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Boat Specifications
Year:
Make
:
Boat Name:
Owner's Name:
Street Address:
City/State/ZIP:
Owner's Phone Numbers:
Home:
Work:
Cell:
FAX:
Owner's Email address:
Boat Documentation or State Reg. Number:
Boat Type:
Power
Sail
Hull Type:
Monohull
Catamaran
Trimaran
Bridge clearance
:
Boat Length:
Beam:
Draft:
Engine:
Manufacturer
Caterpillar
Chevrolet
Chris Craft
Chrysler
Crusader
Cummins
Detroit
Indmar
John Deere
Lehman
Lugger
Mercruiser
OMC
Perkins
Pleasurecraft
Volvo Penta
Yanmar
other
Number:
1
2
3
Fuel Type:
Diesel
Gas
Horsepower:
Gen. Set:
Yes
No
Manufacturer:
Westerbeke
Northern Lights
Lugger
Kohler
Fischer Panda
Onan
Detroit
Perkins Sabre
Balmar
Mercruiser
OMC
Perkins
Phasor
Deere
Yanmar
other
Type:
Diesel
Gas
Size:
5KW
7.5KW
10KW
12KW
Inverter:
No
Yes
Bow Thruster:
No
Yes
Fuel Capacity (gals):
Fuel Consumption:
GPH
or MPG
Cruising Speed (MPH):
Range (miles):
Water Capacity (gals):
Water maker:
Yes
No
Heating in Main Salon and Staterooms:
Yes
No
Air Conditioning in Main Salon and Staterooms:
Yes
No
Accomodations:
Staterooms:
1
2
3
4
Heads:
1
2
Shower:
Yes
No
Cooking/eating utensils on board:
Yes
No
Linens and bedding on board:
Yes
No
Propane appliances on board:
Yes
No
Cooking fuel full:
Yes
No
Black water storage:
Holding Tank
Lectrasan
None
Holding tanks pumped out:
No
Yes
N/A
Electronics:
VHF:
Yes
No
SSB:
Yes
No
Depth/SONAR:
Yes
No
RADAR:
Yes
No
GPS:
Yes
No
Auto Pilot:
Yes
No
Safety:
Adult Life Jackets (number):
0
1
2
3
4
5+
EPIRB:
Yes
No
If Yes, date last checked:
January
February
March
April
May
June
July
August
September
October
November
December
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
First Aid kit:
Yes
No
Fire extinguishers (number):
0
1
2
3
4
5+
Flares/distress signals:
Yes
No
Abandon Ship bag:
Yes
No
Horn:
Yes
No
Emergency steering:
Yes
No
Manual Bilge pump:
Yes
No
Ground Tackle:
Anchors:
Type:
Plow
Danforth
CQR
Size:
Type:
Plow
Danforth
CQR
Size:
Anchor Windlass:
Yes
No
Bilge pumps (number):
1
2
3
4
Tools on board:
Dinghy:
Type:
Inflatable
Rigid hull
Outboard Engine:
Yes
No
If Yes, Horsepower:
below 7.5
7.5
9.9
15
over 15
Date of last survey:
January
February
March
April
May
June
July
August
September
October
November
December
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
Date of last hauling out:
January
February
March
April
May
June
July
August
September
October
November
December
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
Hull Insurance:
Protection and Indemnity Clause:
Yes
No
Insurance Company name:
Policy Number:
Towing Insurance:
Yes
No
If Yes, Contact Name:
Contact number:
Spare parts list:
Water pump impellers:
Drive belts:
Engine oil:
Fuel filters:
Owner/Operations manuals for all electronics and machinery:
Yes
No
Miscellaneous:
Binoculars:
Yes
No
Spot Light:
Yes
No
Boat hook:
Yes
No
Flash lights:
0
1
2
3+
Harness:
Yes
No
Dock lines:
Yes
No
Passports (if visiting foreign port):
Yes
No
Any firearms on board:
No
Yes
Copyright © 2006 All rights reserved.
Revised: June 6, 2006.