ABYC Marine Insurance Application

Which of the following Marine work do you perform?

Do you perform any of the following other Marine work?

Type of vessels worked on: (please provide percentages based on overall workload)

Type of work: (please provide percentages based on overall workload)

Marine Artisan’s coverage includes Miscellaneous Tools & Equipment Coverage at limits of $5,000 with a per item maximum of $1,000,
subject to a $ 500 deductible. Please schedule all itemized equipment for limits in excess of the above;

List loss experiences for the past 5 years with amounts paid and outstanding (including uninsured losses).