EFFECTIVE DATE DESIRED
$ dinghy motor ded. $ dinghy trailer ded. $ liability coverage $50,000 $100,000 $300,000 $500,000 $1,000,000 other $ medical payments ($10,000 included) $ uninsured/underinsured boat coverage ($10,000 included) $ premium payment method agency bill direct bill down payment $ electronic funds transfer (“on time” aipp) ................
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