This is your Confirmation Certificate-Binder.

A binder is a temporary insurance contract to show insurance coverage

until the policy is issued. The insurance is subject to the terms, conditions, and limitations of the policy in current
use by the company. The binder number is 715022 and the Policy Number is 103958059.
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Named Insured KATRINA BOOM
Address 2579 CITRUS LANE
LAKE HAVASU CITY AZ 86403
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Loss Payee M&T Bank, Attn: Insurance Servicing, PO Box 129 Cockeysville, MD 21030.

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Your policy has been bound with American Modern Property and Casualty. Coverage will take effect on is
11/16/2023 and end on 11/16/2024. It will begin and end at 12:01 a.m., at the place where this policy was issued.
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Vessel Covered by This Policy
2017 23' MB SPORTS B52 23 MBZ06610D717
# of Engines 1 2017 INDMAR 410hp
Tender:
Trailer:

Coverage Limits Deductibles

Vessel & Equipment $65900 $500
Named Storm Deductible $0
A named storm deductible only applies to hurricanes, tropical storms, or tropical depressions
Trailer $0 $0
Tender $0 $0
Tender Outboard $0 $0
Liability $300000 $0
Medical Payments $5000 per person $0
Uninsured Boat Owners $300000 $0
Personal Effects $2500 $200
Towing and Emergency Services $ 500 $0

Rated Area of Use: Inland and Coastal waters of the United States or Canada up to 50 miles offshore.

Navigation Period: Lay Up: 12 months navigation - no lay up

Paid Captain: NO
Vessel Use: PRIVATE PLEASURE ONLY
Policy Form: Agreed Amount Value

In the event of an occurrence that may lead to a loss, notice must be given to United
Marine Underwriters. 308 W Jefferson Street PO Box 9 La Grange KY 40031.
Authorized Agent Telephone 800-477-7140 claim@UnitedMarine.net