academy
Is watercraft equipped with motors that
exceed the manufactures recommended max. horsepower for hull
design or the hull rating plate?
Is watercraft a Ferro cement or iceboat , or
is it under construction?
Fire Extinguishing Equipment
Is the trailer not specifically manufactured
for use as a boat trailer?
Has any named insured or operator had their
auto, watercraft or rec. vehicle policy cancelled, declined
or non-renewed for underwriting reasons in the past 3 years?
vessel chartered, used for any commercial or organizational
usage, or rented/leased to others?
Surcharges that apply:
Is the watercraft navigated in Mexico?
Ownership: Less than 3 years of boat ownership.
Is the watercraft held for sale?
Does the watercraft have existing damage?
The named insured is a corporation for tax
Risk is located in a coastal county.
FAIR CREDIT REPORTING ACT NOTICE:
In compliance with the Federal Credit Reporting Act (Public
Law 91-508), you are advised that the Company may order
reports, which may contain or include information pertaining
to the character, general reputation, personal
characteristic, and mode of living of the applicant and/or
other drivers listed in this application. Upon written
request, the complete nature and scope of the investigation
will be provided.
Any person who knowingly and with intent to
defraud any insurance company or other person files an
application for insurance or statement of claims containing
any materially false information or conceals, for the
purpose of misleading, information concerning any fact
material thereto, commits a fraudulent insurance act, which
is a crime, and may subject such person to criminal and
I have received and read a copy of the
American Reliable Insurance Company/ Assurant
applying for insurance and, at its expiration, for
appropriate renewal policies issued by American Reliable
Insurance Company. I understand and agree that any
information about me that is contained in, or that is
obtained in connection with, this application of any policy
issued to me may be used by American Reliable Insurance
Company to issue, review, and renew the insurance for which
I am applying.
I hereby declare to the best of my knowledge
and belief that all of the foregoing statements are true and
these statements are offered as an inducement to the Company
to issue the policy for which I am applying. I understand
this policy may be cancelled if this application contains
any false statement, omission, or material misrepresentation
that would have otherwise altered the company's evaluation
of the named insured. I understand that motor vehicle
records may be verified.
(Enter Full Name Of Person Who Completed
Above Application )
Date Above Application Completed