Work Orders & Rates Explore Our Boat Repair Prices and Order Requests Current Service Rates. Work Order Request Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Enter Email Confirm Email Boat Name Manufacturer and Model Year Length Overall(Required) Beam Draft Registration Number Hull ID # Engine Manufacturer Engine Model Cabin Combo Key Location Boat is insured with:(Required) Insurance Requirements(Required) I will provide a certificate of insurance before hauling.All vessels hauled by Washburn's Boat Yard MUST be insured at the time of haul and must maintain insurance coverage while in storage. A certificate of insurance must be provided to the office before hauling. Please upload a photo below or email to the office to avoid any delays on the day of hauling. Insurance Document Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 5. Services Requested To Be Performed By Washburn's Boat Yard(Required)Notices(Required) I have read the below notices.All boats undergoing bottom work (sanding , painting, or repairs) MUST have a tarp placed under the vessel before blocking. Please notify the yard prior to haul out if you intend to perform any bottom work. A second haul charge will be incurred if a tarp is needed to placed after the initial blocking. Sail boats must remove any roller-furling head sails prior to land storage. All stands MUST be moved only by yard personnel, charges apply. Nothing may be tied to or secured to the stands. Work areas must be keep clean. Hourly yard rates will apply if Washburn's personnel are required to clean up around your vessel. Authorization(Required) By checking this box, I certify that I have read, understand, and agree to all terms and conditions set forth below.The undersigned certifies that he/she is the Owner or authorized agent of all Owner(s) (hereinafter collectively “Owner”) of the vessel/ trailer/engine described above. Owner authorizes Chris Washburn’s Boat Yard, Inc. (“WBY”) to provide all necessary labor and materials to perform the services, repairs, maintenance, and/or warranty services referred to above and on any addenda hereto (collectively referred to as “Repairs”) subject to the Pricing, Terms, Conditions, Rules and Regulations set forth on the front and back of this form, on any addenda, and on the front and back of the WBY price list, all of which are incorporated herein by reference. If the work/services requested are not specifically described or priced on the effective WBY price list, and no other price is specified. Owner agrees that the work will be performed on a Time and Materials basis in accordance with WBY’s standard effective rates for labor and materials for such work/services. In the event it is necessary for WBY to subcontract any of the Repairs, Owner authorizes WBY to retain the necessary subcontractors and to bill Owner with any customary mark-up. Owner agrees to promptly pay all charges for labor, materials, expendable tools, shipping charges, environmental and machinery costs associated with the Repairs. ALL TERMS BELOW ARE INCORPORATED INTO WORK ORDER Prior to hauling, the Owner must notify WBY if he/she plans to work on the boat while it is out of water, including by whom, and the nature of the work to be done. Due to insurance and safety considerations, Owners may not be permitted to perform some types of work. All boat yard rules apply. Copies are available at the office. Owners are prohibited from sandblasting, spray painting, pressure washing, or any other work that may cause damage to yard property or any other boats. Bottom painting and preparations may only be performed by WBY or the Owner and the Owner’s immediate family. WBY reserves the right to stop anyone from performing any work at WBY that, in WBY’s sole judgment, may be considered hazardous to persons or property at WBY. Owner understands that if he/she retains outside contractors to perform work at WBY, they must comply with WBY’s rules pertaining to outside contractors which include minimum insurance requirements, indemnity, and environmental rules. Copies of the rules are available in the WBY office. Owner authorizes WBY’s employees, agents and subcontractors to board, operate, move, haul, block, test, and fuel the vessel/trailer/engine as they deem necessary, without notice to Owner, and at Owner’s sole risk of loss/damage from any cause whatsoever, including but not limited to the negligence of WBY, its employees, agents, and subcontractors. Owner acknowledges that the piers, grounds, parking lots and facilities of WBY are not completely secure and that the Boat and Owners’ motor vehicle will not be under the exclusive care, custody or control of WBY at any time. Access to boats and piers at WBY is unrestricted by land or sea, there are no gates, enclosures, controlled access or security guards. Owner acknowledges that WBY has limited lighting, no alarms, no electronic security devices/detectors, no guard dogs, is open to contractors, visitors, boaters and their guests. Owner acknowledges that WBY is not an insurer of the safety, security or condition of the Boat, the Owners’ motor vehicle, or their contents. Owner agrees that at no time will WBY be a Bailee or warehouseman with respect to the Boat, Owner’s motor vehicle, or their contents. Owner agrees to maintain adequate hull and liability insurance covering the boat at all limes and to look solely to Owner’s own insurance in the event of loss. Owner agrees that all invoices are due upon receipt. Owner agrees to pay a service charge of 2% per month on all accounts over 30 days past due, including those which may have been submitted to a warrantor or similar third party. Owner acknowledges the creation of applicable statutory liens against the vessel/trailer/engine securing the cost of all services and other necessaries, and agrees that WBY may maintain possession of the vessel/trailer/engine until paid in full. In the event WBY must take collection action Owner agrees to pay a reasonable attorney/collection fee equal to one-third (1/3) of all amounts due or collected. In any event, the minimum fee shall be $200.00. In the event Owner does not pick up the boat/trailer/engine within 48 hours after being notified that requested services are completed. Owner agrees to pay WBY its effective daily storage charges until date of pick-up, and to pay for all moves deemed necessary in the sole judgment of WBY. The parties agree this is the complete and only agreement between them with respect to the Repairs. All prior discussions, agreements, estimates, etc. are merged herein. Owner agrees to hold WBY, its employees, agents and subcontractors harmless from liability for any personal injury to the Owner, and for any loss or damage to Owner’s vessel/trailer/engine or other property, arising from any cause whatsoever, including, but not limited to, fire, storm, theft, vandalism, collision, ice, sinking, act of God, or the negligence of WBY, its employees, agents, or subcontractors. SignatureCAPTCHA