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APPLICATION / MOORING RENTER INFORMATION SHEET

Revised 091210 San Diego MOORING Company 4980 N. Harbor Dr., Suite 201, San Diego, CA 92106 Phone: 619-291-0916 Fax: 619-718-6263 APPLICATION / MOORING RENTER INFORMATION SHEET FOR OFFICE USE ONLYBUOY NO. _____ MOVE-IN DATE _____ IDENTIFICATION #: _____ VERIFIED BY: _____ DATE CHECK RECEIVED: _____ CHECK # or MO# _____ San Diego MOORING waitlist approval includes boat approval via current color photograph, credit approval, proof of documentation/registration a non-refundable APPLICATION fee.

Revised 091210 San Diego Mooring Company 4980 N. Harbor Dr., Suite 201, San Diego, CA 92106 Phone: 619-291-0916 Fax: 619-718-6263 APPLICATION / MOORING RENTER INFORMATION SHEET

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Transcription of APPLICATION / MOORING RENTER INFORMATION SHEET

1 Revised 091210 San Diego MOORING Company 4980 N. Harbor Dr., Suite 201, San Diego, CA 92106 Phone: 619-291-0916 Fax: 619-718-6263 APPLICATION / MOORING RENTER INFORMATION SHEET FOR OFFICE USE ONLYBUOY NO. _____ MOVE-IN DATE _____ IDENTIFICATION #: _____ VERIFIED BY: _____ DATE CHECK RECEIVED: _____ CHECK # or MO# _____ San Diego MOORING waitlist approval includes boat approval via current color photograph, credit approval, proof of documentation/registration a non-refundable APPLICATION fee.

2 This process will insure vessel applicant that they will be added to the San Diego MOORING Rental Wait List. Should applicant be accepted, the APPLICATION fee will be applied to the applicants MOORING deposit. Credit report will be reconfirmed if more than six (6) months old prior to vessel arrival. This APPLICATION / Buoy RENTER SHEET is a required part of your Wharfage Contract with the San Diego MOORING Co. Please supply all requested INFORMATION .

3 In the event that there are any changes in any or all of the INFORMATION contained herein, you are required to notify the MOORING Office within 10 days of the date such changes become effective. MOORING Area Requested _____ PERSONAL INFORMATION (Required to match yacht ownership INFORMATION ) Name: _____ Social Security: _____ Home Address: _____ City: _____ State: _____Zip: _____ Employed By: _____ Position: _____ Business Address: _____ Home Phone: _____ Business Phone: _____ Fax: _____ Cell Phone:_____ Email address: _____ Referred By: _____ CORPORATE INFORMATION Corporate Name: _____ Tax ID: _____ Company Address.

4 _____ YACHT INFORMATION (Ownership is required to match Personal / Corporate INFORMATION ) Make of Boat: _____ Yr. Built: _____ sail _____ power _____ Name of Boat: _____ Hull Color: _____ _____ Beam _____ Draft _____ Displacement weight: _____ Reg/Doc #: _____ Sanitation device? Yes / No Years owned vessel: _____ Years of Boating Experience: _____ Type of bottom paint: copper / zinc / other _____ Previously Moored at: _____ Reason for leaving: _____ RENTAL RATE MEASUREMENT Rental rate is based on overall length; boat or slip length, whichever is greater.

5 Length on deck is not an indication of overall length. Bow pulpit, dinghy in davits, outboard, swim step, rudder; all must be included in LOA. Revised 091210 YACHT INFORMATION (Continued) Do you have any partners in the ownership of this vessel? (If yes, list names, address & phone numbers) Partner 1: _____ Partner 2: _____ Lien holder: _____ Address: _____ INSURANCE INFORMATION Insurance Company: _____ Agent: _____ Address: _____ Phone: _____ EMERGENCY CONTACT Name: _____ Relationship: _____ Phone #: _____ Name: _____ Relationship: _____ Phone #.

6 _____ The following documents are required either with this APPLICATION or before MOORING rental * A copy of the current vessel registration or documentation is required prior to approval of this APPLICATION and yearly at the time of documentation/registration renewal as long as the vessel is moored at the Marina. All persons named on the registration/documentation will be required to sign the final Wharfage Contract. ** A Certificate of Insurance listing San Diego MOORING Co. as the ADDITIONAL INSURED is preferred prior to rental of this MOORING and yearly at the time of insurance renewal for as long as the vessel is moored at the MOORING .

7 If Insurance is Continuous proof of such status to be furnished to the MOORING Office. What we need: *Combined Single Limit Liability coverage in the amount of $500,000 or more *Oil Spill and Pollution Liability listed on the Declaration page *San Diego MOORING Co. named as additional insured* *The boat must be identified on the Declaration page (make, year, etc.) *Dates of coverage-we cannot accept ..with no fixed expiration date ** A current color photograph of the vessel is required prior to approval of this APPLICATION .

8 All vessels are subject to marina manager s inspection and approval. APPLICATION Fee (Non-refundable fee equal to MOORING fee established for 1 month period.) The INFORMATION on this APPLICATION is true to the best of my knowledge. I hereby authorize the person to whom this APPLICATION is delivered or their agents to verify the above INFORMATION and to obtain a report on my/ our consumer and/ or business credit worthiness. Date: _____ Applicant Signature: _____ Date: _____ Marina Manager: _____ Credit: Approved: _____Denied: _____Financial Officer: _____Date:_____ Revised 091210 APPLICATION AND MOORING BUOY ASSIGNMENT PROCEDURES All persons requesting a MOORING buoy must submit an APPLICATION for the MOORING area requested.

9 applications may be submitted for any of the following MOORING areas: A-1 (Shelter Island); A-2 (America s Cup Harbor); A-3 (Laurel Street); and A-4 (Bay Bridge Roadstead). A non-refundable APPLICATION fee must be submitted with each APPLICATION . This fee shall be equal to one half of the MOORING fee established for a one (1) calendar month period and applied as payment towards the initial monthly MOORING fee. applications may be mailed to the San Diego MOORING Company (SDMC) office at 4980 N.

10 Harbor Dr., Ste 201, San Diego, CA 92106 or delivered to such address. Upon receipt of an APPLICATION , applicant will be placed on wait list chronologically according to date received. A separate list is maintained for each MOORING area. A vacant MOORING will be offered to the person highest on the list for that size MOORING , and then, if refused, in sequence to the next listed applicant. SDMC will notify applicants by phone or mail of the availability of a vacant MOORING .


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