Get A Quick Quote

180/185 Insurance

Select Aircraft: Cessna 180 Cessna 185

Coventional Gear Floats Amphibious

Seasonal? Yes No

Usage:

Current Company:

EXP Date:

5 Year Losses Violations

2007 2008 2009 2010 2011

N#:

Year:

Seats #:

Hull Value:

Float Value:

Airport Name:

Hangared Tied

Liability: 1Mil / 100K 1Mil / 1Mil 500K / 100K

Insurance Coverage: Full Flight Ground and Taxi Ground not in Motion Liability Only

Pilot

CHECK THIS BOX IF PILOT IS NOT THE SAME AS THE INSD. (ALREADY HAVE BASIC INFOR FOR INSD.)

Ratings: Private Commercial ATP Student

Instrument Rated

Total Hours:

180 + 185 Hours:

Conv Gear Hours:

Float Hours:

Comments / Other Pilots / Explain Losses:

General Aviation Insurance

Current Company:

EXP Date:

5 Year Losses Violations

2007 2008 2009 2010 2011

N#:

Unknown

Standard

Experimental

Restricted

Year:

Aircraft Make:

Aircraft Model:

Seats #:

Insurance Coverage: Full Flight Ground and Taxi Ground not in Motion Liability Only

Hull Value:

Airport Name:

Hangared Tied

Liability: 1Mil / 100K 1Mil / 100K 1Mil / 1Mil 500K / 100K

Medical: $1,000 $3,000 $5,000 $10,000 $25,000

Pilot

CHECK THIS BOX IF PILOT IS NOT THE SAME AS THE INSD. (ALREADY HAVE BASIC INFOR FOR INSD.)

Last Name:

First Name:

Birthday:

Certificate:     Student     Sport     Recreational     Private     Commercial     CFI     ATP

Rating:     Instrument Rated     Glider     SEL     SES     MEL     MES     Helicopter     Turbo Jet

Total Hours: Make and Model Hours: Tailwheel: Retractable: Multi-Engine:

Turbo-Prop: Rotor: Other: Last 12 Months:

Comments / Other Pilots / Explain Losses:

Seaplane Insurance

Current Company:

EXP Date:

5 Year Losses / Violations DUI

2007 2008 2009 2010 2011

N#:

Unknown

Floats Amphibious

Year:

Aircraft Make:

Aircraft Model:

Total Seats:

Insurance Coverage: Full Flight Ground and Taxi Ground not in Motion Liability Only

Total Value:

Value of Floats:

Seasonal? Yes No

Usage:

Airport Name:

Hangared Tied

Liability: 1Mil / 100K 1Mil / 100K 1Mil / 1Mil 500K / 100K

Medical: $1,000 $3,000 $5,000 $10,000 $25,000

Pilot

CHECK THIS BOX IF PILOT IS NOT THE SAME AS THE INSD. (ALREADY HAVE BASIC INFOR FOR INSD.)

Last Name:

First Name:

Birthday:

Certificate:     Student     Sport     Recreational     Private     Commercial     CFI     ATP

Rating:     Instrument Rated     Glider     SEL     SES     MEL     MES     Helicopter     Turbo Jet

Total Hours: Make and Model Hours: Tailwheel: Retractable: Multi-Engine:

Jet: Turbo-Prop: Total Float: Last 12 Months:

Comments / Other Pilots / Explain Losses:

Hangar Coverage Insurance

Airport Name:

Only Building Only Premises Both Premesis and Building Other

Property Address:

City:

State:

Zip:

Used For:

SQ. FT:

Value:

Roof Type: Steel Composite Wood Other

Consruction Type: All Steel Wood Frame Steel Siding Wood Cement Block Other

Sprinklered

Security Alarm

Age of Building:

Current Company:

EXP Date:

Coverage Request: Building Coverages Only Liability Only Both Liab. and Bldg. Coverage Other

Contents

Tools

Other

Comments / Other Pilots / Explain Losses:

Commercial Business / Vehicle Insurance

Commercial Business Vehicle