Lamb Insurance of Houston.
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We gladly accept:
We accept mastercard and visa


 
E-Mail:
glamb@farmersagent.com

Local Phone:
281-537-2700

We are a Houston agency specializing in boat , jet ski, and personal watercraft insurance for Texas residents. Please call 1-866-426-5800 for an instant quote or for any insurance information or questions. We are an authorized agency for Farmers, Formost, and other trusted brands.

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Insurance-web-sales.com Insurance-Web-Sales © 2006

 
Online Boat & Jet Ski
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data

Your Name (First and Last):
Street Address:
City:
State: MUST be Texas!
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Marital Status:
Single Married
 
Boat Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type None)
 


OPERATOR INFORMATION #1
Name: Birthdate:
Sex (M/F): # Years U.S.
 Licensing:
NOT-at-fault accidents do not need to be listed:
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Number of Years
Boating Experience:


OPERATOR INFORMATION #2 (if none, leave blank)
Name: Birthdate:
Sex: # Years U.S.
 Licensing:
NOT-at-fault accidents do not need to be listed.
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Number of Years
Boating Experience:


VESSEL & UNDERWRITING INFORMATION
Year of Boat: Make & Model
(be specific):
 
Boat Length: Hull Type
(wood, Metal,
fiberglass, etc):
 
Max. Speed
(in MPH):
Market Value: $
 
Engine Make: Engine Type:
(Inboard, I/O, Jet)
 
Engine Horse
Power:
Fuel Type:
(Gas, Diesel, etc.)
 
Trailer Cov.
Needed?
Yes No Yr./Make/Model
of Trailer:
 
Trailer Value: $ Where is boat
moored or stored?
 
Describe waters
boat taken on?
Describe boat
general usage?
(ski, fishing, etc.)


VESSEL COVERAGES:
Limits of
Liability:
$15/30 BI / 10 PD $25/50 BI / 15 PD
$50/100 BI / 25 PD $100/300 BI / 50 PD
$250/500 BI / 100 PD
 
Hull Coverage: NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Water Ski
Medical Coverage?
Yes No   Uninsured
  Motorists Cov.?
Yes No
 
Comments or Remarks:
(List additional drivers,
special coverages, etc. here)


Send my quotation via: E-Mail Fax
Regular Mail
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Lamb Insurance Agency (Farmers Insurance)   |  28 FM 1960 West, Houston, TX 77090
Phone: 281-537-2700   Fax: 281-537-8502   Cell: 281-881-5756