Insurance Rider Confirmation
Charter Ref. No. CHR-{{ '%04d' | format(charter.id) }} •
Vessel: {{ vessel.name if vessel else 'N/A' }} •
Date: {{ charter.start_datetime.strftime('%B %d, %Y') if charter.start_datetime else '________________' }}
{% if charter.insurance_rider_number %}
✓ RIDER ISSUED — VESSEL CLEARED FOR DEPARTURE
{% else %}
⚠ PENDING ISSUANCE — VESSEL NOT AUTHORIZED TO DEPART
{% endif %}
1. Named Insured (Temporary)
Full Name
{{ charter.charterer_name }}
Contact
{{ charter.charterer_email or charter.charterer_phone or '—' }}
2. Insured Vessel
| Vessel Name | HIN / USCG Doc. | Make / Model | LOA | Engines |
|---|
| {{ vessel.name if vessel else '—' }} |
{{ vessel.hin if vessel and vessel.hin else '_______________' }} |
{{ ((vessel.make or '') ~ ' ' ~ (vessel.model or '')) | trim if vessel else '—' }} |
{{ (vessel.length | string ~ ' ft') if vessel and vessel.length else '—' }} |
{{ vessel.engines if vessel and vessel.engines else '—' }} |
3. Coverage Details
Rider / Endorsement No.
{% if charter.insurance_rider_number %}
{{ charter.insurance_rider_number }}
{% else %}
{% endif %}
Insurer
{% if charter.insurer_name %}
{{ charter.insurer_name }}
{% else %}
{% endif %}
Coverage Amount
{% if charter.coverage_amount %}
${{ '%,.2f' | format(charter.coverage_amount) }} USD
{% else %}
{% endif %}
Coverage Type
Liability — Private Recreational Use Only
Coverage Start
{{ charter.start_datetime.strftime('%B %d, %Y %I:%M %p') if charter.start_datetime else '___________________________' }}
Coverage End
{{ end_dt.strftime('%B %d, %Y %I:%M %p') if end_dt else '___________________________' }}
{% if charter.damage_waiver and charter.damage_waiver > 0 %}
Damage Waiver (paid by Charterer)
${{ '%.2f' | format(charter.damage_waiver) }} USD
{% endif %}
{% if charter.insurance_rider_number %}
✅ DEPARTURE CLEARANCE GRANTED — Coverage active {{ charter.start_datetime.strftime('%I:%M %p') if charter.start_datetime else '—' }} to {{ end_dt.strftime('%I:%M %p') if end_dt else '—' }}
{% else %}
🚫 NO CLEARANCE — Vessel may NOT depart until this rider is issued and the rider number is recorded.
{% endif %}
4. Scope and Exclusions
| Covered | Excluded |
|---|
| Third-party bodily injury and property damage liability during the coverage period |
Commercial use, for-hire transport, or any income-generating activity |
| Passenger liability for the named insured's guests aboard during the coverage period |
Operation under the influence of alcohol or controlled substances |
| Navigation within agreed Florida coastal / intracoastal operational area |
Navigation outside approved area or overnight use without prior written consent |
| Accidental vessel damage if Damage Waiver was purchased |
Intentional damage, gross negligence, or willful misconduct |
{% if not charter.insurance_rider_number %}
TO ISSUE THIS RIDER: Contact your marine insurance broker with the vessel and charterer details above.
Recommended Florida marine insurers: Markel Marine • BoatUS / GEICO Marine • Progressive Marine • Pantaenius America
Most brokers issue short-term hourly riders via online portal or email within minutes.
Once issued, enter the Rider No. in the charter record to grant departure clearance.
{% endif %}
5. Insurer Confirmation
|
{{ charter.insurer_name or 'Insurer' }}
Authorized Representative: ___________________________
Date of Issuance: ___________________________
Authorized Signature
|
Insurer Stamp / Seal
|