805.985.2377
fred.vance@yachtline.com

Yachtline Insurance Service
3810 W. Channel Islands Blvd.
Suite L
Oxnard, CA 93035-4001

Types Of Coverage
Small Yacht Insurance
Large Yacht Insurance
Mega Yacht Insurance

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Personal Information

Name:
 Age:
Phone:
 Email:
Street Address:
 City:
 State:
 Zip Code:

Mooring Location

City:
 State:
Any losses in the last 5 years? Yes No
Number of owners: 1 2 3 More than 3
More than 1 regular operator?Yes No

Yacht Information

Year: Make: Model:
Number of Engines: Horsepower of Each Engine: Type of Fuel:Gas Diesel
Last Survey Date: Insured Value: Liability Limit:




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Yachtline Insurance Service, Fred Vance Insurance Agency Inc., Fred Vance, Principle.
Main Offices, Channel Islands Harbor, CA, 93035.
Small Yacht, Large Yacht, Mega Yacht, Insurance Policies. Trust your prized boating possessions to Yachtline Insurance,
we know boating almost as well as we know insurance.

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