Boat Liability

Insured Name	Additional Insured	Certificate Number	Policy Price
{% if ownerType == 'Company' %} {{ company }} {% else %} {{ firstName }} {{ lastName }} {% if secondLastName != "-" %} {{ secondLastName }} {% endif %} {% endif %}	{{ additional_insured_name }}		$00.00

Quote

Payment currency {{ form_widget(form.currency) }}

Boat Term {{ form_widget(form.boatTerm, {'attr' : {'class' : 'browser-default', 'style' : 'border-bottom: 1px solid #9e9e9e'}} ) }}

Boat type {{ form_widget(form.boatType, {'attr' : {'class' : 'browser-default', 'style' : 'border-bottom: 1px solid #9e9e9e'}})}}

Year Built {{ form_widget(form.yearBuilt) }}

Select Coverage {{ form_widget(form.price) }}

PLAN A
$00.00
{{ form_widget(form.policyTerm.0, {'attr': {'class': 'default-input'}}) }} {{ form_label(form.policyTerm.0) }}

PLAN B
$00.00
{{ form_widget(form.policyTerm.1, {'attr': {'class': 'default-input'}}) }} {{ form_label(form.policyTerm.1) }}

PLAN C
$00.00
{{ form_widget(form.policyTerm.2, {'attr': {'class': 'default-input'}}) }} {{ form_label(form.policyTerm.2) }}

PLAN D
$00.00
{{ form_widget(form.policyTerm.3, {'attr': {'class': 'default-input'}}) }} {{ form_label(form.policyTerm.3) }}

PLAN E
$00.00
{{ form_widget(form.policyTerm.4, {'attr': {'class': 'default-input'}}) }} {{ form_label(form.policyTerm.4) }}

*For Boats between 45 and 55 years old

PLAN F
$00.00
{{ form_widget(form.policyTerm.5, {'attr': {'class': 'default-input'}}) }} {{ form_label(form.policyTerm.5) }}

*For boats more than 55 years old

Boat Information

Entrance Date* {{ form_widget(form.entranceDate, {'attr':{'placeholder':'mm/dd/YYYY', 'class':'datepicker-boat-liability'}}) }}

Address Information

Address* {{ form_widget(form.address,{'attr':{'placeholder' : 'Address'}}) }}

Postal Code* {{ form_widget(form.postalCode,{'attr':{'placeholder' : 'Ex. 48016'}}) }}

City* {{ form_widget(form.city,{'attr':{'placeholder' : 'City'}}) }}

State* {{ form_widget(form.state, {'attr':{'placeholder' : 'State'}}) }}

Country* {{ form_widget(form.country, {'attr':{'placeholder' : 'Country'}}) }}

Boat Description

Vessel Name {{ form_widget(form.vessel,{'attr':{'placeholder' : 'Vessel Name'}}) }}

Destination Port {{ form_widget(form.destinationPort,{'attr':{'placeholder' : 'Destination Port'}}) }}

Engine Type {{ form_widget(form.engineType) }}

Boat Use {{ form_widget(form.boatUse) }}

Hull Type {{ form_widget(form.hullType) }}

Manufacturer {{ form_widget(form.manufacturer, {'attr':{'placeholder' : 'Manufacturer'}}) }}

Boat Type {{ form_widget(form.boatModel) }}

Passengers {{ form_widget(form.passengersNumber, {'attr':{'placeholder' : 'Passengers'}}) }}

Engine HP {{ form_widget(form.engineHp, {'attr':{'placeholder' : 'Engine HP'}}) }}

Registration {{ form_widget(form.registration, {'attr':{'placeholder' : 'Registration'}}) }}

Hull ID {{ form_widget(form.hullId, {'attr':{'placeholder' : 'Hull ID'}}) }}

Length(feet) {{ form_widget(form.lengthFeet, {'attr':{'placeholder' : 'Length(feet)'}}) }}

beam(Feet) {{ form_widget(form.beam, {'attr':{'placeholder' : 'beam(Feet)'}}) }}

Marina {{ form_widget(form.marina) }}

Flag {{ form_widget(form.flag) }}

Tender {{ form_widget(form.tender) }}

You want Additional Insured? {{ form_widget(form.additionalInsured) }}

Tender #1

Manufacturer {{ form_widget(form.tenderManufacturer1, {'attr':{'placeholder' : 'Manufacturer'}}) }}

Length(Feet) {{ form_widget(form.tenderLength1, {'attr':{'placeholder' : 'Length(Feet)'}}) }}

Horsepower {{ form_widget(form.tenderHp1, {'attr':{'placeholder' : 'Horsepower'}}) }}

Tender #2

Manufacturer {{ form_widget(form.tenderManufacturer2, {'attr':{'placeholder' : 'Manufacturer'}}) }}

Length(Feet) {{ form_widget(form.tenderLength2, {'attr':{'placeholder' : 'Length(Feet)'}}) }}

Horsepower {{ form_widget(form.tenderHp2, {'attr':{'placeholder' : 'Horsepower'}}) }}

Tender #3

Manufacturer {{ form_widget(form.tenderManufacturer3, {'attr':{'placeholder' : 'Manufacturer'}}) }}

Length(Feet) {{ form_widget(form.tenderLength3, {'attr':{'placeholder' : 'Length(Feet)'}}) }}

Horsepower {{ form_widget(form.tenderHp3, {'attr':{'placeholder' : 'Horsepower'}}) }}

{# Boker Fee #} {% if distributorType is defined and distributorType == 'Producer US' %}

{% include 'distributors/broker-fee-inputs.twig' with {'distributorType': distributorType} %}

{% endif %}

{% if paymentTypeMode == 'CreditCard' or paymentTypeMode == 'All' %} Credit Card Payment {% endif %}

{% if paymentTypeMode == 'WithoutOutCharge' or paymentTypeMode == 'All' %} Bank transfer {% endif %}