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Charter Vessel Program

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Charter Vessel Program Application for SIX Passenger Charter Vessels

Insured Information

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Is Corporation for sole purpose of ownership of vessel?
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Prior Vessels Owned or Operated:
Losses in past 5 years? (on any vessel):
If yes, please list date, type, amount and status.

Vessel Information

Has vessel been Coast Guard Inspected:
Is vessel more than 6 passenger:
MM slash DD slash YYYY