Commercial Liability Insurance Application

Applicant Information  * Asterisk indicates required fields

First and Last Name  *
Business Name *
Address (street) *
City *
State *
Zip Code *
Telephone Number *
Fax Number
Website (URL)
Email Address *

 

Please make sure your email address is correct so we can respond accordingly.

 

Please select the services that you provide.

 

Parasailing   Wave Runners   Boat Rentals   Fishing   Diving 

 

Waterskiing  Sailing  Snorkeling  guided Tours  Sail Boarding

 

Kite Surfing  Private Boat Charters 

 

How many years have you operated a parasail /watersports related business?

 

PICK FROM LIST under a year 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years Over Ten Years

 

Who are you currently insured with?

 

-  Not Insured

 

When does your policy expire?

 

 

What brand Parasail Canopies do you use?  

 

Ascending Parasail  Custom Chutes/Parasail Workshop  CWS  PowerSail 

 

US Parascending  SportChutes WaterChute  Windstar

 

Sportlite UK Waterbird UK

Other Type, please list 

What type of Winchboat(s) do you Operate? 

Aerial Pro 30 Carrera    Nordic Ascend 23  Nordic Ascend 28  Ocean Pro 31 

 

ParaCraft  Warrior 32  ParaNautique 30 Premium 28   Sea Quest 31

 

Other Type, please list 

 

What coverage limits do you require?

 

PICK FROM LIST 500,000 1,000,000 2,000,000 5,000,000

 

Enter any comments, questions or additional information in the space provided below:

 

 

Disclaimer.  Your Insurance Inquiry Application is being submitted directly to insurance broker/underwriters who are interested in a PSC Approved Association program specifically for parasailing and watersports operations. The results of your application will be sent to you via the email on your application. Be advised that the Parasail Safety Council does not endorse our receive compensation from insurance companies being provided applications, or any third-party associations and is not intended to be an offer to sell or a solicitation in connection with any insurance product or service offered now or in the future and is being provided as a public service. 

If you are experiencing difficulty in submitting this form, click here for a printer friendly version that you can send via fax.