Prepared on ​12/15/2023 Page ​1 of ​

Your Policy Declarations

Policyholder (Named Insured):
Mary Blake Ahoy!® Boatowners Policy
Policy Period: FROM 12/15/2023­ TO 12/15/2024­
9411 Woodcrest Dr
Policy Number: 2023-12-0000000993
Huntington Beach, CA 92646-5945
Contact Ahoy!: (855) 611-AHOY (2469)

Company Name: Spinnaker Insurance Company

Producer Name: Ahoy MIT, LLC Address: 1 Pluckemin Way Suite 102
Address: 5 Union Square W, #1400 Bedminster, NJ 07921
New York, NY 10003 Phone: (888) 221-7742
Phone: (855)289-2469
Keep these Declarations for your records

General Policy Information

Issued: 12/15/2023
These declarations are a part of the policy named above and identified by the policy number above. These supersede any
declarations issued earlier. Your policy provides the coverages and limits shown in the schedule of coverages. They apply to each
insured watercraft as indicated.

Policy Period: 12/15/2023­- 12/15/2024­­but only if the required premium for this period has been paid and only for twelve
month renewal periods if renewal premiums have been paid as required. This policy is initially effective at (1) the time the
application for insurance is completed, or (2) 12:01 a.m. on the first day of the policy period, whichever is later. Each
renewal period begins and ends at 12:01 a.m. standard time at the address of the named insured stated herein. This policy
<cancels or expires>at 12:01 a.m. at the address of the named insured stated herein.

Your carrier is Spinnaker Insurance Company, NAIC # 24376

Premium Summary and Other Charges

Skisurf $676

Total Policy Premium $676

Operator Name Date of Birth Marital Status

Mary Blake 08/31/1968 Divorced

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 Prepared on ​12/15/2023 Page ​2 of

Your Policy Declarations

Policyholder (Named Insured):
Mary Blake Ahoy!® Boatowners Policy
Policy Period: FROM ­12/15/2023­ TO 12/15/2024­
Policyholder (Mailing Address):
Policy Number: 2023-12-0000000993
9411 Woodcrest Dr Contact Ahoy!: (855) 611-AHOY (2469)
Huntington Beach, CA 92646-5945

For coverage definitions and descriptions, visit ahoy.insure

Insured Boat(s) and Schedule of Coverages

Boat # Year Make Model Boat Motor Total HP Length Hull ID/Serial Hull Includes
Make Type Type Number Value Trailer
1 2020 CHAPARRAL 223 vortex Skisurf Inboard 250 20 FGBU1205P820 $59900 No
BOATS vrx

Coverage Level Limit of Liability

Bodily Injury Liability
Limit Per Person $300000 per person
Limit Per Occurrence $300000 per occurrence
Property Damage Liability
Limit Per Occurrence $300000 per occurrence
Medical Payments
Limit Per Occurrence $5000 per occurrence
Uninsured / Underinsured Boater
Limit Per Person $300000 per person
Limit Per Occurrence $300000 per occurrence
On Water Towing
Limit Per Occurrence $1000 per occurrence

Personal Effects
Limit Per Occurrence $5000 per occurrence
Collision Deductible $500 deductible
Other than Collision Coverage Deductible $500 deductible
(5% for all named storms)
Fishing Equipment $5000 per occurrence
Limit Per Occurrence

Rental Reimbursement Included

Road Side Assistance Included

Boat Premium: $676

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Engine Information
N/A

Trailer Information

Additional Insured
AQUA FINANCE, INC.
P.O. BOX 844 54402-0844 WAUSAU, WI

Ahoy 2022-03 ​3 of ​4
 Prepared on ​12/15/2023 Page ​4 of

Your Policy Declarations

Policyholder (Named Insured):
Mary Blake Ahoy!® Boatowners Policy
Policy Period: FROM ­12/15/2023­ TO 12/15/2024­
Policyholder (Mailing Address):
Policy Number: 2023-12-0000000993
9411 Woodcrest Dr
Contact Ahoy!: (855) 611-AHOY (2469)
Huntington Beach, CA 92646-5945

Policy Form and Endorsements

Ahoy Policy Application 2022-03

Ahoy Policy Declaration 2022-03
0_Pleasure Boatowners Policy 2022-03
01_Personal Effects Coverage 2022-03
04_Roadside Assistance Coverage 2022-03
05_On Water Towing Coverage 2022-03
06_Fishing Equipment Coverage 2022-03
07_Rental Reimbursement Coverage 2022-03
08_Vanishing Deductible 2022-03
09_Mobile Phone Accident Coverage 2022-03
Special Provisions- California 2022-03

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