By submitting this information and requesting a free quote for marine insurance, you represent to McGriff, Seibels & Williams, Inc. and any insurance company responding with a quotation for marine insurance that all information you have provided and submitted is true and complete. By submitting this information you acknowledge that a failure in any way to provide complete, truthful information will void any policy of insurance which you may ultimately obtain.

Insurance Fraud Warning:

A person who, with intent to defraud or knowingly facilitates a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.