{"id":285,"date":"2018-03-08T22:58:07","date_gmt":"2018-03-08T22:58:07","guid":{"rendered":"https:\/\/www.fawcettinsurance.com\/?page_id=285"},"modified":"2018-07-18T17:11:57","modified_gmt":"2018-07-18T17:11:57","slug":"boat-insurance","status":"publish","type":"page","link":"https:\/\/www.fawcettinsurance.com\/boat-insurance\/","title":{"rendered":"Boat Insurance"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221; _builder_version=&#8221;3.0.98&#8243; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; next_background_color=&#8221;#eaeaea&#8221;][et_pb_fullwidth_header _builder_version=&#8221;3.0.106&#8243; title=&#8221;Fawcett Insurance &#8221; subhead=&#8221;North Vancouver Insurance &#8211; Servicing all your insurance needs&#8221; text_orientation=&#8221;right&#8221; header_fullscreen=&#8221;off&#8221; header_scroll_down=&#8221;off&#8221; image_orientation=&#8221;center&#8221; background_layout=&#8221;dark&#8221; content_orientation=&#8221;center&#8221; custom_button_two=&#8221;off&#8221; button_two_icon_placement=&#8221;right&#8221; custom_button_one=&#8221;off&#8221; button_one_icon_placement=&#8221;right&#8221; background_image=&#8221;https:\/\/www.fawcettinsurance.com\/wp-content\/uploads\/2018\/02\/deep-cove-insurance-bg-5.jpg&#8221; background_color=&#8221;rgba(255, 255, 255, 0)&#8221;]<\/p>\n<p><strong><em>Are you covered? We make sure!<\/em><\/strong><\/p>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.105&#8243; parallax=&#8221;on&#8221; custom_margin=&#8221;0px|||&#8221; custom_padding=&#8221;0px|||&#8221; prev_background_color=&#8221;#ffffff&#8221; background_color=&#8221;#eaeaea&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row _builder_version=&#8221;3.0.98&#8243; background_color=&#8221;rgba(255,255,255,0.9)&#8221; make_fullwidth=&#8221;on&#8221; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; custom_padding=&#8221;20px|20px|20px|20px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#919191&#8243; box_shadow_style=&#8221;preset2&#8243; background_color_2=&#8221;#dbdbdb&#8221; padding_right_1=&#8221;20px&#8221; padding_left_2=&#8221;20px&#8221; custom_margin=&#8221;50px|||&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;About Fawcett Insurance&#8221; _builder_version=&#8221;3.0.106&#8243; background_layout=&#8221;light&#8221;]<\/p>\n<h2>Boat Owners Insurance<\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Enquiry Form&#8221; _builder_version=&#8221;3.0.106&#8243; background_layout=&#8221;light&#8221;]<\/p>\n<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5aa195e226f92\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/www.fawcettinsurance.com\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5aa195e226f92 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5aa195e226f92_1\" data-form-id=\"CF5aa195e226f92\" aria-label=\"Boat Insurance\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5aa195e226f92-tmpl\" data-cfajax=\"CF5aa195e226f92\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/www.fawcettinsurance.com\/cf-api\/CF5aa195e226f92\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5aa195e226f92\" name=\"_cf_verify\" value=\"b5fe0b2749\"  data-nonce-time=\"1714978106\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/285\" \/><div id=\"cf2-CF5aa195e226f92_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5aa195e226f92\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5aa195e226f92\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"285\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Company<\/label><input type=\"text\" name=\"company\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5aa195e226f92_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><h2>Your Details<\/h2>\n<hr>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_1-row-2\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_8768091\" class=\"form-group\" id=\"fld_8768091_1-wrap\">\r\n\t<label id=\"fld_8768091Label\" for=\"fld_8768091_1\" class=\"control-label\">First Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_8768091\" class=\" form-control\" id=\"fld_8768091_1\" name=\"fld_8768091\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_8768091Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_9970286\" class=\"form-group\" id=\"fld_9970286_1-wrap\">\r\n\t<label id=\"fld_9970286Label\" for=\"fld_9970286_1\" class=\"control-label\">Last Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9970286\" class=\" form-control\" id=\"fld_9970286_1\" name=\"fld_9970286\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9970286Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_6009157\" class=\"form-group\" id=\"fld_6009157_1-wrap\">\r\n\t<label id=\"fld_6009157Label\" for=\"fld_6009157_1\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_6009157\" class=\" form-control\" id=\"fld_6009157_1\" name=\"fld_6009157\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_6009157Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-3\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_4217631\" class=\"form-group\" id=\"fld_4217631_1-wrap\">\r\n\t<label id=\"fld_4217631Label\" for=\"fld_4217631_1\" class=\"control-label\">Home Phone <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"  required type=\"phone\" data-field=\"fld_4217631\" class=\" form-control\" id=\"fld_4217631_1\" name=\"fld_4217631\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_4217631Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_342457\" class=\"form-group\" id=\"fld_342457_1-wrap\">\r\n\t<label id=\"fld_342457Label\" for=\"fld_342457_1\" class=\"control-label\">Cell Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"   type=\"phone\" data-field=\"fld_342457\" class=\" form-control\" id=\"fld_342457_1\" name=\"fld_342457\" value=\"\" data-type=\"phone\"   aria-labelledby=\"fld_342457Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_6674372\" class=\"form-group\" id=\"fld_6674372_1-wrap\">\r\n\t<label id=\"fld_6674372Label\" for=\"fld_6674372_1\" class=\"control-label\">Work Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"   type=\"phone\" data-field=\"fld_6674372\" class=\" form-control\" id=\"fld_6674372_1\" name=\"fld_6674372\" value=\"\" data-type=\"phone\"   aria-labelledby=\"fld_6674372Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-4\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_6434494\" class=\"form-group\" id=\"fld_6434494_1-wrap\">\r\n\t<label id=\"fld_6434494Label\" for=\"fld_6434494_1\" class=\"control-label\">Date of Birth<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"DD\/MM\/YYYY\"   type=\"number\" data-field=\"fld_6434494\" class=\" form-control\" id=\"fld_6434494_1\" name=\"fld_6434494\" value=\"\" data-type=\"number\" data-parsley-type=\"number\"   aria-labelledby=\"fld_6434494Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_8214059\" class=\"form-group\" id=\"fld_8214059_1-wrap\">\r\n\t<label id=\"fld_8214059Label\" for=\"fld_8214059_1\" class=\"control-label\">Occupation<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8214059\" class=\" form-control\" id=\"fld_8214059_1\" name=\"fld_8214059\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8214059Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-5\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_2246541\" class=\"form-group\" id=\"fld_2246541_1-wrap\">\r\n\t<label id=\"fld_2246541Label\" for=\"fld_2246541_1\" class=\"control-label\">Years as Owner<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2246541\" class=\" form-control\" id=\"fld_2246541_1\" name=\"fld_2246541\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2246541Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9380772\" class=\"form-group\" id=\"fld_9380772_1-wrap\">\r\n\t<label id=\"fld_9380772Label\" for=\"fld_9380772_1\" class=\"control-label\">Years as Operator<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9380772\" class=\" form-control\" id=\"fld_9380772_1\" name=\"fld_9380772\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9380772Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_2841388\" class=\"form-group\" id=\"fld_2841388_1-wrap\">\r\n\t<label id=\"fld_2841388Label\" for=\"fld_2841388_1\" class=\"control-label\">Power Squadron<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_2841388_1_opt1611442\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_2841388\"\n                                id=\"fld_2841388_1_opt1611442\"\n                                class=\"fld_2841388_1\"\n                                name=\"fld_2841388[opt1611442]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2841388_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_2841388_1_opt1521075\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_2841388\"\n                                id=\"fld_2841388_1_opt1521075\"\n                                class=\"fld_2841388_1\"\n                                name=\"fld_2841388[opt1521075]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2841388_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_4354125\" class=\"form-group\" id=\"fld_4354125_1-wrap\">\r\n\t<label id=\"fld_4354125Label\" for=\"fld_4354125_1\" class=\"control-label\">Pleasurecraft Operator Card<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4354125_1_opt1801845\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_4354125\"\n                                id=\"fld_4354125_1_opt1801845\"\n                                class=\"fld_4354125_1\"\n                                name=\"fld_4354125[opt1801845]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4354125_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4354125_1_opt1487470\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_4354125\"\n                                id=\"fld_4354125_1_opt1487470\"\n                                class=\"fld_4354125_1\"\n                                name=\"fld_4354125[opt1487470]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4354125_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-6\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_8729862\" class=\"form-group\" id=\"fld_8729862_1-wrap\">\r\n\t<label id=\"fld_8729862Label\" for=\"fld_8729862_1\" class=\"control-label\">Other Operators<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8729862\" class=\" form-control\" id=\"fld_8729862_1\" name=\"fld_8729862\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8729862Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1172313\" class=\"form-group\" id=\"fld_1172313_1-wrap\">\r\n\t<label id=\"fld_1172313Label\" for=\"fld_1172313_1\" class=\"control-label\">Age<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1172313\" class=\" form-control\" id=\"fld_1172313_1\" name=\"fld_1172313\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1172313Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_3630210\" class=\"form-group\" id=\"fld_3630210_1-wrap\">\r\n\t<label id=\"fld_3630210Label\" for=\"fld_3630210_1\" class=\"control-label\">Pleasurecraft Operator Card<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3630210_1_opt1265620\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_3630210\"\n                                id=\"fld_3630210_1_opt1265620\"\n                                class=\"fld_3630210_1\"\n                                name=\"fld_3630210[opt1265620]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3630210_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3630210_1_opt1844473\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_3630210\"\n                                id=\"fld_3630210_1_opt1844473\"\n                                class=\"fld_3630210_1\"\n                                name=\"fld_3630210[opt1844473]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3630210_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>List all  accidents or claims in the past five years:<\/h3>\n<hr>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_1-row-8\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8330280\" class=\"form-group\" id=\"fld_8330280_1-wrap\">\r\n\t<label id=\"fld_8330280Label\" for=\"fld_8330280_1\" class=\"control-label\">List All Accidents or Claims in the Past 5 Years<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8330280\" value=\"\" data-field=\"fld_8330280\" class=\"form-control\" id=\"fld_8330280_1\" rows=\"4\" placeholder=\"Details of When &amp; Why\"    aria-labelledby=\"fld_8330280Label\" aria-describedby=\"fld_8330280Caption\" ><\/textarea>\n\t\t<span id=\"fld_8330280Caption\" class=\"help-block\">Date \/ Amount \/ Details<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-9\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_4483027\" class=\"form-group\" id=\"fld_4483027_1-wrap\">\r\n\t<label id=\"fld_4483027Label\" for=\"fld_4483027_1\" class=\"control-label\">Any Criminal Code charges or convictions related to driving \/ boating<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4483027_1_opt1839828\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_4483027\"\n                                id=\"fld_4483027_1_opt1839828\"\n                                class=\"fld_4483027_1\"\n                                name=\"fld_4483027[opt1839828]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4483027_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4483027_1_opt1084788\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_4483027\"\n                                id=\"fld_4483027_1_opt1084788\"\n                                class=\"fld_4483027_1\"\n                                name=\"fld_4483027[opt1084788]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4483027_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_4889309\" class=\"form-group\" id=\"fld_4889309_1-wrap\">\r\n\t<label id=\"fld_4889309Label\" for=\"fld_4889309_1\" class=\"control-label\">If Yes, When & Reason<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4889309\" class=\" form-control\" id=\"fld_4889309_1\" name=\"fld_4889309\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4889309Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-10\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_4301993\" class=\"form-group\" id=\"fld_4301993_1-wrap\">\r\n\t<label id=\"fld_4301993Label\" for=\"fld_4301993_1\" class=\"control-label\">Previous Insurer<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4301993\" class=\" form-control\" id=\"fld_4301993_1\" name=\"fld_4301993\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4301993Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_5400341\" class=\"form-group\" id=\"fld_5400341_1-wrap\">\r\n\t<label id=\"fld_5400341Label\" for=\"fld_5400341_1\" class=\"control-label\">Coverage Effective<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5400341\" class=\" form-control\" id=\"fld_5400341_1\" name=\"fld_5400341\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5400341Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_9506773\" class=\"form-group\" id=\"fld_9506773_1-wrap\">\r\n\t<label id=\"fld_9506773Label\" for=\"fld_9506773_1\" class=\"control-label\">Loss Payable<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9506773\" class=\" form-control\" id=\"fld_9506773_1\" name=\"fld_9506773\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9506773Label\" aria-describedby=\"fld_9506773Caption\" >\t\t<span id=\"fld_9506773Caption\" class=\"help-block\">(full address) <\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>Details of Vessel<\/h3>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_1-row-12\"  class=\"row \"><div  class=\"col-sm-10  first_col\"><div data-field-wrapper=\"fld_3787687\" class=\"form-group\" id=\"fld_3787687_1-wrap\">\r\n\t<label id=\"fld_3787687Label\" for=\"fld_3787687_1\" class=\"control-label\">Vessel Type<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1241687\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"In\/Outboard\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1241687\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1241687]\"\n                                value=\"In\/Outboard\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"In\/Outboard\"\n                            >\n                    In\/Outboard                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1133252\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Outboard\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1133252\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1133252]\"\n                                value=\"Outboard\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Outboard\"\n                            >\n                    Outboard                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1764909\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Inboard\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1764909\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1764909]\"\n                                value=\"Inboard\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Inboard\"\n                            >\n                    Inboard                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1959670\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Sailboat\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1959670\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1959670]\"\n                                value=\"Sailboat\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Sailboat\"\n                            >\n                    Sailboat                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt2090481\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Jet Drive\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt2090481\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt2090481]\"\n                                value=\"Jet Drive\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Jet Drive\"\n                            >\n                    Jet Drive                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1185705\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Houseboat\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1185705\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1185705]\"\n                                value=\"Houseboat\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Houseboat\"\n                            >\n                    Houseboat                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1360523\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Pontoon\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1360523\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1360523]\"\n                                value=\"Pontoon\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Pontoon\"\n                            >\n                    Pontoon                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1763783\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Inflatable\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1763783\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1763783]\"\n                                value=\"Inflatable\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Inflatable\"\n                            >\n                    Inflatable                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_1_opt1084474\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Other\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_1_opt1084474\"\n                                class=\"fld_3787687_1\"\n                                name=\"fld_3787687[opt1084474]\"\n                                value=\"Other\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_1\"\n                                                                data-calc-value=\"Other\"\n                            >\n                    Other                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div data-field-wrapper=\"fld_1382389\" class=\"form-group\" id=\"fld_1382389_1-wrap\">\r\n\t<label id=\"fld_1382389Label\" for=\"fld_1382389_1\" class=\"control-label\">Other<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1382389\" class=\" form-control\" id=\"fld_1382389_1\" name=\"fld_1382389\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1382389Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-13\"  class=\"row \"><div  class=\"col-sm-10  first_col\"><div data-field-wrapper=\"fld_9169324\" class=\"form-group\" id=\"fld_9169324_1-wrap\">\r\n\t<label id=\"fld_9169324Label\" for=\"fld_9169324_1\" class=\"control-label\">Hull Type<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_1_opt1156124\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Fibreglass\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_1_opt1156124\"\n                                class=\"fld_9169324_1\"\n                                name=\"fld_9169324[opt1156124]\"\n                                value=\"Fibreglass\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_1\"\n                                                                data-calc-value=\"Fibreglass\"\n                            >\n                    Fibreglass                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_1_opt2053265\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Wood\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_1_opt2053265\"\n                                class=\"fld_9169324_1\"\n                                name=\"fld_9169324[opt2053265]\"\n                                value=\"Wood\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_1\"\n                                                                data-calc-value=\"Wood\"\n                            >\n                    Wood                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_1_opt1077710\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Plywood\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_1_opt1077710\"\n                                class=\"fld_9169324_1\"\n                                name=\"fld_9169324[opt1077710]\"\n                                value=\"Plywood\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_1\"\n                                                                data-calc-value=\"Plywood\"\n                            >\n                    Plywood                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_1_opt1623810\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"F\/G Over Wood\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_1_opt1623810\"\n                                class=\"fld_9169324_1\"\n                                name=\"fld_9169324[opt1623810]\"\n                                value=\"F\/G Over Wood\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_1\"\n                                                                data-calc-value=\"F\/G Over Wood\"\n                            >\n                    F\/G Over Wood                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_1_opt1959449\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Steel\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_1_opt1959449\"\n                                class=\"fld_9169324_1\"\n                                name=\"fld_9169324[opt1959449]\"\n                                value=\"Steel\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_1\"\n                                                                data-calc-value=\"Steel\"\n                            >\n                    Steel                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_1_opt1372490\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Aluminum\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_1_opt1372490\"\n                                class=\"fld_9169324_1\"\n                                name=\"fld_9169324[opt1372490]\"\n                                value=\"Aluminum\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_1\"\n                                                                data-calc-value=\"Aluminum\"\n                            >\n                    Aluminum                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_1_opt1210882\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Other\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_1_opt1210882\"\n                                class=\"fld_9169324_1\"\n                                name=\"fld_9169324[opt1210882]\"\n                                value=\"Other\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_1\"\n                                                                data-calc-value=\"Other\"\n                            >\n                    Other                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div data-field-wrapper=\"fld_6858564\" class=\"form-group\" id=\"fld_6858564_1-wrap\">\r\n\t<label id=\"fld_6858564Label\" for=\"fld_6858564_1\" class=\"control-label\">Other<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6858564\" class=\" form-control\" id=\"fld_6858564_1\" name=\"fld_6858564\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6858564Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-14\"  class=\"row \"><div  class=\"col-sm-2  first_col\"><div class=\"\"><p><b>DESCRIPTION<\/b><\/br><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>HULL<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>ENGINE (main)<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>ENGINE (aux) <\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>TENDER<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>TRAILER<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>OTHER<\/b><\/br><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>YEAR<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_3020489\" class=\"form-group\" id=\"fld_3020489_1-wrap\">\r\n\t<label id=\"fld_3020489Label\" for=\"fld_3020489_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_3020489\" class=\" form-control\" id=\"fld_3020489_1\" name=\"fld_3020489\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3020489Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_431654\" class=\"form-group\" id=\"fld_431654_1-wrap\">\r\n\t<label id=\"fld_431654Label\" for=\"fld_431654_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_431654\" class=\" form-control\" id=\"fld_431654_1\" name=\"fld_431654\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_431654Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5245351\" class=\"form-group\" id=\"fld_5245351_1-wrap\">\r\n\t<label id=\"fld_5245351Label\" for=\"fld_5245351_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5245351\" class=\" form-control\" id=\"fld_5245351_1\" name=\"fld_5245351\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5245351Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9705881\" class=\"form-group\" id=\"fld_9705881_1-wrap\">\r\n\t<label id=\"fld_9705881Label\" for=\"fld_9705881_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9705881\" class=\" form-control\" id=\"fld_9705881_1\" name=\"fld_9705881\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9705881Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2222080\" class=\"form-group\" id=\"fld_2222080_1-wrap\">\r\n\t<label id=\"fld_2222080Label\" for=\"fld_2222080_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_2222080\" class=\" form-control\" id=\"fld_2222080_1\" name=\"fld_2222080\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2222080Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7954028\" class=\"form-group\" id=\"fld_7954028_1-wrap\">\r\n\t<label id=\"fld_7954028Label\" for=\"fld_7954028_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7954028\" class=\" form-control\" id=\"fld_7954028_1\" name=\"fld_7954028\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7954028Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>MAKE<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_1154445\" class=\"form-group\" id=\"fld_1154445_1-wrap\">\r\n\t<label id=\"fld_1154445Label\" for=\"fld_1154445_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_1154445\" class=\" form-control\" id=\"fld_1154445_1\" name=\"fld_1154445\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1154445Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5270052\" class=\"form-group\" id=\"fld_5270052_1-wrap\">\r\n\t<label id=\"fld_5270052Label\" for=\"fld_5270052_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5270052\" class=\" form-control\" id=\"fld_5270052_1\" name=\"fld_5270052\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5270052Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_459758\" class=\"form-group\" id=\"fld_459758_1-wrap\">\r\n\t<label id=\"fld_459758Label\" for=\"fld_459758_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_459758\" class=\" form-control\" id=\"fld_459758_1\" name=\"fld_459758\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_459758Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5343291\" class=\"form-group\" id=\"fld_5343291_1-wrap\">\r\n\t<label id=\"fld_5343291Label\" for=\"fld_5343291_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5343291\" class=\" form-control\" id=\"fld_5343291_1\" name=\"fld_5343291\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5343291Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2848990\" class=\"form-group\" id=\"fld_2848990_1-wrap\">\r\n\t<label id=\"fld_2848990Label\" for=\"fld_2848990_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_2848990\" class=\" form-control\" id=\"fld_2848990_1\" name=\"fld_2848990\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2848990Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3055379\" class=\"form-group\" id=\"fld_3055379_1-wrap\">\r\n\t<label id=\"fld_3055379Label\" for=\"fld_3055379_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_3055379\" class=\" form-control\" id=\"fld_3055379_1\" name=\"fld_3055379\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3055379Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>MODEL<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_6621688\" class=\"form-group\" id=\"fld_6621688_1-wrap\">\r\n\t<label id=\"fld_6621688Label\" for=\"fld_6621688_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_6621688\" class=\" form-control\" id=\"fld_6621688_1\" name=\"fld_6621688\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6621688Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5184847\" class=\"form-group\" id=\"fld_5184847_1-wrap\">\r\n\t<label id=\"fld_5184847Label\" for=\"fld_5184847_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5184847\" class=\" form-control\" id=\"fld_5184847_1\" name=\"fld_5184847\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5184847Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9609714\" class=\"form-group\" id=\"fld_9609714_1-wrap\">\r\n\t<label id=\"fld_9609714Label\" for=\"fld_9609714_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9609714\" class=\" form-control\" id=\"fld_9609714_1\" name=\"fld_9609714\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9609714Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5873410\" class=\"form-group\" id=\"fld_5873410_1-wrap\">\r\n\t<label id=\"fld_5873410Label\" for=\"fld_5873410_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5873410\" class=\" form-control\" id=\"fld_5873410_1\" name=\"fld_5873410\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5873410Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_780648\" class=\"form-group\" id=\"fld_780648_1-wrap\">\r\n\t<label id=\"fld_780648Label\" for=\"fld_780648_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_780648\" class=\" form-control\" id=\"fld_780648_1\" name=\"fld_780648\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_780648Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8534494\" class=\"form-group\" id=\"fld_8534494_1-wrap\">\r\n\t<label id=\"fld_8534494Label\" for=\"fld_8534494_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_8534494\" class=\" form-control\" id=\"fld_8534494_1\" name=\"fld_8534494\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8534494Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>LENGTH \/ HP<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_4048602\" class=\"form-group\" id=\"fld_4048602_1-wrap\">\r\n\t<label id=\"fld_4048602Label\" for=\"fld_4048602_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_4048602\" class=\" form-control\" id=\"fld_4048602_1\" name=\"fld_4048602\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4048602Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2132285\" class=\"form-group\" id=\"fld_2132285_1-wrap\">\r\n\t<label id=\"fld_2132285Label\" for=\"fld_2132285_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_2132285\" class=\" form-control\" id=\"fld_2132285_1\" name=\"fld_2132285\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2132285Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3475947\" class=\"form-group\" id=\"fld_3475947_1-wrap\">\r\n\t<label id=\"fld_3475947Label\" for=\"fld_3475947_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_3475947\" class=\" form-control\" id=\"fld_3475947_1\" name=\"fld_3475947\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3475947Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7219962\" class=\"form-group\" id=\"fld_7219962_1-wrap\">\r\n\t<label id=\"fld_7219962Label\" for=\"fld_7219962_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7219962\" class=\" form-control\" id=\"fld_7219962_1\" name=\"fld_7219962\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7219962Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7911123\" class=\"form-group\" id=\"fld_7911123_1-wrap\">\r\n\t<label id=\"fld_7911123Label\" for=\"fld_7911123_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7911123\" class=\" form-control\" id=\"fld_7911123_1\" name=\"fld_7911123\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7911123Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5729976\" class=\"form-group\" id=\"fld_5729976_1-wrap\">\r\n\t<label id=\"fld_5729976Label\" for=\"fld_5729976_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5729976\" class=\" form-control\" id=\"fld_5729976_1\" name=\"fld_5729976\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5729976Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div class=\"\"><p><b>SERIAL\/VIN<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_6423982\" class=\"form-group\" id=\"fld_6423982_1-wrap\">\r\n\t<label id=\"fld_6423982Label\" for=\"fld_6423982_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_6423982\" class=\" form-control\" id=\"fld_6423982_1\" name=\"fld_6423982\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6423982Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7066547\" class=\"form-group\" id=\"fld_7066547_1-wrap\">\r\n\t<label id=\"fld_7066547Label\" for=\"fld_7066547_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7066547\" class=\" form-control\" id=\"fld_7066547_1\" name=\"fld_7066547\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7066547Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9111714\" class=\"form-group\" id=\"fld_9111714_1-wrap\">\r\n\t<label id=\"fld_9111714Label\" for=\"fld_9111714_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9111714\" class=\" form-control\" id=\"fld_9111714_1\" name=\"fld_9111714\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9111714Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8185801\" class=\"form-group\" id=\"fld_8185801_1-wrap\">\r\n\t<label id=\"fld_8185801Label\" for=\"fld_8185801_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_8185801\" class=\" form-control\" id=\"fld_8185801_1\" name=\"fld_8185801\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8185801Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9986478\" class=\"form-group\" id=\"fld_9986478_1-wrap\">\r\n\t<label id=\"fld_9986478Label\" for=\"fld_9986478_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9986478\" class=\" form-control\" id=\"fld_9986478_1\" name=\"fld_9986478\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9986478Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9109108\" class=\"form-group\" id=\"fld_9109108_1-wrap\">\r\n\t<label id=\"fld_9109108Label\" for=\"fld_9109108_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9109108\" class=\" form-control\" id=\"fld_9109108_1\" name=\"fld_9109108\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9109108Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-15\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_5049543\" class=\"form-group\" id=\"fld_5049543_1-wrap\">\r\n\t<label id=\"fld_5049543Label\" for=\"fld_5049543_1\" class=\"control-label\">Fuel Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5049543\" class=\" form-control\" id=\"fld_5049543_1\" name=\"fld_5049543\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5049543Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_6337346\" class=\"form-group\" id=\"fld_6337346_1-wrap\">\r\n\t<label id=\"fld_6337346Label\" for=\"fld_6337346_1\" class=\"control-label\">Stove Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6337346\" class=\" form-control\" id=\"fld_6337346_1\" name=\"fld_6337346\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6337346Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_3957283\" class=\"form-group\" id=\"fld_3957283_1-wrap\">\r\n\t<label id=\"fld_3957283Label\" for=\"fld_3957283_1\" class=\"control-label\">Fridge Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3957283\" class=\" form-control\" id=\"fld_3957283_1\" name=\"fld_3957283\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3957283Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-16\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6028585\" class=\"form-group\" id=\"fld_6028585_1-wrap\">\r\n\t<label id=\"fld_6028585Label\" for=\"fld_6028585_1\" class=\"control-label\">Maximum Speed (mph)<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6028585\" class=\" form-control\" id=\"fld_6028585_1\" name=\"fld_6028585\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6028585Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1911288\" class=\"form-group\" id=\"fld_1911288_1-wrap\">\r\n\t<label id=\"fld_1911288Label\" for=\"fld_1911288_1\" class=\"control-label\">Liveaboard Boat<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1911288_1_opt1821363\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_1911288\"\n                                id=\"fld_1911288_1_opt1821363\"\n                                class=\"fld_1911288_1\"\n                                name=\"fld_1911288[opt1821363]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1911288_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1911288_1_opt2043817\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_1911288\"\n                                id=\"fld_1911288_1_opt2043817\"\n                                class=\"fld_1911288_1\"\n                                name=\"fld_1911288[opt2043817]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1911288_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_7445096\" class=\"form-group\" id=\"fld_7445096_1-wrap\">\r\n\t<label id=\"fld_7445096Label\" for=\"fld_7445096_1\" class=\"control-label\">Pleasure Use Only<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7445096_1_opt1313488\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_7445096\"\n                                id=\"fld_7445096_1_opt1313488\"\n                                class=\"fld_7445096_1\"\n                                name=\"fld_7445096[opt1313488]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7445096_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7445096_1_opt1361698\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_7445096\"\n                                id=\"fld_7445096_1_opt1361698\"\n                                class=\"fld_7445096_1\"\n                                name=\"fld_7445096[opt1361698]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7445096_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_2333819\" class=\"form-group\" id=\"fld_2333819_1-wrap\">\r\n\t<label id=\"fld_2333819Label\" for=\"fld_2333819_1\" class=\"control-label\">Description<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2333819\" class=\" form-control\" id=\"fld_2333819_1\" name=\"fld_2333819\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2333819Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-17\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_8297983\" class=\"form-group\" id=\"fld_8297983_1-wrap\">\r\n\t<label id=\"fld_8297983Label\" for=\"fld_8297983_1\" class=\"control-label\">Surveyed<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8297983_1_opt1218785\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_8297983\"\n                                id=\"fld_8297983_1_opt1218785\"\n                                class=\"fld_8297983_1\"\n                                name=\"fld_8297983[opt1218785]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8297983_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8297983_1_opt1757562\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_8297983\"\n                                id=\"fld_8297983_1_opt1757562\"\n                                class=\"fld_8297983_1\"\n                                name=\"fld_8297983[opt1757562]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8297983_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_3415766\" class=\"form-group\" id=\"fld_3415766_1-wrap\">\r\n\t<label id=\"fld_3415766Label\" for=\"fld_3415766_1\" class=\"control-label\">When<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3415766\" class=\" form-control\" id=\"fld_3415766_1\" name=\"fld_3415766\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3415766Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_5476963\" class=\"form-group\" id=\"fld_5476963_1-wrap\">\r\n\t<label id=\"fld_5476963Label\" for=\"fld_5476963_1\" class=\"control-label\">Surveyor<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5476963\" class=\" form-control\" id=\"fld_5476963_1\" name=\"fld_5476963\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5476963Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-18\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_2459997\" class=\"form-group\" id=\"fld_2459997_1-wrap\">\r\n\t<label id=\"fld_2459997Label\" for=\"fld_2459997_1\" class=\"control-label\">Where Principally Used<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2459997\" class=\" form-control\" id=\"fld_2459997_1\" name=\"fld_2459997\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2459997Label\" aria-describedby=\"fld_2459997Caption\" >\t\t<span id=\"fld_2459997Caption\" class=\"help-block\">(be specific) <\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_8072636\" class=\"form-group\" id=\"fld_8072636_1-wrap\">\r\n\t<label id=\"fld_8072636Label\" for=\"fld_8072636_1\" class=\"control-label\">Moored<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8072636_1_opt1438647\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_8072636\"\n                                id=\"fld_8072636_1_opt1438647\"\n                                class=\"fld_8072636_1\"\n                                name=\"fld_8072636[opt1438647]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8072636_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8072636_1_opt2083033\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_8072636\"\n                                id=\"fld_8072636_1_opt2083033\"\n                                class=\"fld_8072636_1\"\n                                name=\"fld_8072636[opt2083033]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8072636_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_8385041\" class=\"form-group\" id=\"fld_8385041_1-wrap\">\r\n\t<label id=\"fld_8385041Label\" for=\"fld_8385041_1\" class=\"control-label\">Location<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8385041\" class=\" form-control\" id=\"fld_8385041_1\" name=\"fld_8385041\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8385041Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-19\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_4256214\" class=\"form-group\" id=\"fld_4256214_1-wrap\">\r\n\t<label id=\"fld_4256214Label\" for=\"fld_4256214_1\" class=\"control-label\">Where Laid Up<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4256214\" class=\" form-control\" id=\"fld_4256214_1\" name=\"fld_4256214\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4256214Label\" aria-describedby=\"fld_4256214Caption\" >\t\t<span id=\"fld_4256214Caption\" class=\"help-block\">(land storage)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_2539728\" class=\"form-group\" id=\"fld_2539728_1-wrap\">\r\n\t<label id=\"fld_2539728Label\" for=\"fld_2539728_1\" class=\"control-label\">Security Measures<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2539728\" class=\" form-control\" id=\"fld_2539728_1\" name=\"fld_2539728\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2539728Label\" aria-describedby=\"fld_2539728Caption\" >\t\t<span id=\"fld_2539728Caption\" class=\"help-block\">(describe) <\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-20\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_3414754\" class=\"form-group\" id=\"fld_3414754_1-wrap\">\r\n\t<label id=\"fld_3414754Label\" for=\"fld_3414754_1\" class=\"control-label\">Anti Theft Device Used<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3414754\" class=\" form-control\" id=\"fld_3414754_1\" name=\"fld_3414754\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3414754Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-21\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_4565597\" class=\"form-group\" id=\"fld_4565597_1-wrap\">\r\n\t<label id=\"fld_4565597Label\" for=\"fld_4565597_1\" class=\"control-label\">Purchased in<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4565597_1_opt1678318\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"CAN\"\n                                data-field=\"fld_4565597\"\n                                id=\"fld_4565597_1_opt1678318\"\n                                class=\"fld_4565597_1\"\n                                name=\"fld_4565597[opt1678318]\"\n                                value=\"CAN\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4565597_1\"\n                                                                data-calc-value=\"CAN\"\n                            >\n                    CAN                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4565597_1_opt1370606\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"USA\"\n                                data-field=\"fld_4565597\"\n                                id=\"fld_4565597_1_opt1370606\"\n                                class=\"fld_4565597_1\"\n                                name=\"fld_4565597[opt1370606]\"\n                                value=\"USA\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4565597_1\"\n                                                                data-calc-value=\"USA\"\n                            >\n                    USA                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \">\n<div data-field-wrapper=\"fld_5265593\" class=\"form-group\" id=\"fld_5265593_1-wrap\">\r\n\t<label id=\"fld_5265593Label\" for=\"fld_5265593_1\" class=\"control-label\">Purchase Date<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_5265593\" value=\"\" id=\"fld_5265593_1\" data-field=\"fld_5265593\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"dd-mm-yyyy\" data-date-start-view=\"month\"   aria-labelledby=\"fld_5265593Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_6989208\" class=\"form-group\" id=\"fld_6989208_1-wrap\">\r\n\t<label id=\"fld_6989208Label\" for=\"fld_6989208_1\" class=\"control-label\">Coverage for Transit from US required<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_6989208_1_opt1834935\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_6989208\"\n                                id=\"fld_6989208_1_opt1834935\"\n                                class=\"fld_6989208_1\"\n                                name=\"fld_6989208[opt1834935]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_6989208_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_6989208_1_opt1582290\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_6989208\"\n                                id=\"fld_6989208_1_opt1582290\"\n                                class=\"fld_6989208_1\"\n                                name=\"fld_6989208[opt1582290]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_6989208_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_8933492\" class=\"form-group\" id=\"fld_8933492_1-wrap\">\r\n\t<label id=\"fld_8933492Label\" for=\"fld_8933492_1\" class=\"control-label\">From Where<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8933492\" class=\" form-control\" id=\"fld_8933492_1\" name=\"fld_8933492\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8933492Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-22\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div class=\"\"><p><\/br><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>HULL & MACHINERY<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>OUTBOARD ENGINE<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>AUX. ENGINE<\/b> <\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>DINGHY \/ TENDER<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>TRAILER \/ BOATHOUSE<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>PERSONAL EFFECTS<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>PROTECTION & INDEMNITY<\/b><\/br><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-3 \"><div class=\"\"><p><b>ORIGINAL PURCHASE PRICE<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_7178881\" class=\"form-group\" id=\"fld_7178881_1-wrap\">\r\n\t<label id=\"fld_7178881Label\" for=\"fld_7178881_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7178881\" class=\" form-control\" id=\"fld_7178881_1\" name=\"fld_7178881\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7178881Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8197175\" class=\"form-group\" id=\"fld_8197175_1-wrap\">\r\n\t<label id=\"fld_8197175Label\" for=\"fld_8197175_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_8197175\" class=\" form-control\" id=\"fld_8197175_1\" name=\"fld_8197175\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8197175Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9087729\" class=\"form-group\" id=\"fld_9087729_1-wrap\">\r\n\t<label id=\"fld_9087729Label\" for=\"fld_9087729_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_9087729\" class=\" form-control\" id=\"fld_9087729_1\" name=\"fld_9087729\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9087729Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6502690\" class=\"form-group\" id=\"fld_6502690_1-wrap\">\r\n\t<label id=\"fld_6502690Label\" for=\"fld_6502690_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_6502690\" class=\" form-control\" id=\"fld_6502690_1\" name=\"fld_6502690\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6502690Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1214801\" class=\"form-group\" id=\"fld_1214801_1-wrap\">\r\n\t<label id=\"fld_1214801Label\" for=\"fld_1214801_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_1214801\" class=\" form-control\" id=\"fld_1214801_1\" name=\"fld_1214801\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1214801Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_176526\" class=\"form-group\" id=\"fld_176526_1-wrap\">\r\n\t<label id=\"fld_176526Label\" for=\"fld_176526_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_176526\" class=\" form-control\" id=\"fld_176526_1\" name=\"fld_176526\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_176526Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4649520\" class=\"form-group\" id=\"fld_4649520_1-wrap\">\r\n\t<label id=\"fld_4649520Label\" for=\"fld_4649520_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_4649520\" class=\" form-control\" id=\"fld_4649520_1\" name=\"fld_4649520\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4649520Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div class=\"\"><p><b>CURRENT MARKET VALUE<\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_2215505\" class=\"form-group\" id=\"fld_2215505_1-wrap\">\r\n\t<label id=\"fld_2215505Label\" for=\"fld_2215505_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2215505\" class=\" form-control\" id=\"fld_2215505_1\" name=\"fld_2215505\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2215505Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2558044\" class=\"form-group\" id=\"fld_2558044_1-wrap\">\r\n\t<label id=\"fld_2558044Label\" for=\"fld_2558044_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2558044\" class=\" form-control\" id=\"fld_2558044_1\" name=\"fld_2558044\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2558044Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9125749\" class=\"form-group\" id=\"fld_9125749_1-wrap\">\r\n\t<label id=\"fld_9125749Label\" for=\"fld_9125749_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_9125749\" class=\" form-control\" id=\"fld_9125749_1\" name=\"fld_9125749\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9125749Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3164132\" class=\"form-group\" id=\"fld_3164132_1-wrap\">\r\n\t<label id=\"fld_3164132Label\" for=\"fld_3164132_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_3164132\" class=\" form-control\" id=\"fld_3164132_1\" name=\"fld_3164132\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3164132Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2757814\" class=\"form-group\" id=\"fld_2757814_1-wrap\">\r\n\t<label id=\"fld_2757814Label\" for=\"fld_2757814_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2757814\" class=\" form-control\" id=\"fld_2757814_1\" name=\"fld_2757814\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2757814Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2753475\" class=\"form-group\" id=\"fld_2753475_1-wrap\">\r\n\t<label id=\"fld_2753475Label\" for=\"fld_2753475_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2753475\" class=\" form-control\" id=\"fld_2753475_1\" name=\"fld_2753475\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2753475Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2138663\" class=\"form-group\" id=\"fld_2138663_1-wrap\">\r\n\t<label id=\"fld_2138663Label\" for=\"fld_2138663_1\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2138663\" class=\" form-control\" id=\"fld_2138663_1\" name=\"fld_2138663\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2138663Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div class=\"\"><p><b>DEDUCTIBLE \/ RATE<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_4178775\" class=\"form-group\" id=\"fld_4178775_1-wrap\">\r\n\t<label id=\"fld_4178775Label\" for=\"fld_4178775_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_4178775\" class=\" form-control\" id=\"fld_4178775_1\" name=\"fld_4178775\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4178775Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4761835\" class=\"form-group\" id=\"fld_4761835_1-wrap\">\r\n\t<label id=\"fld_4761835Label\" for=\"fld_4761835_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_4761835\" class=\" form-control\" id=\"fld_4761835_1\" name=\"fld_4761835\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4761835Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5311063\" class=\"form-group\" id=\"fld_5311063_1-wrap\">\r\n\t<label id=\"fld_5311063Label\" for=\"fld_5311063_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5311063\" class=\" form-control\" id=\"fld_5311063_1\" name=\"fld_5311063\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5311063Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7255313\" class=\"form-group\" id=\"fld_7255313_1-wrap\">\r\n\t<label id=\"fld_7255313Label\" for=\"fld_7255313_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7255313\" class=\" form-control\" id=\"fld_7255313_1\" name=\"fld_7255313\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7255313Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_167374\" class=\"form-group\" id=\"fld_167374_1-wrap\">\r\n\t<label id=\"fld_167374Label\" for=\"fld_167374_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_167374\" class=\" form-control\" id=\"fld_167374_1\" name=\"fld_167374\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_167374Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1653727\" class=\"form-group\" id=\"fld_1653727_1-wrap\">\r\n\t<label id=\"fld_1653727Label\" for=\"fld_1653727_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_1653727\" class=\" form-control\" id=\"fld_1653727_1\" name=\"fld_1653727\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1653727Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_744095\" class=\"form-group\" id=\"fld_744095_1-wrap\">\r\n\t<label id=\"fld_744095Label\" for=\"fld_744095_1\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_744095\" class=\" form-control\" id=\"fld_744095_1\" name=\"fld_744095\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_744095Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-23\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p>I understand that the information set forth is correct and shall be the basis upon which insurance may be granted. Completion of this application does not bind the applicant to accept the quotation nor does it bind the insurer to accept the risk. The applicants agree that reports containing personal, credit, factual record, premium payment or claims history may be sought or exchanged in connection with this application for insurance or renewal, extension, variation or cancellation thereof. <\/p>\n<p><\/br><\/p>\n<h3>PREMIUM IS FULLY EARNED \u2013 MINIMUM ANNUAL RETAINED<\/h3>\n<p> (Unless Watercraft is sold).<\/p>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_1-row-24\"  class=\"row \"><div  class=\"col-sm-4  first_col\">\n<div data-field-wrapper=\"fld_4639210\" class=\"form-group\" id=\"fld_4639210_1-wrap\">\r\n\t<label id=\"fld_4639210Label\" for=\"fld_4639210_1\" class=\"control-label\">Date<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_4639210\" value=\"\" id=\"fld_4639210_1\" data-field=\"fld_4639210\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"dd-mm-yyyy\" data-date-start-view=\"month\" data-date-language=\"en-GB\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_4639210Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_5389071\" class=\"form-group\" id=\"fld_5389071_1-wrap\">\r\n\t<label id=\"fld_5389071Label\" for=\"fld_5389071_1\" class=\"control-label\">Agent<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5389071\" class=\" form-control\" id=\"fld_5389071_1\" name=\"fld_5389071\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5389071Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_4846604\" class=\"form-group\" id=\"fld_4846604_1-wrap\">\r\n\t<label id=\"fld_4846604Label\" for=\"fld_4846604_1\" class=\"control-label\">Agency<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4846604\" class=\" form-control\" id=\"fld_4846604_1\" name=\"fld_4846604\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4846604Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-25\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_2017922\" class=\"form-group\" id=\"fld_2017922_1-wrap\">\r\n\t<label id=\"fld_2017922Label\" for=\"fld_2017922_1\" class=\"control-label\">Agent Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2017922\" class=\" form-control\" id=\"fld_2017922_1\" name=\"fld_2017922\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2017922Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_6389397\" class=\"form-group\" id=\"fld_6389397_1-wrap\">\r\n\t<label id=\"fld_6389397Label\" for=\"fld_6389397_1\" class=\"control-label\">Agent Fax<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6389397\" class=\" form-control\" id=\"fld_6389397_1\" name=\"fld_6389397\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6389397Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_7554148\" class=\"form-group\" id=\"fld_7554148_1-wrap\">\r\n\t<label id=\"fld_7554148Label\" for=\"fld_7554148_1\" class=\"control-label\">Agent Email<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7554148\" class=\" form-control\" id=\"fld_7554148_1\" name=\"fld_7554148\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7554148Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_1-row-26\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7908577\" class=\"form-group\" id=\"fld_7908577_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_7908577\" id=\"fld_7908577_1\" value=\"Send Message\" data-field=\"fld_7908577\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_7908577\" id=\"fld_7908577_1_btn\" value=\"\" data-field=\"fld_7908577\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; prev_background_color=&#8221;#eaeaea&#8221; next_background_color=&#8221;#008084&#8243; global_module=&#8221;379&#8243;][et_pb_row global_parent=&#8221;379&#8243; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_menu admin_label=&#8221;Side Menu&#8221; global_parent=&#8221;379&#8243; _builder_version=&#8221;3.0.106&#8243; menu_id=&#8221;8&#8243; vertical_mode=&#8221;vertical&#8221; custom_background_color=&#8221;on&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; submenu_direction=&#8221;downwards&#8221; disabled=&#8221;off&#8221; disabled_on=&#8221;on|on|&#8221; menu_text_color=&#8221;#a5a5a5&#8243; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#a3a3a3&#8243; fullwidth_menu=&#8221;on&#8221; active_link_color=&#8221;#20840e&#8221; dropdown_menu_animation=&#8221;fade&#8221; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; _builder_version=&#8221;3.0.98&#8243; custom_margin=&#8221;0px||0px|&#8221; custom_padding=&#8221;0px||0px|&#8221; background_color=&#8221;#008084&#8243; prev_background_color=&#8221;#ffffff&#8221;][et_pb_row _builder_version=&#8221;3.0.98&#8243; background_color=&#8221;#008084&#8243; make_fullwidth=&#8221;on&#8221; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; padding_right_1=&#8221;20px&#8221; padding_left_2=&#8221;20px&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;TALK TO A FAWCETT&#8230;&#8221; _builder_version=&#8221;3.0.98&#8243; background_layout=&#8221;dark&#8221; text_orientation=&#8221;center&#8221; custom_padding=&#8221;10px|||&#8221;]<\/p>\n<h2>TALK TO A FAWCETT INSURANCE REPRESENTATIVE NOW!<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_button admin_label=&#8221;PHONE BUTTON&#8221; _builder_version=&#8221;3.0.98&#8243; button_text=&#8221;PH: 604.929.3494&#8243; button_url=&#8221;tel:6049293494&#8243; url_new_window=&#8221;off&#8221; button_alignment=&#8221;center&#8221; background_layout=&#8221;dark&#8221; custom_button=&#8221;off&#8221; button_icon_placement=&#8221;right&#8221; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Are you covered? We make sure! Boat Owners Insurance <div class=\"caldera-grid\" id=\"caldera_form_2\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5aa195e226f92\"><div id=\"caldera_notices_2\" data-spinner=\"https:\/\/www.fawcettinsurance.com\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"2\" class=\"CF5aa195e226f92 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5aa195e226f92_2\" data-form-id=\"CF5aa195e226f92\" aria-label=\"Boat Insurance\" data-target=\"#caldera_notices_2\" data-template=\"#cfajax_CF5aa195e226f92-tmpl\" data-cfajax=\"CF5aa195e226f92\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/www.fawcettinsurance.com\/cf-api\/CF5aa195e226f92\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5aa195e226f92\" name=\"_cf_verify\" value=\"b5fe0b2749\"  data-nonce-time=\"1714978107\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/285\" \/><div id=\"cf2-CF5aa195e226f92_2\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5aa195e226f92\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"2\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5aa195e226f92\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"285\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Order Number<\/label><input type=\"text\" name=\"order_number\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5aa195e226f92_2-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><h2>Your Details<\/h2>\n<hr>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_2-row-2\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_8768091\" class=\"form-group\" id=\"fld_8768091_2-wrap\">\r\n\t<label id=\"fld_8768091Label\" for=\"fld_8768091_2\" class=\"control-label\">First Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_8768091\" class=\" form-control\" id=\"fld_8768091_2\" name=\"fld_8768091\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_8768091Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_9970286\" class=\"form-group\" id=\"fld_9970286_2-wrap\">\r\n\t<label id=\"fld_9970286Label\" for=\"fld_9970286_2\" class=\"control-label\">Last Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9970286\" class=\" form-control\" id=\"fld_9970286_2\" name=\"fld_9970286\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9970286Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_6009157\" class=\"form-group\" id=\"fld_6009157_2-wrap\">\r\n\t<label id=\"fld_6009157Label\" for=\"fld_6009157_2\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_6009157\" class=\" form-control\" id=\"fld_6009157_2\" name=\"fld_6009157\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_6009157Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-3\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_4217631\" class=\"form-group\" id=\"fld_4217631_2-wrap\">\r\n\t<label id=\"fld_4217631Label\" for=\"fld_4217631_2\" class=\"control-label\">Home Phone <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"  required type=\"phone\" data-field=\"fld_4217631\" class=\" form-control\" id=\"fld_4217631_2\" name=\"fld_4217631\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_4217631Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_342457\" class=\"form-group\" id=\"fld_342457_2-wrap\">\r\n\t<label id=\"fld_342457Label\" for=\"fld_342457_2\" class=\"control-label\">Cell Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"   type=\"phone\" data-field=\"fld_342457\" class=\" form-control\" id=\"fld_342457_2\" name=\"fld_342457\" value=\"\" data-type=\"phone\"   aria-labelledby=\"fld_342457Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_6674372\" class=\"form-group\" id=\"fld_6674372_2-wrap\">\r\n\t<label id=\"fld_6674372Label\" for=\"fld_6674372_2\" class=\"control-label\">Work Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"   type=\"phone\" data-field=\"fld_6674372\" class=\" form-control\" id=\"fld_6674372_2\" name=\"fld_6674372\" value=\"\" data-type=\"phone\"   aria-labelledby=\"fld_6674372Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-4\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_6434494\" class=\"form-group\" id=\"fld_6434494_2-wrap\">\r\n\t<label id=\"fld_6434494Label\" for=\"fld_6434494_2\" class=\"control-label\">Date of Birth<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"DD\/MM\/YYYY\"   type=\"number\" data-field=\"fld_6434494\" class=\" form-control\" id=\"fld_6434494_2\" name=\"fld_6434494\" value=\"\" data-type=\"number\" data-parsley-type=\"number\"   aria-labelledby=\"fld_6434494Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_8214059\" class=\"form-group\" id=\"fld_8214059_2-wrap\">\r\n\t<label id=\"fld_8214059Label\" for=\"fld_8214059_2\" class=\"control-label\">Occupation<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8214059\" class=\" form-control\" id=\"fld_8214059_2\" name=\"fld_8214059\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8214059Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-5\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_2246541\" class=\"form-group\" id=\"fld_2246541_2-wrap\">\r\n\t<label id=\"fld_2246541Label\" for=\"fld_2246541_2\" class=\"control-label\">Years as Owner<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2246541\" class=\" form-control\" id=\"fld_2246541_2\" name=\"fld_2246541\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2246541Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9380772\" class=\"form-group\" id=\"fld_9380772_2-wrap\">\r\n\t<label id=\"fld_9380772Label\" for=\"fld_9380772_2\" class=\"control-label\">Years as Operator<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9380772\" class=\" form-control\" id=\"fld_9380772_2\" name=\"fld_9380772\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9380772Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_2841388\" class=\"form-group\" id=\"fld_2841388_2-wrap\">\r\n\t<label id=\"fld_2841388Label\" for=\"fld_2841388_2\" class=\"control-label\">Power Squadron<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_2841388_2_opt1611442\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_2841388\"\n                                id=\"fld_2841388_2_opt1611442\"\n                                class=\"fld_2841388_2\"\n                                name=\"fld_2841388[opt1611442]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2841388_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_2841388_2_opt1521075\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_2841388\"\n                                id=\"fld_2841388_2_opt1521075\"\n                                class=\"fld_2841388_2\"\n                                name=\"fld_2841388[opt1521075]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2841388_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_4354125\" class=\"form-group\" id=\"fld_4354125_2-wrap\">\r\n\t<label id=\"fld_4354125Label\" for=\"fld_4354125_2\" class=\"control-label\">Pleasurecraft Operator Card<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4354125_2_opt1801845\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_4354125\"\n                                id=\"fld_4354125_2_opt1801845\"\n                                class=\"fld_4354125_2\"\n                                name=\"fld_4354125[opt1801845]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4354125_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4354125_2_opt1487470\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_4354125\"\n                                id=\"fld_4354125_2_opt1487470\"\n                                class=\"fld_4354125_2\"\n                                name=\"fld_4354125[opt1487470]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4354125_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-6\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_8729862\" class=\"form-group\" id=\"fld_8729862_2-wrap\">\r\n\t<label id=\"fld_8729862Label\" for=\"fld_8729862_2\" class=\"control-label\">Other Operators<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8729862\" class=\" form-control\" id=\"fld_8729862_2\" name=\"fld_8729862\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8729862Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1172313\" class=\"form-group\" id=\"fld_1172313_2-wrap\">\r\n\t<label id=\"fld_1172313Label\" for=\"fld_1172313_2\" class=\"control-label\">Age<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1172313\" class=\" form-control\" id=\"fld_1172313_2\" name=\"fld_1172313\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1172313Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_3630210\" class=\"form-group\" id=\"fld_3630210_2-wrap\">\r\n\t<label id=\"fld_3630210Label\" for=\"fld_3630210_2\" class=\"control-label\">Pleasurecraft Operator Card<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3630210_2_opt1265620\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_3630210\"\n                                id=\"fld_3630210_2_opt1265620\"\n                                class=\"fld_3630210_2\"\n                                name=\"fld_3630210[opt1265620]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3630210_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3630210_2_opt1844473\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_3630210\"\n                                id=\"fld_3630210_2_opt1844473\"\n                                class=\"fld_3630210_2\"\n                                name=\"fld_3630210[opt1844473]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3630210_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>List all  accidents or claims in the past five years:<\/h3>\n<hr>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_2-row-8\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8330280\" class=\"form-group\" id=\"fld_8330280_2-wrap\">\r\n\t<label id=\"fld_8330280Label\" for=\"fld_8330280_2\" class=\"control-label\">List All Accidents or Claims in the Past 5 Years<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8330280\" value=\"\" data-field=\"fld_8330280\" class=\"form-control\" id=\"fld_8330280_2\" rows=\"4\" placeholder=\"Details of When &amp; Why\"    aria-labelledby=\"fld_8330280Label\" aria-describedby=\"fld_8330280Caption\" ><\/textarea>\n\t\t<span id=\"fld_8330280Caption\" class=\"help-block\">Date \/ Amount \/ Details<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-9\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_4483027\" class=\"form-group\" id=\"fld_4483027_2-wrap\">\r\n\t<label id=\"fld_4483027Label\" for=\"fld_4483027_2\" class=\"control-label\">Any Criminal Code charges or convictions related to driving \/ boating<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4483027_2_opt1839828\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_4483027\"\n                                id=\"fld_4483027_2_opt1839828\"\n                                class=\"fld_4483027_2\"\n                                name=\"fld_4483027[opt1839828]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4483027_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4483027_2_opt1084788\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_4483027\"\n                                id=\"fld_4483027_2_opt1084788\"\n                                class=\"fld_4483027_2\"\n                                name=\"fld_4483027[opt1084788]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4483027_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_4889309\" class=\"form-group\" id=\"fld_4889309_2-wrap\">\r\n\t<label id=\"fld_4889309Label\" for=\"fld_4889309_2\" class=\"control-label\">If Yes, When & Reason<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4889309\" class=\" form-control\" id=\"fld_4889309_2\" name=\"fld_4889309\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4889309Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-10\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_4301993\" class=\"form-group\" id=\"fld_4301993_2-wrap\">\r\n\t<label id=\"fld_4301993Label\" for=\"fld_4301993_2\" class=\"control-label\">Previous Insurer<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4301993\" class=\" form-control\" id=\"fld_4301993_2\" name=\"fld_4301993\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4301993Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_5400341\" class=\"form-group\" id=\"fld_5400341_2-wrap\">\r\n\t<label id=\"fld_5400341Label\" for=\"fld_5400341_2\" class=\"control-label\">Coverage Effective<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5400341\" class=\" form-control\" id=\"fld_5400341_2\" name=\"fld_5400341\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5400341Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_9506773\" class=\"form-group\" id=\"fld_9506773_2-wrap\">\r\n\t<label id=\"fld_9506773Label\" for=\"fld_9506773_2\" class=\"control-label\">Loss Payable<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9506773\" class=\" form-control\" id=\"fld_9506773_2\" name=\"fld_9506773\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9506773Label\" aria-describedby=\"fld_9506773Caption\" >\t\t<span id=\"fld_9506773Caption\" class=\"help-block\">(full address) <\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>Details of Vessel<\/h3>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_2-row-12\"  class=\"row \"><div  class=\"col-sm-10  first_col\"><div data-field-wrapper=\"fld_3787687\" class=\"form-group\" id=\"fld_3787687_2-wrap\">\r\n\t<label id=\"fld_3787687Label\" for=\"fld_3787687_2\" class=\"control-label\">Vessel Type<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1241687\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"In\/Outboard\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1241687\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1241687]\"\n                                value=\"In\/Outboard\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"In\/Outboard\"\n                            >\n                    In\/Outboard                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1133252\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Outboard\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1133252\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1133252]\"\n                                value=\"Outboard\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Outboard\"\n                            >\n                    Outboard                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1764909\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Inboard\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1764909\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1764909]\"\n                                value=\"Inboard\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Inboard\"\n                            >\n                    Inboard                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1959670\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Sailboat\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1959670\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1959670]\"\n                                value=\"Sailboat\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Sailboat\"\n                            >\n                    Sailboat                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt2090481\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Jet Drive\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt2090481\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt2090481]\"\n                                value=\"Jet Drive\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Jet Drive\"\n                            >\n                    Jet Drive                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1185705\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Houseboat\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1185705\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1185705]\"\n                                value=\"Houseboat\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Houseboat\"\n                            >\n                    Houseboat                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1360523\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Pontoon\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1360523\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1360523]\"\n                                value=\"Pontoon\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Pontoon\"\n                            >\n                    Pontoon                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1763783\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Inflatable\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1763783\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1763783]\"\n                                value=\"Inflatable\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Inflatable\"\n                            >\n                    Inflatable                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3787687_2_opt1084474\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Other\"\n                                data-field=\"fld_3787687\"\n                                id=\"fld_3787687_2_opt1084474\"\n                                class=\"fld_3787687_2\"\n                                name=\"fld_3787687[opt1084474]\"\n                                value=\"Other\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3787687_2\"\n                                                                data-calc-value=\"Other\"\n                            >\n                    Other                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div data-field-wrapper=\"fld_1382389\" class=\"form-group\" id=\"fld_1382389_2-wrap\">\r\n\t<label id=\"fld_1382389Label\" for=\"fld_1382389_2\" class=\"control-label\">Other<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1382389\" class=\" form-control\" id=\"fld_1382389_2\" name=\"fld_1382389\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1382389Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-13\"  class=\"row \"><div  class=\"col-sm-10  first_col\"><div data-field-wrapper=\"fld_9169324\" class=\"form-group\" id=\"fld_9169324_2-wrap\">\r\n\t<label id=\"fld_9169324Label\" for=\"fld_9169324_2\" class=\"control-label\">Hull Type<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_2_opt1156124\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Fibreglass\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_2_opt1156124\"\n                                class=\"fld_9169324_2\"\n                                name=\"fld_9169324[opt1156124]\"\n                                value=\"Fibreglass\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_2\"\n                                                                data-calc-value=\"Fibreglass\"\n                            >\n                    Fibreglass                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_2_opt2053265\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Wood\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_2_opt2053265\"\n                                class=\"fld_9169324_2\"\n                                name=\"fld_9169324[opt2053265]\"\n                                value=\"Wood\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_2\"\n                                                                data-calc-value=\"Wood\"\n                            >\n                    Wood                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_2_opt1077710\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Plywood\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_2_opt1077710\"\n                                class=\"fld_9169324_2\"\n                                name=\"fld_9169324[opt1077710]\"\n                                value=\"Plywood\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_2\"\n                                                                data-calc-value=\"Plywood\"\n                            >\n                    Plywood                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_2_opt1623810\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"F\/G Over Wood\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_2_opt1623810\"\n                                class=\"fld_9169324_2\"\n                                name=\"fld_9169324[opt1623810]\"\n                                value=\"F\/G Over Wood\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_2\"\n                                                                data-calc-value=\"F\/G Over Wood\"\n                            >\n                    F\/G Over Wood                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_2_opt1959449\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Steel\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_2_opt1959449\"\n                                class=\"fld_9169324_2\"\n                                name=\"fld_9169324[opt1959449]\"\n                                value=\"Steel\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_2\"\n                                                                data-calc-value=\"Steel\"\n                            >\n                    Steel                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_2_opt1372490\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Aluminum\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_2_opt1372490\"\n                                class=\"fld_9169324_2\"\n                                name=\"fld_9169324[opt1372490]\"\n                                value=\"Aluminum\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_2\"\n                                                                data-calc-value=\"Aluminum\"\n                            >\n                    Aluminum                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9169324_2_opt1210882\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Other\"\n                                data-field=\"fld_9169324\"\n                                id=\"fld_9169324_2_opt1210882\"\n                                class=\"fld_9169324_2\"\n                                name=\"fld_9169324[opt1210882]\"\n                                value=\"Other\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9169324_2\"\n                                                                data-calc-value=\"Other\"\n                            >\n                    Other                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div data-field-wrapper=\"fld_6858564\" class=\"form-group\" id=\"fld_6858564_2-wrap\">\r\n\t<label id=\"fld_6858564Label\" for=\"fld_6858564_2\" class=\"control-label\">Other<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6858564\" class=\" form-control\" id=\"fld_6858564_2\" name=\"fld_6858564\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6858564Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-14\"  class=\"row \"><div  class=\"col-sm-2  first_col\"><div class=\"\"><p><b>DESCRIPTION<\/b><\/br><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>HULL<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>ENGINE (main)<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>ENGINE (aux) <\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>TENDER<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>TRAILER<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>OTHER<\/b><\/br><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>YEAR<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_3020489\" class=\"form-group\" id=\"fld_3020489_2-wrap\">\r\n\t<label id=\"fld_3020489Label\" for=\"fld_3020489_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_3020489\" class=\" form-control\" id=\"fld_3020489_2\" name=\"fld_3020489\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3020489Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_431654\" class=\"form-group\" id=\"fld_431654_2-wrap\">\r\n\t<label id=\"fld_431654Label\" for=\"fld_431654_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_431654\" class=\" form-control\" id=\"fld_431654_2\" name=\"fld_431654\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_431654Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5245351\" class=\"form-group\" id=\"fld_5245351_2-wrap\">\r\n\t<label id=\"fld_5245351Label\" for=\"fld_5245351_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5245351\" class=\" form-control\" id=\"fld_5245351_2\" name=\"fld_5245351\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5245351Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9705881\" class=\"form-group\" id=\"fld_9705881_2-wrap\">\r\n\t<label id=\"fld_9705881Label\" for=\"fld_9705881_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9705881\" class=\" form-control\" id=\"fld_9705881_2\" name=\"fld_9705881\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9705881Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2222080\" class=\"form-group\" id=\"fld_2222080_2-wrap\">\r\n\t<label id=\"fld_2222080Label\" for=\"fld_2222080_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_2222080\" class=\" form-control\" id=\"fld_2222080_2\" name=\"fld_2222080\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2222080Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7954028\" class=\"form-group\" id=\"fld_7954028_2-wrap\">\r\n\t<label id=\"fld_7954028Label\" for=\"fld_7954028_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7954028\" class=\" form-control\" id=\"fld_7954028_2\" name=\"fld_7954028\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7954028Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>MAKE<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_1154445\" class=\"form-group\" id=\"fld_1154445_2-wrap\">\r\n\t<label id=\"fld_1154445Label\" for=\"fld_1154445_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_1154445\" class=\" form-control\" id=\"fld_1154445_2\" name=\"fld_1154445\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1154445Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5270052\" class=\"form-group\" id=\"fld_5270052_2-wrap\">\r\n\t<label id=\"fld_5270052Label\" for=\"fld_5270052_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5270052\" class=\" form-control\" id=\"fld_5270052_2\" name=\"fld_5270052\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5270052Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_459758\" class=\"form-group\" id=\"fld_459758_2-wrap\">\r\n\t<label id=\"fld_459758Label\" for=\"fld_459758_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_459758\" class=\" form-control\" id=\"fld_459758_2\" name=\"fld_459758\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_459758Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5343291\" class=\"form-group\" id=\"fld_5343291_2-wrap\">\r\n\t<label id=\"fld_5343291Label\" for=\"fld_5343291_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5343291\" class=\" form-control\" id=\"fld_5343291_2\" name=\"fld_5343291\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5343291Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2848990\" class=\"form-group\" id=\"fld_2848990_2-wrap\">\r\n\t<label id=\"fld_2848990Label\" for=\"fld_2848990_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_2848990\" class=\" form-control\" id=\"fld_2848990_2\" name=\"fld_2848990\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2848990Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3055379\" class=\"form-group\" id=\"fld_3055379_2-wrap\">\r\n\t<label id=\"fld_3055379Label\" for=\"fld_3055379_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_3055379\" class=\" form-control\" id=\"fld_3055379_2\" name=\"fld_3055379\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3055379Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>MODEL<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_6621688\" class=\"form-group\" id=\"fld_6621688_2-wrap\">\r\n\t<label id=\"fld_6621688Label\" for=\"fld_6621688_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_6621688\" class=\" form-control\" id=\"fld_6621688_2\" name=\"fld_6621688\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6621688Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5184847\" class=\"form-group\" id=\"fld_5184847_2-wrap\">\r\n\t<label id=\"fld_5184847Label\" for=\"fld_5184847_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5184847\" class=\" form-control\" id=\"fld_5184847_2\" name=\"fld_5184847\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5184847Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9609714\" class=\"form-group\" id=\"fld_9609714_2-wrap\">\r\n\t<label id=\"fld_9609714Label\" for=\"fld_9609714_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9609714\" class=\" form-control\" id=\"fld_9609714_2\" name=\"fld_9609714\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9609714Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5873410\" class=\"form-group\" id=\"fld_5873410_2-wrap\">\r\n\t<label id=\"fld_5873410Label\" for=\"fld_5873410_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5873410\" class=\" form-control\" id=\"fld_5873410_2\" name=\"fld_5873410\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5873410Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_780648\" class=\"form-group\" id=\"fld_780648_2-wrap\">\r\n\t<label id=\"fld_780648Label\" for=\"fld_780648_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_780648\" class=\" form-control\" id=\"fld_780648_2\" name=\"fld_780648\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_780648Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8534494\" class=\"form-group\" id=\"fld_8534494_2-wrap\">\r\n\t<label id=\"fld_8534494Label\" for=\"fld_8534494_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_8534494\" class=\" form-control\" id=\"fld_8534494_2\" name=\"fld_8534494\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8534494Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div class=\"\"><p><b>LENGTH \/ HP<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_4048602\" class=\"form-group\" id=\"fld_4048602_2-wrap\">\r\n\t<label id=\"fld_4048602Label\" for=\"fld_4048602_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_4048602\" class=\" form-control\" id=\"fld_4048602_2\" name=\"fld_4048602\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4048602Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2132285\" class=\"form-group\" id=\"fld_2132285_2-wrap\">\r\n\t<label id=\"fld_2132285Label\" for=\"fld_2132285_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_2132285\" class=\" form-control\" id=\"fld_2132285_2\" name=\"fld_2132285\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2132285Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3475947\" class=\"form-group\" id=\"fld_3475947_2-wrap\">\r\n\t<label id=\"fld_3475947Label\" for=\"fld_3475947_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_3475947\" class=\" form-control\" id=\"fld_3475947_2\" name=\"fld_3475947\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3475947Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7219962\" class=\"form-group\" id=\"fld_7219962_2-wrap\">\r\n\t<label id=\"fld_7219962Label\" for=\"fld_7219962_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7219962\" class=\" form-control\" id=\"fld_7219962_2\" name=\"fld_7219962\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7219962Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7911123\" class=\"form-group\" id=\"fld_7911123_2-wrap\">\r\n\t<label id=\"fld_7911123Label\" for=\"fld_7911123_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7911123\" class=\" form-control\" id=\"fld_7911123_2\" name=\"fld_7911123\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7911123Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5729976\" class=\"form-group\" id=\"fld_5729976_2-wrap\">\r\n\t<label id=\"fld_5729976Label\" for=\"fld_5729976_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5729976\" class=\" form-control\" id=\"fld_5729976_2\" name=\"fld_5729976\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5729976Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div class=\"\"><p><b>SERIAL\/VIN<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_6423982\" class=\"form-group\" id=\"fld_6423982_2-wrap\">\r\n\t<label id=\"fld_6423982Label\" for=\"fld_6423982_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_6423982\" class=\" form-control\" id=\"fld_6423982_2\" name=\"fld_6423982\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6423982Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7066547\" class=\"form-group\" id=\"fld_7066547_2-wrap\">\r\n\t<label id=\"fld_7066547Label\" for=\"fld_7066547_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7066547\" class=\" form-control\" id=\"fld_7066547_2\" name=\"fld_7066547\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7066547Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9111714\" class=\"form-group\" id=\"fld_9111714_2-wrap\">\r\n\t<label id=\"fld_9111714Label\" for=\"fld_9111714_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9111714\" class=\" form-control\" id=\"fld_9111714_2\" name=\"fld_9111714\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9111714Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8185801\" class=\"form-group\" id=\"fld_8185801_2-wrap\">\r\n\t<label id=\"fld_8185801Label\" for=\"fld_8185801_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_8185801\" class=\" form-control\" id=\"fld_8185801_2\" name=\"fld_8185801\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8185801Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9986478\" class=\"form-group\" id=\"fld_9986478_2-wrap\">\r\n\t<label id=\"fld_9986478Label\" for=\"fld_9986478_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9986478\" class=\" form-control\" id=\"fld_9986478_2\" name=\"fld_9986478\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9986478Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9109108\" class=\"form-group\" id=\"fld_9109108_2-wrap\">\r\n\t<label id=\"fld_9109108Label\" for=\"fld_9109108_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_9109108\" class=\" form-control\" id=\"fld_9109108_2\" name=\"fld_9109108\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9109108Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-15\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_5049543\" class=\"form-group\" id=\"fld_5049543_2-wrap\">\r\n\t<label id=\"fld_5049543Label\" for=\"fld_5049543_2\" class=\"control-label\">Fuel Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5049543\" class=\" form-control\" id=\"fld_5049543_2\" name=\"fld_5049543\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5049543Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_6337346\" class=\"form-group\" id=\"fld_6337346_2-wrap\">\r\n\t<label id=\"fld_6337346Label\" for=\"fld_6337346_2\" class=\"control-label\">Stove Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6337346\" class=\" form-control\" id=\"fld_6337346_2\" name=\"fld_6337346\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6337346Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_3957283\" class=\"form-group\" id=\"fld_3957283_2-wrap\">\r\n\t<label id=\"fld_3957283Label\" for=\"fld_3957283_2\" class=\"control-label\">Fridge Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3957283\" class=\" form-control\" id=\"fld_3957283_2\" name=\"fld_3957283\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3957283Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-16\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6028585\" class=\"form-group\" id=\"fld_6028585_2-wrap\">\r\n\t<label id=\"fld_6028585Label\" for=\"fld_6028585_2\" class=\"control-label\">Maximum Speed (mph)<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6028585\" class=\" form-control\" id=\"fld_6028585_2\" name=\"fld_6028585\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6028585Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1911288\" class=\"form-group\" id=\"fld_1911288_2-wrap\">\r\n\t<label id=\"fld_1911288Label\" for=\"fld_1911288_2\" class=\"control-label\">Liveaboard Boat<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1911288_2_opt1821363\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_1911288\"\n                                id=\"fld_1911288_2_opt1821363\"\n                                class=\"fld_1911288_2\"\n                                name=\"fld_1911288[opt1821363]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1911288_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1911288_2_opt2043817\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_1911288\"\n                                id=\"fld_1911288_2_opt2043817\"\n                                class=\"fld_1911288_2\"\n                                name=\"fld_1911288[opt2043817]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1911288_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_7445096\" class=\"form-group\" id=\"fld_7445096_2-wrap\">\r\n\t<label id=\"fld_7445096Label\" for=\"fld_7445096_2\" class=\"control-label\">Pleasure Use Only<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7445096_2_opt1313488\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_7445096\"\n                                id=\"fld_7445096_2_opt1313488\"\n                                class=\"fld_7445096_2\"\n                                name=\"fld_7445096[opt1313488]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7445096_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7445096_2_opt1361698\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_7445096\"\n                                id=\"fld_7445096_2_opt1361698\"\n                                class=\"fld_7445096_2\"\n                                name=\"fld_7445096[opt1361698]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7445096_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_2333819\" class=\"form-group\" id=\"fld_2333819_2-wrap\">\r\n\t<label id=\"fld_2333819Label\" for=\"fld_2333819_2\" class=\"control-label\">Description<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2333819\" class=\" form-control\" id=\"fld_2333819_2\" name=\"fld_2333819\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2333819Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-17\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_8297983\" class=\"form-group\" id=\"fld_8297983_2-wrap\">\r\n\t<label id=\"fld_8297983Label\" for=\"fld_8297983_2\" class=\"control-label\">Surveyed<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8297983_2_opt1218785\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_8297983\"\n                                id=\"fld_8297983_2_opt1218785\"\n                                class=\"fld_8297983_2\"\n                                name=\"fld_8297983[opt1218785]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8297983_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8297983_2_opt1757562\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_8297983\"\n                                id=\"fld_8297983_2_opt1757562\"\n                                class=\"fld_8297983_2\"\n                                name=\"fld_8297983[opt1757562]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8297983_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_3415766\" class=\"form-group\" id=\"fld_3415766_2-wrap\">\r\n\t<label id=\"fld_3415766Label\" for=\"fld_3415766_2\" class=\"control-label\">When<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3415766\" class=\" form-control\" id=\"fld_3415766_2\" name=\"fld_3415766\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3415766Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_5476963\" class=\"form-group\" id=\"fld_5476963_2-wrap\">\r\n\t<label id=\"fld_5476963Label\" for=\"fld_5476963_2\" class=\"control-label\">Surveyor<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5476963\" class=\" form-control\" id=\"fld_5476963_2\" name=\"fld_5476963\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5476963Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-18\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_2459997\" class=\"form-group\" id=\"fld_2459997_2-wrap\">\r\n\t<label id=\"fld_2459997Label\" for=\"fld_2459997_2\" class=\"control-label\">Where Principally Used<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2459997\" class=\" form-control\" id=\"fld_2459997_2\" name=\"fld_2459997\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2459997Label\" aria-describedby=\"fld_2459997Caption\" >\t\t<span id=\"fld_2459997Caption\" class=\"help-block\">(be specific) <\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_8072636\" class=\"form-group\" id=\"fld_8072636_2-wrap\">\r\n\t<label id=\"fld_8072636Label\" for=\"fld_8072636_2\" class=\"control-label\">Moored<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8072636_2_opt1438647\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_8072636\"\n                                id=\"fld_8072636_2_opt1438647\"\n                                class=\"fld_8072636_2\"\n                                name=\"fld_8072636[opt1438647]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8072636_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_8072636_2_opt2083033\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_8072636\"\n                                id=\"fld_8072636_2_opt2083033\"\n                                class=\"fld_8072636_2\"\n                                name=\"fld_8072636[opt2083033]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8072636_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_8385041\" class=\"form-group\" id=\"fld_8385041_2-wrap\">\r\n\t<label id=\"fld_8385041Label\" for=\"fld_8385041_2\" class=\"control-label\">Location<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8385041\" class=\" form-control\" id=\"fld_8385041_2\" name=\"fld_8385041\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8385041Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-19\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_4256214\" class=\"form-group\" id=\"fld_4256214_2-wrap\">\r\n\t<label id=\"fld_4256214Label\" for=\"fld_4256214_2\" class=\"control-label\">Where Laid Up<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4256214\" class=\" form-control\" id=\"fld_4256214_2\" name=\"fld_4256214\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4256214Label\" aria-describedby=\"fld_4256214Caption\" >\t\t<span id=\"fld_4256214Caption\" class=\"help-block\">(land storage)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_2539728\" class=\"form-group\" id=\"fld_2539728_2-wrap\">\r\n\t<label id=\"fld_2539728Label\" for=\"fld_2539728_2\" class=\"control-label\">Security Measures<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2539728\" class=\" form-control\" id=\"fld_2539728_2\" name=\"fld_2539728\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2539728Label\" aria-describedby=\"fld_2539728Caption\" >\t\t<span id=\"fld_2539728Caption\" class=\"help-block\">(describe) <\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-20\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_3414754\" class=\"form-group\" id=\"fld_3414754_2-wrap\">\r\n\t<label id=\"fld_3414754Label\" for=\"fld_3414754_2\" class=\"control-label\">Anti Theft Device Used<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3414754\" class=\" form-control\" id=\"fld_3414754_2\" name=\"fld_3414754\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3414754Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-21\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_4565597\" class=\"form-group\" id=\"fld_4565597_2-wrap\">\r\n\t<label id=\"fld_4565597Label\" for=\"fld_4565597_2\" class=\"control-label\">Purchased in<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4565597_2_opt1678318\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"CAN\"\n                                data-field=\"fld_4565597\"\n                                id=\"fld_4565597_2_opt1678318\"\n                                class=\"fld_4565597_2\"\n                                name=\"fld_4565597[opt1678318]\"\n                                value=\"CAN\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4565597_2\"\n                                                                data-calc-value=\"CAN\"\n                            >\n                    CAN                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_4565597_2_opt1370606\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"USA\"\n                                data-field=\"fld_4565597\"\n                                id=\"fld_4565597_2_opt1370606\"\n                                class=\"fld_4565597_2\"\n                                name=\"fld_4565597[opt1370606]\"\n                                value=\"USA\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4565597_2\"\n                                                                data-calc-value=\"USA\"\n                            >\n                    USA                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \">\n<div data-field-wrapper=\"fld_5265593\" class=\"form-group\" id=\"fld_5265593_2-wrap\">\r\n\t<label id=\"fld_5265593Label\" for=\"fld_5265593_2\" class=\"control-label\">Purchase Date<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_5265593\" value=\"\" id=\"fld_5265593_2\" data-field=\"fld_5265593\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"dd-mm-yyyy\" data-date-start-view=\"month\"   aria-labelledby=\"fld_5265593Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_6989208\" class=\"form-group\" id=\"fld_6989208_2-wrap\">\r\n\t<label id=\"fld_6989208Label\" for=\"fld_6989208_2\" class=\"control-label\">Coverage for Transit from US required<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_6989208_2_opt1834935\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_6989208\"\n                                id=\"fld_6989208_2_opt1834935\"\n                                class=\"fld_6989208_2\"\n                                name=\"fld_6989208[opt1834935]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_6989208_2\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_6989208_2_opt1582290\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_6989208\"\n                                id=\"fld_6989208_2_opt1582290\"\n                                class=\"fld_6989208_2\"\n                                name=\"fld_6989208[opt1582290]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_6989208_2\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_8933492\" class=\"form-group\" id=\"fld_8933492_2-wrap\">\r\n\t<label id=\"fld_8933492Label\" for=\"fld_8933492_2\" class=\"control-label\">From Where<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8933492\" class=\" form-control\" id=\"fld_8933492_2\" name=\"fld_8933492\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8933492Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-22\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div class=\"\"><p><\/br><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>HULL & MACHINERY<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>OUTBOARD ENGINE<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>AUX. ENGINE<\/b> <\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>DINGHY \/ TENDER<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>TRAILER \/ BOATHOUSE<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>PERSONAL EFFECTS<\/b><\/br><\/br><\/p>\n<\/div><div class=\"\"><p><b>PROTECTION & INDEMNITY<\/b><\/br><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-3 \"><div class=\"\"><p><b>ORIGINAL PURCHASE PRICE<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_7178881\" class=\"form-group\" id=\"fld_7178881_2-wrap\">\r\n\t<label id=\"fld_7178881Label\" for=\"fld_7178881_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7178881\" class=\" form-control\" id=\"fld_7178881_2\" name=\"fld_7178881\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7178881Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8197175\" class=\"form-group\" id=\"fld_8197175_2-wrap\">\r\n\t<label id=\"fld_8197175Label\" for=\"fld_8197175_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_8197175\" class=\" form-control\" id=\"fld_8197175_2\" name=\"fld_8197175\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8197175Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9087729\" class=\"form-group\" id=\"fld_9087729_2-wrap\">\r\n\t<label id=\"fld_9087729Label\" for=\"fld_9087729_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_9087729\" class=\" form-control\" id=\"fld_9087729_2\" name=\"fld_9087729\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9087729Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6502690\" class=\"form-group\" id=\"fld_6502690_2-wrap\">\r\n\t<label id=\"fld_6502690Label\" for=\"fld_6502690_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_6502690\" class=\" form-control\" id=\"fld_6502690_2\" name=\"fld_6502690\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6502690Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1214801\" class=\"form-group\" id=\"fld_1214801_2-wrap\">\r\n\t<label id=\"fld_1214801Label\" for=\"fld_1214801_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_1214801\" class=\" form-control\" id=\"fld_1214801_2\" name=\"fld_1214801\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1214801Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_176526\" class=\"form-group\" id=\"fld_176526_2-wrap\">\r\n\t<label id=\"fld_176526Label\" for=\"fld_176526_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_176526\" class=\" form-control\" id=\"fld_176526_2\" name=\"fld_176526\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_176526Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4649520\" class=\"form-group\" id=\"fld_4649520_2-wrap\">\r\n\t<label id=\"fld_4649520Label\" for=\"fld_4649520_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_4649520\" class=\" form-control\" id=\"fld_4649520_2\" name=\"fld_4649520\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4649520Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div class=\"\"><p><b>CURRENT MARKET VALUE<\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_2215505\" class=\"form-group\" id=\"fld_2215505_2-wrap\">\r\n\t<label id=\"fld_2215505Label\" for=\"fld_2215505_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2215505\" class=\" form-control\" id=\"fld_2215505_2\" name=\"fld_2215505\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2215505Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2558044\" class=\"form-group\" id=\"fld_2558044_2-wrap\">\r\n\t<label id=\"fld_2558044Label\" for=\"fld_2558044_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2558044\" class=\" form-control\" id=\"fld_2558044_2\" name=\"fld_2558044\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2558044Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9125749\" class=\"form-group\" id=\"fld_9125749_2-wrap\">\r\n\t<label id=\"fld_9125749Label\" for=\"fld_9125749_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_9125749\" class=\" form-control\" id=\"fld_9125749_2\" name=\"fld_9125749\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9125749Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3164132\" class=\"form-group\" id=\"fld_3164132_2-wrap\">\r\n\t<label id=\"fld_3164132Label\" for=\"fld_3164132_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_3164132\" class=\" form-control\" id=\"fld_3164132_2\" name=\"fld_3164132\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3164132Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2757814\" class=\"form-group\" id=\"fld_2757814_2-wrap\">\r\n\t<label id=\"fld_2757814Label\" for=\"fld_2757814_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2757814\" class=\" form-control\" id=\"fld_2757814_2\" name=\"fld_2757814\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2757814Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2753475\" class=\"form-group\" id=\"fld_2753475_2-wrap\">\r\n\t<label id=\"fld_2753475Label\" for=\"fld_2753475_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2753475\" class=\" form-control\" id=\"fld_2753475_2\" name=\"fld_2753475\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2753475Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2138663\" class=\"form-group\" id=\"fld_2138663_2-wrap\">\r\n\t<label id=\"fld_2138663Label\" for=\"fld_2138663_2\" class=\"control-label screen-reader-text sr-only\">$<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"$\"   type=\"text\" data-field=\"fld_2138663\" class=\" form-control\" id=\"fld_2138663_2\" name=\"fld_2138663\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2138663Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div class=\"\"><p><b>DEDUCTIBLE \/ RATE<\/b><\/br><\/br><\/br><\/p>\n<\/div><div data-field-wrapper=\"fld_4178775\" class=\"form-group\" id=\"fld_4178775_2-wrap\">\r\n\t<label id=\"fld_4178775Label\" for=\"fld_4178775_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_4178775\" class=\" form-control\" id=\"fld_4178775_2\" name=\"fld_4178775\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4178775Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4761835\" class=\"form-group\" id=\"fld_4761835_2-wrap\">\r\n\t<label id=\"fld_4761835Label\" for=\"fld_4761835_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_4761835\" class=\" form-control\" id=\"fld_4761835_2\" name=\"fld_4761835\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4761835Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5311063\" class=\"form-group\" id=\"fld_5311063_2-wrap\">\r\n\t<label id=\"fld_5311063Label\" for=\"fld_5311063_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_5311063\" class=\" form-control\" id=\"fld_5311063_2\" name=\"fld_5311063\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5311063Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7255313\" class=\"form-group\" id=\"fld_7255313_2-wrap\">\r\n\t<label id=\"fld_7255313Label\" for=\"fld_7255313_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_7255313\" class=\" form-control\" id=\"fld_7255313_2\" name=\"fld_7255313\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7255313Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_167374\" class=\"form-group\" id=\"fld_167374_2-wrap\">\r\n\t<label id=\"fld_167374Label\" for=\"fld_167374_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_167374\" class=\" form-control\" id=\"fld_167374_2\" name=\"fld_167374\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_167374Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1653727\" class=\"form-group\" id=\"fld_1653727_2-wrap\">\r\n\t<label id=\"fld_1653727Label\" for=\"fld_1653727_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_1653727\" class=\" form-control\" id=\"fld_1653727_2\" name=\"fld_1653727\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1653727Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_744095\" class=\"form-group\" id=\"fld_744095_2-wrap\">\r\n\t<label id=\"fld_744095Label\" for=\"fld_744095_2\" class=\"control-label screen-reader-text sr-only\">-<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"-\"   type=\"text\" data-field=\"fld_744095\" class=\" form-control\" id=\"fld_744095_2\" name=\"fld_744095\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_744095Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-23\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p>I understand that the information set forth is correct and shall be the basis upon which insurance may be granted. Completion of this application does not bind the applicant to accept the quotation nor does it bind the insurer to accept the risk. The applicants agree that reports containing personal, credit, factual record, premium payment or claims history may be sought or exchanged in connection with this application for insurance or renewal, extension, variation or cancellation thereof. <\/p>\n<p><\/br><\/p>\n<h3>PREMIUM IS FULLY EARNED \u2013 MINIMUM ANNUAL RETAINED<\/h3>\n<p> (Unless Watercraft is sold).<\/p>\n<\/div><\/div><\/div><div id=\"CF5aa195e226f92_2-row-24\"  class=\"row \"><div  class=\"col-sm-4  first_col\">\n<div data-field-wrapper=\"fld_4639210\" class=\"form-group\" id=\"fld_4639210_2-wrap\">\r\n\t<label id=\"fld_4639210Label\" for=\"fld_4639210_2\" class=\"control-label\">Date<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_4639210\" value=\"\" id=\"fld_4639210_2\" data-field=\"fld_4639210\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"dd-mm-yyyy\" data-date-start-view=\"month\" data-date-language=\"en-GB\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_4639210Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_5389071\" class=\"form-group\" id=\"fld_5389071_2-wrap\">\r\n\t<label id=\"fld_5389071Label\" for=\"fld_5389071_2\" class=\"control-label\">Agent<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5389071\" class=\" form-control\" id=\"fld_5389071_2\" name=\"fld_5389071\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5389071Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_4846604\" class=\"form-group\" id=\"fld_4846604_2-wrap\">\r\n\t<label id=\"fld_4846604Label\" for=\"fld_4846604_2\" class=\"control-label\">Agency<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4846604\" class=\" form-control\" id=\"fld_4846604_2\" name=\"fld_4846604\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4846604Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-25\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_2017922\" class=\"form-group\" id=\"fld_2017922_2-wrap\">\r\n\t<label id=\"fld_2017922Label\" for=\"fld_2017922_2\" class=\"control-label\">Agent Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2017922\" class=\" form-control\" id=\"fld_2017922_2\" name=\"fld_2017922\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2017922Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_6389397\" class=\"form-group\" id=\"fld_6389397_2-wrap\">\r\n\t<label id=\"fld_6389397Label\" for=\"fld_6389397_2\" class=\"control-label\">Agent Fax<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6389397\" class=\" form-control\" id=\"fld_6389397_2\" name=\"fld_6389397\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6389397Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_7554148\" class=\"form-group\" id=\"fld_7554148_2-wrap\">\r\n\t<label id=\"fld_7554148Label\" for=\"fld_7554148_2\" class=\"control-label\">Agent Email<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7554148\" class=\" form-control\" id=\"fld_7554148_2\" name=\"fld_7554148\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7554148Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5aa195e226f92_2-row-26\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7908577\" class=\"form-group\" id=\"fld_7908577_2-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_7908577\" id=\"fld_7908577_2\" value=\"Send Message\" data-field=\"fld_7908577\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_2\" type=\"hidden\" name=\"fld_7908577\" id=\"fld_7908577_2_btn\" value=\"\" data-field=\"fld_7908577\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n TALK TO A FAWCETT INSURANCE REPRESENTATIVE NOW!<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Deep Cove Insurance | Boat Insurance | Fawcett Insurance | North Vancouver<\/title>\n<meta name=\"description\" content=\"Fawcett Insurance: Your Deep Cove Boat Insurance Company. Are you covered? We make sure! Phone: 604.929.3494 today for a free estimate.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fawcettinsurance.com\/boat-insurance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Deep Cove Insurance | Boat Insurance | Fawcett Insurance | North Vancouver\" \/>\n<meta property=\"og:description\" content=\"Fawcett Insurance: Your Deep Cove Boat Insurance Company. Are you covered? We make sure! Phone: 604.929.3494 today for a free estimate.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.fawcettinsurance.com\/boat-insurance\/\" \/>\n<meta property=\"og:site_name\" content=\"Fawcett Insurance\" \/>\n<meta property=\"article:modified_time\" content=\"2018-07-18T17:11:57+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.fawcettinsurance.com\/boat-insurance\/\",\"url\":\"https:\/\/www.fawcettinsurance.com\/boat-insurance\/\",\"name\":\"Deep Cove Insurance | Boat Insurance | Fawcett Insurance | North Vancouver\",\"isPartOf\":{\"@id\":\"https:\/\/www.fawcettinsurance.com\/#website\"},\"datePublished\":\"2018-03-08T22:58:07+00:00\",\"dateModified\":\"2018-07-18T17:11:57+00:00\",\"description\":\"Fawcett Insurance: Your Deep Cove Boat Insurance Company. Are you covered? We make sure! Phone: 604.929.3494 today for a free estimate.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.fawcettinsurance.com\/boat-insurance\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.fawcettinsurance.com\/boat-insurance\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.fawcettinsurance.com\/boat-insurance\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.fawcettinsurance.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Boat Insurance\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.fawcettinsurance.com\/#website\",\"url\":\"https:\/\/www.fawcettinsurance.com\/\",\"name\":\"Fawcett Insurance\",\"description\":\"Are you covered? We make sure!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.fawcettinsurance.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Deep Cove Insurance | Boat Insurance | Fawcett Insurance | North Vancouver","description":"Fawcett Insurance: Your Deep Cove Boat Insurance Company. Are you covered? We make sure! Phone: 604.929.3494 today for a free estimate.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.fawcettinsurance.com\/boat-insurance\/","og_locale":"en_US","og_type":"article","og_title":"Deep Cove Insurance | Boat Insurance | Fawcett Insurance | North Vancouver","og_description":"Fawcett Insurance: Your Deep Cove Boat Insurance Company. Are you covered? We make sure! Phone: 604.929.3494 today for a free estimate.","og_url":"https:\/\/www.fawcettinsurance.com\/boat-insurance\/","og_site_name":"Fawcett Insurance","article_modified_time":"2018-07-18T17:11:57+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.fawcettinsurance.com\/boat-insurance\/","url":"https:\/\/www.fawcettinsurance.com\/boat-insurance\/","name":"Deep Cove Insurance | Boat Insurance | Fawcett Insurance | North Vancouver","isPartOf":{"@id":"https:\/\/www.fawcettinsurance.com\/#website"},"datePublished":"2018-03-08T22:58:07+00:00","dateModified":"2018-07-18T17:11:57+00:00","description":"Fawcett Insurance: Your Deep Cove Boat Insurance Company. Are you covered? We make sure! Phone: 604.929.3494 today for a free estimate.","breadcrumb":{"@id":"https:\/\/www.fawcettinsurance.com\/boat-insurance\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.fawcettinsurance.com\/boat-insurance\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.fawcettinsurance.com\/boat-insurance\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.fawcettinsurance.com\/"},{"@type":"ListItem","position":2,"name":"Boat Insurance"}]},{"@type":"WebSite","@id":"https:\/\/www.fawcettinsurance.com\/#website","url":"https:\/\/www.fawcettinsurance.com\/","name":"Fawcett Insurance","description":"Are you covered? We make sure!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.fawcettinsurance.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/pages\/285"}],"collection":[{"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/comments?post=285"}],"version-history":[{"count":18,"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/pages\/285\/revisions"}],"predecessor-version":[{"id":445,"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/pages\/285\/revisions\/445"}],"wp:attachment":[{"href":"https:\/\/www.fawcettinsurance.com\/wp-json\/wp\/v2\/media?parent=285"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}