Watercraft Hurricane Preparedness Plan Risk Evaluation

What is your first name?

What is your last name?

What is your preferred phone number?

Email

Please enter your email.

Berthing Marina/Facility Name

What is the name of the marina/facility where your vessel is berthed from June 1st to November 30th?

Primary Berthing Location June 1 to November 30

What is the address of the marina/facility where you vessel is berthed from June 1st to November 30th?

Street Address Address Line 2 City State ZIP Code

Hurricane Plan

Please provide detailed information about your hurricane protection plan for your vessel.

Hurricane Plan Options

Please indicate which of the following options you have planned and will execute for your vessel in the event of a Hurricane or Named Storm.

Haul Out and Inside Storage
Haul Out and Outside Storage
Moving of Vessel to a Safe Harbor of Inland Waters
Vessel Kept North of the Mason-Dixon Line from June 1st to November 30th
Other

Haul Out Plan

Storage Location Same As Primary Berthing Location?

Is the storage facility / location the same as your primary berthing location from June 1st to November 30th for this vessel?

Yes
No

Storage Facility Name

What is the name of the storage facility where your vessel will be stored when it is hauled out?

Storage Facility Address

What is the address of the storage facility?

Street Address Address Line 2 City State ZIP Code

Haul Out Contract?

Do you have a haul out contract specifying that your vessel will automatically be hauled and stored inside / outside in the event of a hurricane or named storm?

Yes
No

Storage First come / First serve?

Is space designated on a first come, first serve basis?

Yes
No

Distance from Primary Berthing Location

How many miles is the storage location from the primary berthing location?

Responsible Party for Moving Vessel

What is the name of the person responsible for moving your vessel to this storage location?

Responsible Person Phone Number

What is the responsible person's phone number?

Responsible Person's Qualifications

Please provide a brief description of the responsible person's qualifications?

Haul Out Obstacles

Are there any obstacles that might prevent this person from moving the vessel to the facility / location? (Examples: Captain or Mate with obligations to other owners' vessels or responsible person is away from the area during hurricane season?

Yes
No

Responsible Back up Person

Who is the back up person you have contracted with to move your vessel?

Vessel Move Decision Maker

What is the name of the person who ultimately makes the decision to move the boat?

Vessel Move Trigger

Please select the event(s) that will trigger execution of the boat being moved to the storage facility. (Select all that apply)

Tropical Storm Warning
Hurricane Warning
Other

Other Vessel Move Trigger

Enter the other event(s) that will trigger execution of the boat being moved to the storage facility.

Hauling Method

Please select the method that will be used to haul your vessel.

Trailer
Driven

Risk Mitigation Steps

What additional steps will you take to mitigate a loss to your vessel?

Remove Electronics
Canvas
Remove Portable Equipment
Other

Other Risk Mitigation Steps

What are the other risk mitigation steps you will take to mitigate a loss?

Facility Construction Material

What is the construction material of the facility?

Masonry
Frame
Steel

Facility Hurricane Resistant?

Is the facility built to withstand Hurricane force winds?

Yes
No

Facility Wind Strength

What wind strength is the facility built to withstand? (mph)

Openings Protected?

Are all openings protected?

Yes
No

Opening Protection Type

Please select the opening protection type for this facility.

Class A Hurricane Shutters
Class A Hurricane Impact Glass

Vessel Method of Storage

Please select how the vessels are stored at this facility.

Stacked
Slip

Moving of Vessel to a Safe Harbor or Inland Waters

Safe Harbor Description

Where do you plan on moving your vessel in the event of a named storm or Hurricane?

Safe Harbor Address

What is the address of the location you plan to move your vessel to in the event of a named storm or Hurricane?

Street Address Address Line 2 City State ZIP Code

Distance to Safe Harbor

How far is this location from your primary berthing location? (In miles)

Safe Harbor Plan Impediments?

Are there any bridges or other impediments that might prevent the execution of this plan?

Yes
No

Safe Harbor Plan Impediments Details

Please provide a brief description of the impediments to this plan.

Responsible Person for Move to Safe Harbor

What is the name of the person responsible for moving your vessel to the location listed above?

Responsible Person for Move to Safe Harbor Phone Number

What is the phone number for this person?

Responsible Person for Move to Safe Harbor Qualifications

Please provide this person's qualifications.

Safe Harbor Plan Responsible Person Obstacles

Are there any obstacles that might prevent this person from moving the vessel to the location listed above? (Examples: Captain or Mate with obligations to other owners' vessels or responsible person is away from the area during hurricane season?

Yes
No

Safe Harbor Plan Back up Person

What is the name of the back up person you have contracted with to move your vessel?

Safe Harbor Plan Execution Timeline

What is the approximate timeline to execute this plan? (Example: It will take 24 hours to execute)

Safe Harbor Plan Trigger Indicator

What is the indicator that will trigger execution of this plan?

Tropical Storm Warning
Hurricane Warning

Safe Harbor Plan Risk Mitigation Steps

What additional steps will you take to mitigate a loss to your vessel?

Remove Electronics
Canvas
Remove Portable Equipment
Other

Safe Harbor Plan Other Risk Mitigation Steps

What are the other risk mitigation steps you will take to mitigate a loss to your vessel?

Vessel Moored North of the Mason-Dixon Line

Moored North of MDL Facility / Location Name

What is the name of the facility / location that is north or the Mason-Dixon Line where your vessel will be moored from June 1st to November 30th?

Moored North of MDL Facility / Location Address

What is the address of the facility / location where your vessel will be moored from June 1st to November 30th?

Street Address Address Line 2 City State ZIP Code

Other Hurricane Plan

Other Hurricane Plan Details

Please describe your Hurricane Preparedness Plan in detail in the space below.

Renovations to Vessel?

Do you plan on having any work done on your vessel between June 1st and November 30th that could prevent the execution of your Hurricane Preparedness Plan?

Yes
No

Shipyard / Facility Name for Renovations

What is the name of the shipyard / facility where you will have work done to your vessel?

Shipyard / Facility Address for Renovations

What is the address of the shipyard / facility where you will be have work done to your vessel?

Street Address Address Line 2 City State ZIP Code

Renovations Estimated Time Frame

What is the estimated time frame it will take to complete the work? (In days)

Nature of Renovations

Please provide full details of the nature of the work being done to your vessel.

Documents and Comments

Upload Relevant Documents

Please upload any documents relevant to your Hurricane Preparedness Plan.

Max. file size: 128 MB.

Insured Full Name

Please print your full name

Today's Date

Please enter today's date.

Hurricane Preparedness Plan Signature

Please sign your name in the space below.

Consent*

Disclaimer: This online questionnaire is a tool used to gather information. It is not an application for insurance. No insurance coverage will be bound or put into effect by submitting this form.

Consumer disclosure: By checking the box below you authorize the Agency who supplied this form to you to contact you via phone, email, and text messaging; to save and share with business partners the information you provided; to obtain consumer reports that may include credit-based reports (where legally allowed), public records, claims history, and driving records so that they can give you accurate insurance quotes.

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Watercraft Hurricane Preparedness Plan Risk Evaluation

Hurricane Plan

Haul Out Plan

Moving of Vessel to a Safe Harbor or Inland Waters

Vessel Moored North of the Mason-Dixon Line

Other Hurricane Plan

Documents and Comments

AJG (Ericson) Service

RiskRevu^TM Newsletter

Contact

Watercraft Hurricane Preparedness Plan Risk Evaluation

Hurricane Plan

Haul Out Plan

Moving of Vessel to a Safe Harbor or Inland Waters

Vessel Moored North of the Mason-Dixon Line

Other Hurricane Plan

Documents and Comments

AJG (Ericson) Service

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RiskRevuTM Newsletter

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RiskRevu^TM Newsletter