Styrsky Insurance Sacramento; Auto, Home and Life Company

Phone: 916.361.8114
Toll Free: 800.398.4246
Fax: 916.366.8706
Email: office@styrskyinsurance.com

Boat Boat Boat Quote

For a free quote give us a call, Email Us or fill out this form and we will contact you shortly.

Name (first and last, please)
Address
City
State
Zip Code
Email Address
Telephone:

Driver #1 DOB	Sex	Marital Status
Driver #2 DOB	Sex	Marital Status
Driver #3 DOB	Sex	Marital Status
Driver #4 DOB	Sex	Marital Status

What violations have you had in the last 3 years?
All drivers and the approximate date of the violations.

Vessel #1

Year

Make

Model

Boat Value

Vessel #2

Year

Make

Model

Boat Value

Value of Additional Equipment:

Vessel 1:

Vessel 2:

Horsepower:

Vessel 1:

Vessel 2:

Please choose your liability limits:
The state requires bodily injury liability of at least 15/30/5.
These limits are in thousands BL 15,000 per person,
30,000 per accident and 5,000 in property damage.
We recommend much more!!!!!

Bodily Injury Limits:

Uninsured Motorist:

Medical:

Comprehensive Deductible (coverage includes fire theft and vandalism):
Vehicle 1:
Vehicle 2:

Collision Deductible:
Vehicle 1:
Vehicle 2:

Your Sacramento Insurance Company for Home, Auto Insurance, Health, and Life Insurance